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KIEL CLARKE DO
NPI 1174026728
Family Medicine in Niagara Falls, NY

Active since March 09, 2018PECOS EnrolledAccepts Medicare Assignment
6950 WILLIAMS RD, NIAGARA FALLS, NY 14304(716) 297-1027(716) 298-4081 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2021, Mar 9, 2018 (2 updates tracked since 2018).

About Kiel Clarke Do NPPES

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

KIEL CLARKE DO (NPI 1174026728) is an individual family medicine provider in Niagara Falls, New York, licensed in New York (311217) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174026728
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKIEL CLARKECredential: DO
Location Address6950 WILLIAMS RDNiagara Falls, NY 14304-3025
Mailing Address6950 Williams RdNiagara Falls, NY 14304-3025 · (716) 297-1027 · Fax (716) 298-4081
Phone(716) 297-1027
Fax(716) 298-4081
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 9, 2018
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1174026728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 311217
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6950 WILLIAMS RD, Niagara Falls, NY 14304
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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

Kiel Clarke Do 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 ID2668876921
PECOS Enrollment IDI20210809001667
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services96 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
70 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
61 services61 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
53 services53 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14304 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

CLARKE FAMILY MEDICINE, LLP
Family Medicine
6950 WILLIAMS RD
NIAGARA FALLS, NY 14304
Niagara County (716) 297-1027
DR. RYAN JOHN CLARKE D.O.
Family Medicine
6950 WILLIAMS RD
NIAGARA FALLS, NY 14304
Niagara County (716) 297-1027
JENNIFER M CAGE RN, FNP
Nurse Practitioner (Family)
6950 WILLIAMS RD
NIAGARA FALLS, NY 14304
Niagara County (252) 671-5083

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 Kiel Clarke's NPI number?

The NPI number for Kiel Clarke is 1174026728. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Kiel Clarke located?

Kiel Clarke practices at 6950 Williams Rd, Niagara Falls, NY 14304. The listed phone number is (716) 297-1027.

What is Kiel Clarke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kiel Clarke enrolled in Medicare?

Yes. Kiel Clarke 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.

Is Kiel Clarke affiliated with any hospitals?

According to CMS data, Kiel Clarke is affiliated with Kaleida Health, Niagara Falls Memorial Medical Center and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Kiel Clarke was last updated on August 18, 2021. 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.