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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NANCY S CLARK M.D.
NPI 1114986023
Surgery - Vascular Surgery in Hartsville, SC

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
704 MEDICAL PARK DR, HARTSVILLE, SC 29550(843) 383-2764(844) 689-5206 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Jan 25, 2021, Nov 9, 2020 and 2 more (5 updates tracked since 2017).

About Nancy S Clark M.d. NPPES

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

NANCY S CLARK M.D. (NPI 1114986023) is an individual vascular surgery provider in Hartsville, South Carolina, licensed in Kentucky (50539) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1114986023
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameNANCY S CLARKCredential: M.D.
Location Address704 MEDICAL PARK DRHartsville, SC 29550-4765
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0325
Phone(843) 383-2764
Fax(844) 689-5206
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1991
Enumeration DateMarch 20, 2006
Last NPPES UpdateOctober 6, 20265 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1114986023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in KY · 50539✔ Licensed in SC · 96463
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
704 MEDICAL PARK DR, Hartsville, SC 29550
Open in Google Maps ↗

Secondary Practice Location 1

Location 1401 E Chestnut St Unit 710Louisville, KY 40202 · Phone (502) 583-8303

Other Identifiers 4

Medicaid413914300MD
Medicaid7100468230KY
Other88260001DC · Blue Dc
Other95QWMD · Blue Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Nancy S 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.

PECOS PAC ID5496831067
PECOS Enrollment IDI20080324000109, I20240405001988, I20260414001580
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

5

Medicare enrollment records show Nancy Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartsville Medical Group LLC
0.2 mi
Internal Medicine
701 MEDICAL PARK DR
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 116 clinicians in this Medicare group
NPI 1598995300 (843) 383-5191
Lhmg Medical Group, LLC
350 mi
General Acute Care Hospital
100 HOSPITAL RD
Prince Frederick, MD 20678
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Medicare enrollment name: Luminis Health Medical Group, LLC
  • Also billed through NPI 1265852750 (District of Columbia)
  • 794 clinicians in this Medicare group
NPI 1144062365 (410) 414-4740
Usa Vein Clinics Of Maryland LLC
376 mi
Vascular Surgery
1910 TOWNE CENTRE BLVD STE 210C
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 7 clinicians in this Medicare group
NPI 1972201879 (410) 571-8525
Maryland And Virginia Phlebology PC
391 mi
Surgery
1500 WHETSTONE WAY STE 104
Baltimore, MD 21230
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 9 clinicians in this Medicare group
NPI 1750462081 (410) 244-8110
University Of Louisville Phyisicians, Inc.
408 mi
Sleep Medicine
3920 DUTCHMANS LN
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1679222632 (502) 259-6610

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 7

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.

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.
116 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
72 services72 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
20 services19 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Carolina Pines Regional Medical Center

Acute Care Hospitals · Hartsville, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420010
Location1304 W Bobo Newsom HwyHartsville, SC 29550 · Darlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29550 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 2

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

DR. PATRICK E SIZEMORE M.D.
Surgery
704 MEDICAL PARK DR
HARTSVILLE, SC 29550
Darlington County (843) 332-1099
PHILIP CHAIPIS MD
Surgery
704 MEDICAL PARK DR
HARTSVILLE, SC 29550
Darlington County (843) 332-1099

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 Nancy Clark's NPI number?

The NPI number for Nancy Clark is 1114986023. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Nancy Clark located?

Nancy Clark practices at 704 Medical Park Dr, Hartsville, SC 29550. The listed phone number is (843) 383-2764.

What is Nancy Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Nancy Clark enrolled in Medicare?

Yes. Nancy 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 Nancy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Clark reassigns Medicare benefits to 5 organizations: Hartsville Medical Group LLC (Hartsville, SC), Lhmg Medical Group, LLC (Prince Frederick, MD), Usa Vein Clinics Of Maryland LLC (Annapolis, MD), Maryland And Virginia Phlebology PC (Baltimore, MD) and University Of Louisville Phyisicians, Inc. (Louisville, KY). 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 Nancy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Clark accept?

Health plans from BlueCross BlueShield of South Carolina list Nancy 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 Nancy Clark affiliated with any hospitals?

According to CMS data, Nancy Clark is affiliated with Carolina Pines Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nancy Clark was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.