MR. STEVEN J CLARK MD
NPI 1154353720
Surgery - Plastic and Reconstructive Surgery in Mount Vernon, IL

Q: What is Steven Clark's NPI number?

The NPI number for Steven Clark is 1154353720. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Steven Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Steven Clark was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 06, 2006

2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 62864(618) 899-3980(618) 899-4793 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Steven J Clark Md NPPES

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

MR. STEVEN J CLARK MD (NPI 1154353720) is an individual plastic and reconstructive surgery provider in Mount Vernon, Illinois, licensed in Illinois (036086955) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1154353720

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameMR. STEVEN J CLARKCredential: MD

Location Address2 GOOD SAMARITAN WAY, SUITE 235Mount Vernon, IL 62864-2408

Mailing Address2 Good Samaritan Way, Suite 235Mount Vernon, IL 62864-2408 · (618) 899-3980 · Fax (618) 899-4793

Phone(618) 899-3980

Fax(618) 899-4793

Sole ProprietorYes

Enumeration DateJuly 6, 2006

Last NPPES UpdateOctober 21, 2013

✔ NPI 1154353720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in IL · 036086955

Definition

A surgeon who specializes in plastic and reconstructive surgery.

2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Open in Google Maps ↗

Other Identifiers 4

Other593596270FL · Tax Id Number

Medicaid257001700FL

Medicare UPING81984FL

Medicare ID-Type Unspecified46813FL · Medicare

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%23 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC

Psychiatry & Neurology (Sleep Medicine)

2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864

Jefferson County (618) 241-1869

JONATHAN L SORENSON CRNA

Nurse Anesthetist, Certified Registered

2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864

Jefferson County (618) 241-1108

DANIEL HOFFMAN MD

Internal Medicine

2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4000

DR. PRATEEK SRINET M.D.

Otolaryngology

2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4000

MRS. DEBBIE JANE BENDERSKY RPH

Pharmacist

2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4999

DR. ISMAT CHEEMA DO

Internal Medicine

2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3607

MARY K MCGARVEY COTA

Occupational Therapy Assistant

2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-2400

CHRISTOPHER BOURGET CRNA

Nurse Anesthetist, Certified Registered

2 GOOD SAMARITAN WAY, MEDICAL PLAZA SUITE 205
MOUNT VERNON, IL 62864

Jefferson County (618) 241-1108

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 Steven Clark's NPI number?

The NPI number for Steven Clark is 1154353720. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Steven Clark located?

Steven Clark practices at 2 Good Samaritan Way Suite 235, Mount Vernon, IL 62864. The listed phone number is (618) 899-3980.

What is Steven Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Steven Clark was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.