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SAMUEL T CLARK II MD
NPI 1073506036
Family Medicine in Phoenix, AZ

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
4400 N 32ND ST, STE 110, PHOENIX, AZ 85018(602) 956-9595(602) 956-3232 Get Directions Write a Review

NPPES record last updated: April 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel T Clark Ii Md NPPES

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

SAMUEL T CLARK II MD (NPI 1073506036) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (27446) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1073506036
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL T CLARK IICredential: MD
Location Address4400 N 32ND ST, STE 110Phoenix, AZ 85018-3953
Mailing Address4400 N 32nd St, Ste 110Phoenix, AZ 85018-3953 · (602) 956-9595 · Fax (602) 956-3232
Phone(602) 956-9595
Fax(602) 956-3232
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateAugust 25, 2005
Last NPPES UpdateApril 1, 2011
✔ NPI 1073506036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 27446
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.
4400 N 32ND ST, Phoenix, AZ 85018
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Other Identifiers 2

Medicare ID-Type Unspecified100605AZ
Medicare UPING96721AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc..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

Samuel T Clark Ii 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 ID3678551421
PECOS Enrollment IDI20040709000149
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.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
523 services283 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
261 services201 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
97 services97 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
86 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 7

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
8 suppliers18 claims94 services$6.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims32 services$1.09 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers23 claims23 services$34.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$47.70 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$16.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers18 claims95 services$1.83 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.

AILEEN F VILLAREAL MD
Ophthalmology
4400 N 32ND ST, STE 280
PHOENIX, AZ 85018
Maricopa County (602) 266-6888
DR. LURLYN V PERO M.D.
Internal Medicine
4400 N 32ND ST, SUITE 140
PHOENIX, AZ 85018
Maricopa County (602) 254-4424
SUNNY VIEW MEDICAL CENTER, PLLC
Chiropractor
4400 N 32ND ST, SUITE 110
PHOENIX, AZ 85018
Maricopa County (602) 956-9595
ROBERT H BULLINGTON JR. MD
Ophthalmology
4400 N 32ND ST, STE 280
PHOENIX, AZ 85018
Maricopa County (602) 266-6888
DR. BARBARA A BACKER M.D.
Internal Medicine
4400 N 32ND ST, SUITE 140
PHOENIX, AZ 85018
Maricopa County (602) 254-4424
DR. TIFFANY COURTNEY PANKOW M.D.
Family Medicine
4400 N 32ND ST, SUITE 110
PHOENIX, AZ 85018
Maricopa County (602) 956-9595
LAURA HELLENTHAL
Nurse Practitioner (Adult Health)
4400 N 32ND ST, SUITE 140
PHOENIX, AZ 85018
Maricopa County (602) 254-4424
DR. WAYNE E KUHL MD
Internal Medicine
4400 N 32ND ST, SUITE 200
PHOENIX, AZ 85018
Maricopa County (602) 522-1900

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 Samuel Clark's NPI number?

The NPI number for Samuel Clark is 1073506036. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Samuel Clark located?

Samuel Clark practices at 4400 N 32nd St Ste 110, Phoenix, AZ 85018. The listed phone number is (602) 956-9595.

What is Samuel Clark's specialty?

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

Is Samuel Clark enrolled in Medicare?

Yes. Samuel 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.

What insurance does Samuel Clark accept?

Health plans from Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Samuel 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 Samuel Clark was last updated on April 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.