ABDUL-GHAFFAAR CLARK MD
NPI 1053949305
Emergency Medicine in Irving, TX

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
82.36/100
CMS Quality Rating
6800 N MACARTHUR BLVD, IRVING, TX 75039(414) 708-9427 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Aug 17, 2023, Jul 18, 2023 and 1 more (4 updates tracked since 2020).

About Abdul-ghaffaar Clark Md NPPES

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

ABDUL-GHAFFAAR CLARK MD (NPI 1053949305) is an individual emergency medicine provider in Irving, Texas, licensed in Texas (U2465) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital Of Laredo, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053949305
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameABDUL-GHAFFAAR CLARKCredential: MD
Location Address6800 N MACARTHUR BLVDIrving, TX 75039-2422
Mailing Address2212 Yaupon DrIrving, TX 75063-3483 · (414) 708-9427
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1053949305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · U2465✔ Licensed in WI · 76601
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6800 N MACARTHUR BLVD, Irving, TX 75039

Secondary Practice Locations 2

Location 18701 W Watertown Plank RdWauwatosa, WI 53226-3548 · Phone (414) 955-8296
Location 24100 State Highway 66Stevens Point, WI 54482 · Phone (715) 236-8100

Accepted Insurance

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

Abdul-ghaffaar 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 ID9830514967
PECOS Enrollment IDI20230913003384, I20231025003394
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 Reassignments

10

Medicare enrollment records show Abdul-ghaffaar Clark reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
210 S JUDSON ST
Navasota, TX 77868
  • Reassigned Medicare billing, Texas enrollment
  • 132 clinicians in this Medicare group
Emergency Medicine
10700 MCPHERSON AVE
Laredo, TX 78045
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
1300 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Bryan Emergency Physicians PA
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
195 services191 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
76 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
47 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services39 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75039 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.38
Promoting Interoperability100
Improvement Activities40
Cost50.29

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.

Radiology (Diagnostic Radiology)
6800 N MACARTHUR BLVD
IRVING, TX 75039
Nurse Anesthetist, Certified Registered
6800 N MACARTHUR BLVD
IRVING, TX 75039
Speech-Language Pathologist
6800 N MACARTHUR BLVD
IRVING, TX 75039
Nurse Practitioner (Neonatal)
6800 N MACARTHUR BLVD
IRVING, TX 75039
Internal Medicine
6800 N MACARTHUR BLVD
IRVING, TX 75039
Nurse Practitioner
6800 N MACARTHUR BLVD
IRVING, TX 75039
Emergency Medicine
6800 N MACARTHUR BLVD
IRVING, TX 75039
Emergency Medicine
6800 N MACARTHUR BLVD
IRVING, TX 75039

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 Abdul-ghaffaar Clark's NPI number?

The NPI number for Abdul-ghaffaar Clark is 1053949305. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Abdul-ghaffaar Clark located?

Abdul-ghaffaar Clark practices at 6800 N Macarthur Blvd, Irving, TX 75039. The listed phone number is (414) 708-9427.

What is Abdul-ghaffaar Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Abdul-ghaffaar Clark enrolled in Medicare?

Yes. Abdul-ghaffaar 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.

Which organizations bill Medicare for Abdul-ghaffaar Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul-ghaffaar Clark reassigns Medicare benefits to 10 organizations: Brazos Valley Emergency Physicians PA (Navasota, TX), Webb Emergency Medicine Associates PA (Laredo, TX), Mcadams Emergency Medicine Associates, PA (Laredo, TX), Beaver Dam Community Hosptials Inc (Columbus, WI), Mchs Hospitals Inc (Eau Claire, WI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdul-ghaffaar Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdul-ghaffaar Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Health and Oscar Insurance Company and 1 other insurer list Abdul-ghaffaar 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 Abdul-ghaffaar Clark affiliated with any hospitals?

According to CMS data, Abdul-ghaffaar Clark is affiliated with Doctors Hospital Of Laredo, Marshfield Medical Center - Rice Lake and Marshfield Medical Center - Weston.

When was this NPI record last updated?

The NPPES record for Abdul-ghaffaar Clark was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.