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PETER EARL CLARK MD
NPI 1073595401
Urology in Charlotte, NC

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1021 MOREHEAD MEDICAL DR, STE 6100, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 62 more (65 updates tracked since 2018).

About Peter Earl Clark Md NPPES

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

PETER EARL CLARK MD (NPI 1073595401) is an individual urology provider in Charlotte, North Carolina, licensed in North Carolina (200200506) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1073595401
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePETER EARL CLARKCredential: MD
Location Address1021 MOREHEAD MEDICAL DR, STE 6100Charlotte, NC 28204-2990
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 442-2000
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1994
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 15, 202465 updates tracked since enumeration
✔ NPI 1073595401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 200200506
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790
Location 21021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 4100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Peter Earl 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 ID9133120058
PECOS Enrollment IDI20170531000852
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

2

Medicare enrollment records show Peter Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority
Same address
Surgical Oncology
1021 MOREHEAD MEDICAL DR, STE A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1508135799 (980) 442-2000
Carolinas Medical Center
Same address
Surgical Critical Care
1025 MOREHEAD MEDICAL DR, STE 500
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1699979732 (704) 347-4033

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 11

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
166 services93 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.
139 services89 patients
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.
67 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
32 services21 patients
Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235
This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.
23 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
7 suppliers46 claims165 services$8.60 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers25 claims690 services$3.29 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers13 claims17 services$5.71 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
6 suppliers14 claims28 services$3.40 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers18 claims660 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
3 suppliers26 claims965 services$8.01 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.

ARMIDA PARALA-METZ MD
Internal Medicine (Hospice and Palliative Medicine)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MANISHA BHUTANI MD
Internal Medicine (Hematology)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
TRISHA WOOTEN FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
VALERIE DENISE TAYLOR PA
Physician Assistant
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MICHAEL SHELDON RICHARDSON MD
Internal Medicine
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
LEAH HOWE CUPP FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
DEBA SARMA MD
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
CATHERINE HEATHER FRENKEL MD
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000

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 Peter Clark's NPI number?

The NPI number for Peter Clark is 1073595401. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Peter Clark located?

Peter Clark practices at 1021 Morehead Medical Dr Ste 6100, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Peter Clark's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Peter Clark enrolled in Medicare?

Yes. Peter 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 Peter Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Clark reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). 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 Peter Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Clark accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Peter 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 Peter Clark affiliated with any hospitals?

According to CMS data, Peter Clark is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Peter Clark was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.