MARY E CLARK M.D.
NPI 1104174846
Pathology - Anatomic Pathology & Clinical Pathology in White River Junction, VT

Q: What is Mary Clark's NPI number?

The NPI number for Mary Clark is 1104174846. It was assigned to this individual provider in the NPPES registry on August 28, 2012. The provider is also known as Mary E Hunnewell M.D..

Q: What is Mary Clark's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clark was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 28, 2012PECOS Enrolled

163 VETERANS DRIVE, WHITE RIVER JUNCTION, VT 05009(508) 776-8014 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2021, Aug 7, 2020, Sep 27, 2018 (3 updates tracked since 2018).

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About Mary E Clark M.d. NPPES

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

MARY E CLARK M.D. (NPI 1104174846) is an individual anatomic pathology & clinical pathology provider in White River Junction, Vermont, licensed in Massachusetts (282335) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104174846

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameMARY E CLARKCredential: M.D.

Location Address163 VETERANS DRIVEWhite River Junction, VT 05009-4728

Mailing Address215 N Main StWhite River Junction, VT 05009-0001 · (508) 776-8014

Phone(508) 776-8014

Sole ProprietorYes

Enumeration DateAugust 28, 2012

Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2021

✔ NPI 1104174846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in MA · 282335✔ Licensed in NE · 27610✔ Licensed in RI · LP05113

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

163 VETERANS DRIVE, White River Junction, VT 05009

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Other Names 1

Former Name (1)Mary E Hunnewell M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary E Clark M.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 05009 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

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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.

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.

KARI FLETCHER DPT

Physical Therapist