JACOB A CLARK MD
NPI 1164464806
Ophthalmology in Alexandria, VA
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
Specialties & Licenses
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alexandria, VA 22314
- Reassigned Medicare billing, District of Columbia enrollment
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Chesapeake Eye Care & Laser Center LLC
- 25 clinicians in this Medicare group
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.
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.
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
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, VA 22314
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.
Which organizations bill Medicare for Jacob Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Clark reassigns Medicare benefits to 2 organizations: Alexandria Ophthalmic Associates, P.C. (Alexandria, VA) and Chesapeake Eye Care And Laser Center LLC (Annapolis, MD). 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 Jacob Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 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 7 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.
# Jacob A Clark, MD · NPI 1164464806
Ophthalmology physician in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2006.
## Identity
- **NPI:** 1164464806 (Entity type: Individual)
- **Enumerated:** June 10, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 0101041044 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 N WASHINGTON ST, Alexandria, VA 22314-2311
- **Phone:** (703) 548-5588 · **Fax:** (703) 549-1599
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alexandria Ophthalmic Associates, P.C. (NPI 1285958538, Alexandria, VA); Chesapeake Eye Care And Laser Center LLC (NPI 1548296262, Annapolis, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Puerto Rico School Of Medicine, class of 1981
## Record status
- **NPPES last updated:** March 21, 2026
- **Other identifiers:** Medicaid 6375570 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164464806) · Data from the CMS NPPES public registry.