TIMOTHY M CLARK MD
NPI 1043265663
Internal Medicine - Pulmonary Disease in Boulder, CO

Active since May 23, 2006PECOS Enrolled
4820 RIVERBEND RD STE 100, BOULDER, CO 80301(303) 415-5399(303) 297-5808 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2019, Nov 9, 2017, Feb 22, 2017 (3 updates tracked since 2017).

About Timothy M Clark Md NPPES

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

TIMOTHY M CLARK MD (NPI 1043265663) is an individual pulmonary disease provider in Boulder, Colorado, licensed in Colorado (38716) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1994).

NPPES Registry Identity

NPI1043265663
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTIMOTHY M CLARKCredential: MD
Location Address4820 RIVERBEND RD STE 100Boulder, CO 80301-2618
Mailing Address5450 Western AveBoulder, CO 80301-2709 · (303) 415-5399 · Fax (303) 297-5808
Fax(303) 297-5808
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1994
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 10, 20193 updates tracked since enumeration
NPI 1043265663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · 38716
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 38716 (CO)
4820 RIVERBEND RD STE 100, Boulder, CO 80301

Secondary Practice Location 1

Location 190 Health Park Dr Ste 130Louisville, CO 80027-9586 · Phone (303) 415-5399 · Fax (303) 297-5808

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy M Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315081080
PECOS Enrollment IDI20100218000393
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services106 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
115 services112 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
113 services110 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services100 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
70 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers96 claims96 services$36.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers77 claims77 services$92.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers77 claims220 services$34.95 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers30 claims177 services$18.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers26 claims140 services$14.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers60 claims60 services$58.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Nurse Practitioner (Family)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Clinic/Center (Medical Specialty)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Physician Assistant (Medical)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1043265663. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Timothy Clark located?

Timothy Clark practices at 4820 Riverbend Rd Ste 100, Boulder, CO 80301. The listed phone number is (303) 415-5399.

What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Timothy Clark enrolled in Medicare?

Yes. Timothy Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on May 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.