CAITLIN S CLARK DO
NPI 1063490340
Family Medicine in Erie, PA
About Caitlin S Clark Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAITLIN S CLARK DO (NPI 1063490340) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS010364L) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in Erie.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Caitlin S Clark Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Caitlin Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Erie, PA 16502
- Reassigned Medicare billing, Pennsylvania enrollment
- 483 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 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Vincent Hospital
Acute Care Hospitals · Erie, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Caitlin Clark's NPI number?
The NPI number for Caitlin Clark is 1063490340. It was assigned to this individual provider in the NPPES registry on January 6, 2006. The provider is also known as Caitlin Songey.
Where is Caitlin Clark located?
Caitlin Clark practices at 311 W 24th St Ste 305, Erie, PA 16502. The listed phone number is (814) 454-4484.
What is Caitlin Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Caitlin Clark enrolled in Medicare?
Yes. Caitlin 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 organization bills Medicare for Caitlin Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Clark reassigns Medicare benefits to St Vincent Medical Education And Research Institute Inc (Erie, PA). The 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 Caitlin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Caitlin Clark affiliated with any hospitals?
According to CMS data, Caitlin Clark is affiliated with Saint Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Caitlin Clark was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Caitlin S Clark, DO · NPI 1063490340
Family Medicine physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1063490340 (Entity type: Individual)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS010364L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 311 W 24TH ST STE 305, Erie, PA 16502-2666
- **Phone:** (814) 454-4484 · **Fax:** (814) 452-1809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Vincent Medical Education And Research Institute Inc (NPI 1902881477, Erie, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1998
## Record status
- **NPPES last updated:** September 30, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1063490340) · Data from the CMS NPPES public registry.