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JAMES CLARK MD
NPI 1154954758
Internal Medicine - Rheumatology in Phoenix, AZ

Active since February 21, 2020PECOS Enrolled
80.46/100
CMS Quality Rating
5333 N 7TH ST STE B112, PHOENIX, AZ 85014(480) 571-6761 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Aug 7, 2023, Feb 21, 2020 (3 updates tracked since 2020).

About James Clark Md NPPES

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

JAMES CLARK MD (NPI 1154954758) is an individual rheumatology provider in Phoenix, Arizona, licensed in Georgia (38204) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154954758
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJAMES CLARKCredential: MD
Location Address5333 N 7TH ST STE B112Phoenix, AZ 85014-2840
Mailing AddressPo Box 225Hoboken, GA 31542-0225
Phone(480) 571-6761
Sole ProprietorYes
Enumeration DateFebruary 21, 2020
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1154954758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in GA · 38204✔ Licensed in MT · 128756
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
5333 N 7TH ST STE B112, Phoenix, AZ 85014
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11401 25th St SGreat Falls, MT 59405-5183 · Phone (406) 731-8888 · Fax (406) 731-8318
Location 21409 Satilla BlvdWaycross, GA 31501-4322 · Phone (912) 816-3455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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)

James Clark Md 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 85014 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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.

RECOVERY ROOM IV THERAPY LLP
Internal Medicine
5333 N 7TH ST STE B112
PHOENIX, AZ 85014
Maricopa County (480) 562-1974
SONORAN INFUSION CENTERS LLC
Clinic/Center (Multi-Specialty)
5333 N 7TH ST STE B112
PHOENIX, AZ 85014
Maricopa County (480) 571-6762
JAMES SLONAKER AGACNP-BC
Nurse Practitioner (Acute Care)
5333 N 7TH ST STE B112
PHOENIX, AZ 85014
Maricopa County (480) 571-6761

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 James Clark's NPI number?

The NPI number for James Clark is 1154954758. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is James Clark located?

James Clark practices at 5333 N 7th St Ste B112, Phoenix, AZ 85014. The listed phone number is (480) 571-6761.

What is James Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Clark enrolled in Medicare?

Yes. James Clark is registered in the Medicare PECOS enrollment system.

What insurance does James Clark accept?

Health plans from Blue Cross Blue Shield of Arizona list James 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.

When was this NPI record last updated?

The NPPES record for James Clark was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.