DR. BLAIR YOUNG CLARK D.O.
NPI 1205199528
Ophthalmology in Tiffin, OH
About Dr. Blair Young Clark D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAIR YOUNG CLARK D.O. (NPI 1205199528) is an individual ophthalmology provider in Tiffin, Ohio, licensed in Ohio (34.012724) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Tiffin Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Blair Young Clark D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Blair Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tiffin, OH 44883
- Reassigned Medicare billing, Ohio enrollment
- 3 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.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health - Tiffin Hospital
Acute Care Hospitals · Tiffin, OHMemorial Hospital
Acute Care Hospitals · Fremont, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44883 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
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 Blair Clark's NPI number?
The NPI number for Blair Clark is 1205199528. It was assigned to this individual provider in the NPPES registry on June 21, 2012. The provider is also known as Ms. Blair Katherine Young Do.
Where is Blair Clark located?
Blair Clark practices at 60 Ashwood Dr, Tiffin, OH 44883. The listed phone number is (419) 448-8811.
What is Blair Clark's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Blair Clark enrolled in Medicare?
Yes. Blair 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.
Which organization bills Medicare for Blair Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Clark reassigns Medicare benefits to Wade E Young MD Inc (Tiffin, OH). 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 Blair Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blair Clark accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 10 other insurers list Blair 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.
Is Blair Clark affiliated with any hospitals?
According to CMS data, Blair Clark is affiliated with Mercy Health - Tiffin Hospital and Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Blair Clark was last updated on April 6, 2021. 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.
# Dr. Blair Young Clark, D.O. · NPI 1205199528
Ophthalmology physician in Tiffin, Ohio. Individual provider, active in the CMS NPPES registry since June 21, 2012.
## Identity
- **NPI:** 1205199528 (Entity type: Individual)
- **Enumerated:** June 21, 2012
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 34.012724 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 60 ASHWOOD DR, Tiffin, OH 44883-1908
- **Phone:** (419) 448-8811 · **Fax:** (419) 448-7418
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wade E Young MD Inc (NPI 1639111289, Tiffin, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2011
## Record status
- **NPPES last updated:** April 6, 2021
- **Other identifiers:** Medicaid 0218698 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1205199528) · Data from the CMS NPPES public registry.