DR. CHARLES S CLARK JR. M.D. - NPI 1114921913 - Orthopaedic Surgery in Corpus Christi, TX

Q: What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1114921913. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Charles Clark's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on January 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Charles S Clark Jr. M.d. NPPES

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

DR. CHARLES S CLARK JR. M.D. (NPI 1114921913) is an individual orthopaedic surgery provider in Corpus Christi, Texas, licensed in Texas (D9397) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114921913

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CHARLES S CLARK JR.Credential: M.D.

Location Address6118 PARKWAY DR.Corpus Christi, TX 78414-2455

Mailing AddressPo Box 6770Corpus Christi, TX 78466-6770 · (361) 883-2000 · Fax (361) 561-1354

Phone(361) 883-2000

Fax(361) 561-1354

Sole ProprietorNo

Enumeration DateJune 9, 2005

Last NPPES UpdateJanuary 30, 2014

✔ NPI 1114921913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · D9397

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

6118 PARKWAY DR., Corpus Christi, TX 78414

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Other Identifiers 5

Medicare NSC1281510001TX

Medicaid126242003TX

Medicare PIN89051NTX

Other200035255TX · Medicare B Railroad

Medicare UPINC14522TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles S Clark Jr. 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 78414 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN L. PATTERSON M.D.

Orthopaedic Surgery