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JOSEPH M CLARK MD
NPI 1053308288
Otolaryngology in Burlington, NC

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
1248 HUFFMAN MILL RD, STE 201, BURLINGTON, NC 27215(336) 538-1966(336) 538-1729 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph M Clark Md NPPES

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

JOSEPH M CLARK MD (NPI 1053308288) is an individual otolaryngology provider in Burlington, North Carolina, licensed in North Carolina (9700217) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Wake Forest University School Of Medicine (1995).

NPPES Registry Identity

NPI1053308288
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOSEPH M CLARKCredential: MD
Location Address1248 HUFFMAN MILL RD, STE 201Burlington, NC 27215-8700
Mailing AddressPo Box 24848Winston Salem, NC 27114-4848 · (336) 538-1966 · Fax (336) 538-1729
Phone(336) 538-1966
Fax(336) 538-1729
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1995
Enumeration DateOctober 3, 2005
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 4, 2021
✔ NPI 1053308288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 9700217
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 9700217 (NC)
1248 HUFFMAN MILL RD, Burlington, NC 27215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Joseph M 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 ID4284707399
PECOS Enrollment IDI20100322000828
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 4

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 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.
28 services23 patients
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.
26 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

J MADISON CLARK MD PLLC
Otolaryngology
1248 HUFFMAN MILL RD, SUITE 201
BURLINGTON, NC 27215
Alamance County (336) 538-1966
SLEEPMED THERAPIES, INC.
Durable Medical Equipment & Medical Supplies
1248 HUFFMAN MILL RD, SUITE B
BURLINGTON, NC 27215
Alamance County (336) 584-6204
DIGITRACE CARE SERVICES INC.
Durable Medical Equipment & Medical Supplies
1248 HUFFMAN MILL RD, SUITE B
BURLINGTON, NC 27215
Alamance County (336) 584-6204
CAROLINA DIAGNOSTICS, INC.
Durable Medical Equipment & Medical Supplies
1248 HUFFMAN MILL RD, B
BURLINGTON, NC 27215
Alamance County (336) 584-6204
LEAH COULTER ARNP
Nurse Practitioner (Acute Care)
1248 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 278-9011
BURLINGTON MEDICAL PRACTICE, PA
Specialist
1248 HUFFMAN MILL RD, SUITE 103
BURLINGTON, NC 27215
Alamance County (336) 584-5200
MR. PHILIP WILLIAM AUBEL RDN
Dietitian, Registered
1248 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 538-8100
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine
1248 HUFFMAN MILL RD, STE. 103
BURLINGTON, NC 27215
Alamance County (336) 584-5200

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 Joseph Clark's NPI number?

The NPI number for Joseph Clark is 1053308288. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Joseph Clark located?

Joseph Clark practices at 1248 Huffman Mill Rd Ste 201, Burlington, NC 27215. The listed phone number is (336) 538-1966.

What is Joseph Clark's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joseph Clark enrolled in Medicare?

Yes. Joseph Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Clark accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Joseph Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Clark affiliated with any hospitals?

According to CMS data, Joseph Clark is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Joseph Clark was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.