DR. SUSAN CHRISTINE CLARK MD
NPI 1104096650
Surgery in Portsmouth, VA
About Dr. Susan Christine Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN CHRISTINE CLARK MD (NPI 1104096650) is an individual surgery provider in Portsmouth, Virginia, licensed in Virginia (0101253279) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Northern Light Mayo Hospital, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Dr. Susan Christine 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.
Medicare Billing Reassignments
3Medicare enrollment records show Susan Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chesapeake, VA 23320
- Reassigned Medicare billing, Virginia enrollment
- 158 clinicians in this Medicare group
Richmond, VA 23227
- Reassigned Medicare billing, Virginia enrollment
- 386 clinicians in this Medicare group
Dover Foxcroft, ME 04426
- Reassigned Medicare billing, Maine enrollment
- 146 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Mayo Hospital
Critical Access Hospitals · Dover Foxcroft, MEGlendive Medical Center
Critical Access Hospitals · Glendive, MTChesapeake General Hospital
Acute Care Hospitals · Chesapeake, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NORFOLK, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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 Susan Clark's NPI number?
The NPI number for Susan Clark is 1104096650. It was assigned to this individual provider in the NPPES registry on March 11, 2008.
Where is Susan Clark located?
Susan Clark practices at Naval Medical Center Portsmouth 620 John Paul Jones Circle, Portsmouth, VA 23708. The listed phone number is (757) 953-9759.
What is Susan Clark's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Susan Clark enrolled in Medicare?
Yes. Susan 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 Susan Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Clark reassigns Medicare benefits to 3 organizations: Chesapeake Regional Medical Group (Chesapeake, VA), Bon Secours Medical Group Hampton Roads Specialty Care LLC (Richmond, VA) and Mrh Corp. (Dover Foxcroft, ME). 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 Susan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Clark accept?
Health plans from Oscar Health and Taro Health list Susan 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 Susan Clark affiliated with any hospitals?
According to CMS data, Susan Clark is affiliated with Northern Light Mayo Hospital, Glendive Medical Center and Chesapeake General Hospital.
When was this NPI record last updated?
The NPPES record for Susan Clark was last updated on February 20, 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.
# Dr. Susan Christine Clark, MD · NPI 1104096650
Surgery physician in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since March 11, 2008.
## Identity
- **NPI:** 1104096650 (Entity type: Individual)
- **Enumerated:** March 11, 2008
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 0101253279 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, Portsmouth, VA 23708
- **Phone:** (757) 953-9759 · **Fax:** (757) 953-0845
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Chesapeake Regional Medical Group (NPI 1699940270, Chesapeake, VA); Bon Secours Medical Group Hampton Roads Specialty Care LLC (NPI 1629637475, Richmond, VA); Mrh Corp. (NPI 1558319103, Dover Foxcroft, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** February 20, 2024
- **Other identifiers:** Medicaid 5918139 (NC); Other 163WH (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1104096650) · Data from the CMS NPPES public registry.