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DR. GAVIN KESTRAL CLARK MD
NPI 1063160695
Emergency Medicine in Washington, DC

Active since March 14, 2022PECOS Enrolled
110 IRVING ST NW STE NA1177, WASHINGTON, DC 20010(202) 373-9969 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2026, Jun 16, 2023 (2 updates tracked since 2023).

About Dr. Gavin Kestral Clark Md NPPES

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

DR. GAVIN KESTRAL CLARK MD (NPI 1063160695) is an individual emergency medicine provider in Washington, District Of Columbia, licensed in Maryland (D0106561) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063160695
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GAVIN KESTRAL CLARKCredential: MD
Location Address110 IRVING ST NW STE NA1177Washington, DC 20010-3017
Mailing Address110 Irving St Nw Ste Na1177Washington, DC 20010-3017 · (202) 373-9969
Phone(202) 373-9969
Sole ProprietorNo
Enumeration DateMarch 14, 2022
Last NPPES UpdateApril 25, 20262 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1063160695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MD · D0106561✔ Licensed in DC · MD60005590✔ Licensed in VA · 0101288809
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.
110 IRVING ST NW STE NA1177, Washington, DC 20010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gavin Kestral Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 3

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

CYDNEY ROSE
Physician Assistant (Medical)
110 IRVING ST NW STE NA1177
WASHINGTON, DC 20010
District of Columbia (202) 877-4343
DEBORAH ROTH BERRY PA-C
Physician Assistant (Surgical)
110 IRVING ST NW STE NA1177
WASHINGTON, DC 20010
District of Columbia (202) 877-4343
KATRINA LYNN HART PA-C
Physician Assistant
110 IRVING ST NW STE NA1177
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Gavin Clark's NPI number?

The NPI number for Gavin Clark is 1063160695. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Gavin Clark located?

Gavin Clark practices at 110 Irving St NW Ste Na1177, Washington, DC 20010. The listed phone number is (202) 373-9969.

What is Gavin Clark's specialty?

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

Is Gavin Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gavin Clark was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.