DR. TERRY L CLARK MD
NPI 1184654774
Preventive Medicine - Occupational Medicine in Fort Smith, AR
About Dr. Terry L Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERRY L CLARK MD (NPI 1184654774) is an individual occupational medicine provider in Fort Smith, Arkansas, licensed in Arkansas (R-3194) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Terry L Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Terry Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 658 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Terry Clark's NPI number?
The NPI number for Terry Clark is 1184654774. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Terry Clark located?
Terry Clark practices at 4300 Regions Park Dr, Fort Smith, AR 72916. The listed phone number is (479) 274-6300.
What is Terry Clark's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.
Is Terry Clark enrolled in Medicare?
Yes. Terry Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Terry Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Clark reassigns Medicare benefits to Mercy Clinic Fort Smith Communities (Fort Smith, AR). 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 Terry Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Clark accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Terry 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 Terry Clark was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Terry L Clark, MD · NPI 1184654774
Occupational Medicine physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1184654774 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Preventive Medicine - Occupational Medicine · taxonomy 2083X0100X
- **State license:** R-3194 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300 REGIONS PARK DR, Fort Smith, AR 72916-9373
- **Phone:** (479) 274-6300 · **Fax:** (479) 484-4715
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Fort Smith Communities (NPI 1902073620, Fort Smith, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 51053 (AR); Other 080101199; Medicare UPIN C68025; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1184654774) · Data from the CMS NPPES public registry.