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EDWARD C CLARK M.D.
NPI 1124028311
Ophthalmology in Waldorf, MD

Active since July 28, 2005
23.72/100
CMS Quality Rating
11355 PEMBROOKE SQ, SUITE 107, WALDORF, MD 20603(301) 843-7711(301) 932-9195 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward C Clark M.d. NPPES

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

EDWARD C CLARK M.D. (NPI 1124028311) is an individual ophthalmology provider in Waldorf, Maryland, licensed in Maryland (D0017492) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1124028311
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameEDWARD C CLARKCredential: M.D.
Location Address11355 PEMBROOKE SQ, SUITE 107Waldorf, MD 20603-4805
Mailing Address11355 Pembrooke Sq, Suite 107Waldorf, MD 20603-4805 · (301) 843-7711 · Fax (301) 932-9195
Phone(301) 843-7711
Fax(301) 932-9195
Sole ProprietorYes
Enumeration DateJuly 28, 2005
Last NPPES UpdateAugust 8, 2016
✔ NPI 1124028311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MD · D0017492
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
11355 PEMBROOKE SQ, Waldorf, MD 20603
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Other Identifiers 3

Medicare UPIND66454MD
Medicaid228502900MD
Medicare ID-Type Unspecified645LMD

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.

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.
635 services397 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
168 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services110 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
46 services46 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
22 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

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.

23.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost79.07

Other Providers at the Same Location NPPES 3

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

CHARLES CARE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
11355 PEMBROOKE SQ, STE 109
WALDORF, MD 20603
Charles County (301) 932-4200
EDWARD C. CLARK,M.D.,P.A.
Ophthalmology
11355 PEMBROOKE SQ, SUITE 107
WALDORF, MD 20603
Charles County (301) 843-7711
JONES PEMBROOKE OPTICIANS, LLC
Technician/Technologist (Optician)
11355 PEMBROOKE SQ, SUITE 106
WALDORF, MD 20603
Charles County (301) 645-6822

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 Edward Clark's NPI number?

The NPI number for Edward Clark is 1124028311. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Edward Clark located?

Edward Clark practices at 11355 Pembrooke Sq Suite 107, Waldorf, MD 20603. The listed phone number is (301) 843-7711.

What is Edward Clark's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Edward Clark was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.