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JEFFREY CLARK M.D.
NPI 1174942353
Pediatrics in Minocqua, WI

Active since April 15, 2014PECOS Enrolled
9576 HWY 70, DEPARTMENT OF PEDIATRICS, MINOCQUA, WI 54548(715) 358-1000 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Feb 15, 2017 (2 updates tracked since 2017).

About Jeffrey Clark M.d. NPPES

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

JEFFREY CLARK M.D. (NPI 1174942353) is an individual pediatrics provider in Minocqua, Wisconsin, licensed in Wisconsin (1174942353) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1174942353
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJEFFREY CLARKCredential: M.D.
Location Address9576 HWY 70, DEPARTMENT OF PEDIATRICSMinocqua, WI 54548
Mailing Address9576 Hwy 70, Department Of PediatricsMinocqua, WI 54548 · (715) 358-1000
Phone(715) 358-1000
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1174942353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 1174942353
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9576 HWY 70, Minocqua, WI 54548
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Secondary Practice Location 1

Location 1600 Highland Ave, H4/831Madison, WI 53792-0001 · Phone (608) 263-8557

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

MEGAN E SIMMONS PA
Physician Assistant
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1000
MICHAEL E M LARSON PHD
Psychologist
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1194
JOHN BOLINGER ESTER MD
Obstetrics & Gynecology
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1000
GRACE SCHWANTES
Pediatrics
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1000
ABIGAIL M. MALLEK KARCH PA
Physician Assistant
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1000
FERRY GUNAWAN MD
Hospitalist
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1000
ROSS TAYLOR GROESCHL DPM
Podiatrist
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 358-1000
JAMES E TOMIC MD
Radiology (Diagnostic Radiology)
9576 HWY 70
MINOCQUA, WI 54548
Oneida County (715) 387-5511

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 Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1174942353. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 9576 Hwy 70 Department Of Pediatrics, Minocqua, WI 54548. The listed phone number is (715) 358-1000.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeffrey Clark enrolled in Medicare?

Yes. Jeffrey Clark is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Jeffrey 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 Jeffrey Clark was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.