ANTHONY MICHAEL CLARK MD
NPI 1033614250
Surgery - Vascular Surgery in Mechanicsburg, PA

Q: What is Anthony Clark's NPI number?

The NPI number for Anthony Clark is 1033614250. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Q: What is Anthony Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Clark was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment

2020 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2023, Mar 28, 2018 (2 updates tracked since 2018).

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About Anthony Michael Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY MICHAEL CLARK MD (NPI 1033614250) is an individual vascular surgery provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD491347) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033614250

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameANTHONY MICHAEL CLARKCredential: MD

Location Address2020 TECHNOLOGY PKWY STE 201Mechanicsburg, PA 17050-9411

Mailing Address2020 Technology Pkwy Ste 201Mechanicsburg, PA 17050-9411 · (717) 731-0101 · Fax (717) 731-8359

Phone(717) 731-0101

Fax(717) 731-8359

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2018

Enumeration DateMarch 28, 2018

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1033614250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in PA · MD491347✔ Licensed in NJ · 25MA11885300

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2020 TECHNOLOGY PKWY STE 201, Mechanicsburg, PA 17050

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Secondary Practice Locations 2

Location 1150 Bergen StNewark, NJ 07103-2496 · Phone (973) 972-9573

Location 2530 S Jackson StLouisville, KY 40202-1675 · Phone (954) 812-9602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Michael Clark Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971831256

PECOS Enrollment IDI20250813000187

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARUN REDDY KANMANTHAREDDY M.D.

Internal Medicine (Interventional Cardiology)