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DR. PETER J CLARK D.O.
NPI 1164664967
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bedminster, NJ

Active since March 25, 2009PECOS EnrolledAccepts Medicare Assignment
1 ROBERTSON DR, BEDMINSTER, NJ 07921(908) 277-8900(908) 476-5666 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter J Clark D.o. NPPES

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

DR. PETER J CLARK D.O. (NPI 1164664967) is an individual child & adolescent psychiatry provider in Bedminster, New Jersey, licensed in New Jersey (25MB09216800) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1164664967
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. PETER J CLARKCredential: D.O.
Location Address1 ROBERTSON DRBedminster, NJ 07921-1716
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Phone(908) 277-8900
Fax(908) 476-5666
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateMarch 25, 2009
Last NPPES UpdateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1164664967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NJ · 25MB09216800
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 25MB09216800 (NJ)
1 ROBERTSON DR, Bedminster, NJ 07921
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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

Dr. Peter J Clark D.o. 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 ID4082918917
PECOS Enrollment IDI20160212000753
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA
12 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

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 3

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 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.
112 services36 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
60 services26 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.
12 services12 patients

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.

RANDALL JASON WHITT PT, DPT
Physical Therapist
1 ROBERTSON DR, SUITE 20
BEDMINSTER, NJ 07921
Somerset County (908) 719-2000
STEP AHEAD PHYSICIAN WEIGHT MANAGMENT CENTER OF NEW JERSEY
Clinic/Center
1 ROBERTSON DR
BEDMINSTER, NJ 07921
Somerset County (908) 470-2235
MS. LISA GEORGE OT
Occupational Therapist
1 ROBERTSON DR
BEDMINSTER, NJ 07921
Somerset County (908) 719-9778
DR. MERYL A BAURMASH D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1 ROBERTSON DR, SUITE 15
BEDMINSTER, NJ 07921
Somerset County (908) 781-7037
THOMAS F LALLEY PT
Physical Therapist
1 ROBERTSON DR
BEDMINSTER, NJ 07921
Somerset County (908) 252-9700
ARTHROSCOPIC SURGERY & SPORTS MEDICINE CENTER, PA
Orthopaedic Surgery
1 ROBERTSON DR, SUITE 11
BEDMINSTER, NJ 07921
Somerset County (908) 234-9800
NEW JERSEY ANESTHESIA ASSOCIATES
Anesthesiology
1 ROBERTSON DR, SUITE 22
BEDMINSTER, NJ 07921
Somerset County (973) 660-9334
FORESIGHT GENETICS LLC
Nurse Practitioner (Family)
1 ROBERTSON DR, SUITE #25
BEDMINSTER, NJ 07921
Somerset County (908) 532-0788

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 Peter Clark's NPI number?

The NPI number for Peter Clark is 1164664967. It was assigned to this individual provider in the NPPES registry on March 25, 2009.

Where is Peter Clark located?

Peter Clark practices at 1 Robertson Dr, Bedminster, NJ 07921. The listed phone number is (908) 277-8900.

What is Peter Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Peter Clark enrolled in Medicare?

Yes. Peter 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 organization bills Medicare for Peter Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Clark reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Peter Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Clark was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.