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KEVIN CLARK M.D.
NPI 1174056899
Internal Medicine in New Britain, CT

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5011 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2020, Apr 11, 2017 (2 updates tracked since 2017).

About Kevin Clark M.d. NPPES

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

KEVIN CLARK M.D. (NPI 1174056899) is an individual internal medicine provider in New Britain, Connecticut, licensed in Connecticut (64978) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of University Of Connecticut School Of Medicine (2017).

NPPES Registry Identity

NPI1174056899
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN CLARKCredential: M.D.
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-4477 · Fax (860) 679-4624
Phone(860) 224-5011
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1174056899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 64978
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 GRAND ST, New Britain, CT 06052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Kevin Clark M.d. 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 ID4981976024
PECOS Enrollment IDI20240528002373
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 Reassignments

4

Medicare enrollment records show Kevin Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Hospital Of Central Connecticut At New Britain General And Bradley
Same address
Hospitalist
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
NPI 1063461481 (860) 224-5305
Physicians Of Falmouth Hospital
112 mi
Internal Medicine
100 TER HEUN DR
Falmouth, MA 02540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group
NPI 1821363698 (508) 957-8667
Medical Affiliates Of Cape Cod, Inc.
130 mi
Internal Medicine
27 PARK ST, GLEASON HOUSE
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 423 clinicians in this Medicare group
NPI 1770534927 (508) 862-5040
Physicians Of Cape Cod Hospital
130 mi
Neuroradiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 678 clinicians in this Medicare group
NPI 1679832364 (508) 957-8667

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 9

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.

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.
112 services112 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
71 services35 patients
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.
63 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
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.
32 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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.

MISS NIRMALA BHATT MD
Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
MUHAMMAD YASIR ANWAR MBBS
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. ALEXANDER VDOVENKO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5584
MS. KORTNEY ROSE RIBBECK PA-C
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
SHEILA SANTHAPPA M.D.
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (608) 224-5305
MS. ELLEN ROSENBERG LMSW
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5285
DR. LOUIS GRAFF IV M.D.
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5774
WANDA M KIREJCZYK MD
Radiology (Diagnostic Radiology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 225-5556

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 Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1174056899. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Kevin Clark located?

Kevin Clark practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5011.

What is Kevin Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Clark enrolled in Medicare?

Yes. Kevin 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 Kevin Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Clark reassigns Medicare benefits to 4 organizations: The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Physicians Of Falmouth Hospital (Falmouth, MA), Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA) and Physicians Of Cape Cod Hospital (Hyannis, MA). 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 Kevin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Clark accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kevin 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.

Is Kevin Clark affiliated with any hospitals?

According to CMS data, Kevin Clark is affiliated with Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Clark was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.