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BENJAMIN REED CLARK O.D.
NPI 1063612497
Optometrist in Wisconsin Rapids, WI

Active since July 24, 2007PECOS Enrolled
99.81/100
CMS Quality Rating
1220 PARKWOOD DR, WISCONSIN RAPIDS, WI 54494(715) 421-2111(715) 421-2123 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2022, Oct 14, 2020 (2 updates tracked since 2020).

About Benjamin Reed Clark O.d. NPPES

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

BENJAMIN REED CLARK O.D. (NPI 1063612497) is an individual optometrist in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (3087-035) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063612497
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBENJAMIN REED CLARKCredential: O.D.
Location Address1220 PARKWOOD DRWisconsin Rapids, WI 54494-5488
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(715) 421-2111
Fax(715) 421-2123
Sole ProprietorNo
Enumeration DateJuly 24, 2007
Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1063612497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3087-035
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1220 PARKWOOD DR, Wisconsin Rapids, WI 54494
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Other Identifiers 1

Medicaid38632200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Reed Clark O.d. 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 54494 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

99.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.39

Other Providers at the Same Location NPPES 5

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

CAROL ANN SHEKER MAIN OD
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
PARKWOOD EYECARE ASSOCIATES, LLC
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
DR. MICHAEL DESMOND MAIN O.D.
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
KIMBERLY K RUTKOWSKI OD
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111
MYEYEDR OPTOMETRY OF WISCONSIN, LLC
Optometrist
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-2111

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 Benjamin Clark's NPI number?

The NPI number for Benjamin Clark is 1063612497. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Benjamin Clark located?

Benjamin Clark practices at 1220 Parkwood Dr, Wisconsin Rapids, WI 54494. The listed phone number is (715) 421-2111.

What is Benjamin Clark's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Benjamin Clark enrolled in Medicare?

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

What insurance does Benjamin Clark accept?

Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Clark was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.