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JACOB A CLARK MD
NPI 1164464806
Ophthalmology in Alexandria, VA

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
99.99/100
CMS Quality Rating
411 N WASHINGTON ST, ALEXANDRIA, VA 22314(703) 548-5588(703) 549-1599 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2026, Jan 21, 2026 (2 updates tracked since 2026).

About Jacob A Clark Md NPPES

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

JACOB A CLARK MD (NPI 1164464806) is an individual ophthalmology provider in Alexandria, Virginia, licensed in Virginia (0101041044) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1981).

NPPES Registry Identity

NPI1164464806
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJACOB A CLARKCredential: MD
Location Address411 N WASHINGTON STAlexandria, VA 22314-2311
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (667) 354-5528
Phone(703) 548-5588
Fax(703) 549-1599
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1981
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 21, 20262 updates tracked since enumeration
NPPES CertifiedMarch 21, 2026
✔ NPI 1164464806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in VA · 0101041044
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.
411 N WASHINGTON ST, Alexandria, VA 22314
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Other Identifiers 1

Medicaid6375570VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob A Clark Md 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 ID1658402177
PECOS Enrollment IDI20100628000656
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.

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 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.
614 services592 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
290 services187 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
190 services157 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 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.
59 services59 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22314 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

99.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.98
Improvement Activities40

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%112 patients
Diabetes: Eye Exam
100%323 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,733 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%212 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
88%136 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,255 patients
Patients totalRate: 0% · 1,255 patients
0%1,255 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 5

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

ALEXANDRIA OPHTHALMIC ASSOCIATES, P.C.
Ophthalmology
411 N WASHINGTON ST
ALEXANDRIA, VA 22314
Alexandria City (703) 548-5588
CHESAPEAKE EYE CARE AND LASER CENTER, LLC
Ophthalmology
411 N WASHINGTON ST
ALEXANDRIA, VA 22314
Alexandria City (703) 548-5588
ALLEN MICHAEL BLACKBURN COSTA MD
Ophthalmology
411 N WASHINGTON ST
ALEXANDRIA, VA 22314
Alexandria City (703) 548-5588
LANDMARK EYE, LLC
Ophthalmology
411 N WASHINGTON ST
ALEXANDRIA, VA 22314
Alexandria City (321) 210-6322
DR. BRIAN ELIOT ROSEN PSY.D.
Psychologist (Clinical Child & Adolescent)
411 N WASHINGTON ST
ALEXANDRIA, VA 22314
Alexandria City (703) 346-0192

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 Jacob Clark's NPI number?

The NPI number for Jacob Clark is 1164464806. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Jacob Clark located?

Jacob Clark practices at 411 N Washington St, Alexandria, VA 22314. The listed phone number is (703) 548-5588.

What is Jacob Clark's specialty?

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

Is Jacob Clark enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Clark accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jacob 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 Jacob Clark was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.