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DR. STACEY LEIGH CLARK MD
NPI 1184808511
Otolaryngology - Pediatric Otolaryngology in Austin, TX

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment
71.01/100
CMS Quality Rating
3705 MEDICAL PKWY, SUITE 200, AUSTIN, TX 78705(512) 324-2720 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacey Leigh Clark Md NPPES

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

DR. STACEY LEIGH CLARK MD (NPI 1184808511) is an individual pediatric otolaryngology provider in Austin, Texas, licensed in Texas (N9190) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1184808511
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameDR. STACEY LEIGH CLARKCredential: MD
Location Address3705 MEDICAL PKWY, SUITE 200Austin, TX 78705-1019
Mailing Address3705 Medical Pkwy, Suite 200Austin, TX 78705-1019 · (512) 324-2720
Phone(512) 324-2720
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004
Enumeration DateDecember 20, 2007
Last NPPES UpdateJanuary 30, 2012
✔ NPI 1184808511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in TX · N9190
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
3705 MEDICAL PKWY, Austin, TX 78705
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Other Identifiers 3

Medicaid285628802TX
Medicare PINTXB132351
Medicaid285628801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Stacey Leigh Clark Md 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 ID7719157841
PECOS Enrollment IDI20110829000709
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 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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

Childhood Immunization Status
1%134 patients
Chlamydia Screening for Women
9%22 patients
Closing the Referral Loop: Receipt of Specialist Report
42%93 patients2/55-star benchmark: 87%
e-Prescribing
100%289 patients5/55-star benchmark: 100%
HIV Screening
0%78 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
4%149 patients1/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
61%457 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHERESE WHEELOCK CRNA
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2554
ALLISON RAE LOSEY M.D.
Anesthesiology
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2554
JEREMY FRANK BRIGGS CRNA
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2554
GENEVIEVE L WOOLSEY CRNA
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2554
DANIA NORTHCUTT CRNA
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2554
DR. REBECCA R PORRAS MD
Anesthesiology
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2454
SHELIAH L CAMERON CRNA
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2454
NANCY L SEIFERT CRNA
Nurse Anesthetist, Certified Registered
3705 MEDICAL PKWY, SUITE 570
AUSTIN, TX 78705
Travis County (512) 454-2454

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 Stacey Clark's NPI number?

The NPI number for Stacey Clark is 1184808511. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Stacey Clark located?

Stacey Clark practices at 3705 Medical Pkwy Suite 200, Austin, TX 78705. The listed phone number is (512) 324-2720.

What is Stacey Clark's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Stacey Clark enrolled in Medicare?

Yes. Stacey 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.

What insurance does Stacey Clark accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Stacey 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 Stacey Clark was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.