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ROY ADRIAN CLARKE M.D.
NPI 1194717322
Pediatrics in Dallas, TX

Active since August 15, 2005PECOS Enrolled
7777 FOREST LN STE B300, DALLAS, TX 75230(972) 284-7770(972) 284-7780 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2020, Mar 24, 2016 (2 updates tracked since 2016).

About Roy Adrian Clarke M.d. NPPES

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

ROY ADRIAN CLARKE M.D. (NPI 1194717322) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (L4305) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194717322
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROY ADRIAN CLARKECredential: M.D.
Location Address7777 FOREST LN STE B300Dallas, TX 75230-2571
Mailing AddressPo Box 961205Fort Worth, TX 76161-1205 · (817) 740-8450
Phone(972) 284-7770
Fax(972) 284-7780
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1194717322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L4305
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.
7777 FOREST LN STE B300, Dallas, TX 75230
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Secondary Practice Locations 3

Location 11600 Republic Pkwy Ste 120Mesquite, TX 75150-6918 · Phone (972) 629-2250 · Fax (972) 629-2245
Location 27777 Forest Lane, Bldg. B 308Dallas, TX 75230-2571 · Phone (972) 284-7770 · Fax (972) 284-7780
Location 34461 Coit Rd Ste 405Frisco, TX 75035-0531 · Phone (972) 526-0700 · Fax (972) 526-0990

Other Identifiers 2

Medicaid153786203TX
Medicaid153786204TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roy Adrian Clarke 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.

Medicare Billing Reassignment

Medicare enrollment records show Roy Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.
19 mi
Ophthalmology
2201 WESTGATE PLAZA
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1164588596 (817) 410-2030

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 75230 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 6

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

DR. DAMIEN HAKEEM MITCHELL M.D.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
FOREST LANE PEDIATRICS
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
RONALD M BLAIR M.D. P.A.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
CHRISTOPHER M. MCGONNELL M.D.
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770
MRS. JANIS M WILBERT IBCLC
Lactation Consultant, Non-RN
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (214) 549-9312
DR. ANN LIU MD
Pediatrics
7777 FOREST LN STE B300
DALLAS, TX 75230
Dallas County (972) 284-7770

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 Roy Clarke's NPI number?

The NPI number for Roy Clarke is 1194717322. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Roy Clarke located?

Roy Clarke practices at 7777 Forest Ln Ste B300, Dallas, TX 75230. The listed phone number is (972) 284-7770.

What is Roy Clarke's specialty?

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

Is Roy Clarke enrolled in Medicare?

Yes. Roy Clarke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roy Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Clarke reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Grapevine, TX). 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 Roy Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Clarke accept?

Health plans from Baylor Scott and White Health Plan list Roy Clarke 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 Roy Clarke was last updated on March 12, 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.