CLARK VAN DEN BERGHE MD
NPI 1053752675
Family Medicine in Lynn, MA

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment
269 UNION ST, LYNN, MA 01901(781) 596-2502(781) 596-3966 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clark Van Den Berghe Md NPPES

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

CLARK VAN DEN BERGHE MD (NPI 1053752675) is an individual family medicine provider in Lynn, Massachusetts, licensed in Massachusetts (256393) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Northwestern University Feinberg Medical School (2013).

NPPES Registry Identity

NPI1053752675
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLARK VAN DEN BERGHECredential: MD
Location Address269 UNION STLynn, MA 01901-1314
Mailing Address269 Union StLynn, MA 01901-1314 · (781) 581-3900 · Fax (781) 598-1050
Fax(781) 596-3966
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2013
Enumeration DateJuly 11, 2013
Last NPPES UpdateJuly 21, 2022
NPI 1053752675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 256393
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.

269 UNION ST, Lynn, MA 01901

Accepted 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

Clark Van Den Berghe 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 ID4789826967
PECOS Enrollment IDI20171016002701
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

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01901 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers19 claims24 services$5.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims12 services$0.57 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 20

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

Social Worker (Clinical)
269 UNION ST
LYNN, MA 01901
Counselor (Mental Health)
269 UNION ST
LYNN, MA 01901
Registered Nurse
269 UNION ST
LYNN, MA 01901
Dentist
269 UNION ST, 2ND FLOOR
LYNN, MA 01901
Registered Nurse
269 UNION ST
LYNN, MA 01901
Registered Nurse
269 UNION ST
LYNN, MA 01901
Student in an Organized Health Care Education/Training Program
269 UNION ST
LYNN, MA 01901
Nurse Practitioner
269 UNION ST
LYNN, MA 01901

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 Clark Van Den Berghe's NPI number?

The NPI number for Clark Van Den Berghe is 1053752675. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Clark Van Den Berghe located?

Clark Van Den Berghe practices at 269 Union St, Lynn, MA 01901. The listed phone number is (781) 596-2502.

What is Clark Van Den Berghe's specialty?

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

Is Clark Van Den Berghe enrolled in Medicare?

Yes. Clark Van Den Berghe 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 Clark Van Den Berghe accept?

Health plans from Anthem Blue Cross and Blue Shield list Clark Van Den Berghe 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 Clark Van Den Berghe affiliated with any hospitals?

According to CMS data, Clark Van Den Berghe is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Clark Van Den Berghe was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.