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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TERYN B CLARKE M.D.
NPI 1174543169
Psychiatry & Neurology - Neurology in Newport Beach, CA

Active since July 20, 2006Opted out of Medicare · through Apr 1, 2028
400 NEWPORT CENTER DR STE 310, NEWPORT BEACH, CA 92660(949) 644-1943(949) 644-1911 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Dr. Teryn B Clarke M.d. NPPES

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

DR. TERYN B CLARKE M.D. (NPI 1174543169) is an individual neurology provider in Newport Beach, California, licensed in California (A72641) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174543169
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. TERYN B CLARKECredential: M.D.
Location Address400 NEWPORT CENTER DR STE 310Newport Beach, CA 92660-7636
Mailing Address400 Newport Center Dr Ste 310Newport Beach, CA 92660-7636 · (949) 644-1943 · Fax (949) 644-1911
Phone(949) 644-1943
Fax(949) 644-1911
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1174543169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A72641
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
400 NEWPORT CENTER DR STE 310, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Teryn B Clarke M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

DR. LESLIE KENNERLY MESERVE M.D.
Internal Medicine
400 NEWPORT CENTER DR STE 310
NEWPORT BEACH, CA 92660
Orange County (949) 558-0501
LESLIE K MESERVE MD INC
Internal Medicine
400 NEWPORT CENTER DR STE 310
NEWPORT BEACH, CA 92660
Orange County (949) 558-0501

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 Teryn Clarke's NPI number?

The NPI number for Teryn Clarke is 1174543169. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Teryn Clarke located?

Teryn Clarke practices at 400 Newport Center Dr Ste 310, Newport Beach, CA 92660. The listed phone number is (949) 644-1943.

What is Teryn Clarke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Teryn Clarke enrolled in Medicare?

No. Teryn Clarke has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Teryn Clarke was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.