RILEY CLARK M.D.
NPI 1114370814
Hospitalist in Fargo, ND
About Riley Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RILEY CLARK M.D. (NPI 1114370814) is an individual hospitalist provider in Fargo, North Dakota, licensed in North Dakota (15687) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Prairie Ridge Hospital And Health Services, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 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
Riley Clark M.d. 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 Reassignment
Medicare enrollment records show Riley Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Fargo, ND 58078
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prairie Ridge Hospital And Health Services
Critical Access Hospitals · Elbow Lake, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Riley Clark's NPI number?
The NPI number for Riley Clark is 1114370814. It was assigned to this individual provider in the NPPES registry on July 18, 2016.
Where is Riley Clark located?
Riley Clark practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2000.
What is Riley Clark's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Riley Clark enrolled in Medicare?
Yes. Riley 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 organization bills Medicare for Riley Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Riley Clark reassigns Medicare benefits to Sanford Medical Center Fargo (West Fargo, ND). The 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 Riley Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Riley Clark accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Riley 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 Riley Clark affiliated with any hospitals?
According to CMS data, Riley Clark is affiliated with Prairie Ridge Hospital And Health Services and Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Riley Clark was last updated on November 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.
# Riley Clark, M.D. · NPI 1114370814
Hospitalist physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since July 18, 2016.
## Identity
- **NPI:** 1114370814 (Entity type: Individual)
- **Enumerated:** July 18, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 15687 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5225 23RD AVE S, Fargo, ND 58104-7927
- **Phone:** (701) 417-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Sanford Medical Center Fargo (NPI 1184917924, West Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114370814) · Data from the CMS NPPES public registry.