CLARK HOLLINGSHEAD
NPI 1033958186
Family Medicine in Evansville, IN

Q: What is Clark Hollingshead's NPI number?

The NPI number for Clark Hollingshead is 1033958186. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Q: What is Clark Hollingshead's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 20, 2024PECOS EnrolledAccepts Medicare Assignment

415 W COLUMBIA ST STE 110, EVANSVILLE, IN 47710(812) 450-3363 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Clark Hollingshead NPPES

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

CLARK HOLLINGSHEAD (NPI 1033958186) is an individual family medicine provider in Evansville, Indiana, licensed in Indiana (11023533A) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Rocky Vista University College Of Osteopathic Med (2024).

NPPES Registry Identity

NPI1033958186

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLARK HOLLINGSHEAD

Location Address415 W COLUMBIA ST STE 110Evansville, IN 47710-1656

Mailing Address415 W Columbia St Ste 110Evansville, IN 47710-1656

Phone(812) 450-3363

Sole ProprietorYes

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2024

Enumeration DateMay 20, 2024

Last NPPES UpdateMay 22, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1033958186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 11023533A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

415 W COLUMBIA ST STE 110, Evansville, IN 47710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clark Hollingshead 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 ID4981147543

PECOS Enrollment IDI20260521000344

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.

Medicare Billing Reassignment

Medicare enrollment records show Clark Hollingshead reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deaconess Clinic Inc

0.1 mi

Podiatrist

533 W COLUMBIA ST
Evansville, IN 47710

Reassigned Medicare billing, Indiana enrollment
444 clinicians in this Medicare group

NPI 1609417682 (812) 450-8350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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

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.

MASON M PLATER MD

Family Medicine