MS. JACQUELYN HELENA CLARK M.D.
NPI 1205327293
Family Medicine in Waynesboro, PA

Q: What is Jacquelyn Clark's NPI number?

The NPI number for Jacquelyn Clark is 1205327293. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Jacquelyn Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Clark was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment

1051 E MAIN ST STE 1, WAYNESBORO, PA 17268(717) 762-9118 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2023, Oct 12, 2021, Aug 19, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Ms. Jacquelyn Helena Clark M.d. NPPES

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

MS. JACQUELYN HELENA CLARK M.D. (NPI 1205327293) is an individual family medicine provider in Waynesboro, Pennsylvania, licensed in Pennsylvania (MD473102) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Wellspan Waynesboro Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2018).

NPPES Registry Identity

NPI1205327293

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. JACQUELYN HELENA CLARKCredential: M.D.

Location Address1051 E MAIN ST STE 1Waynesboro, PA 17268-2318

Mailing Address1051 E Main St Ste 1Waynesboro, PA 17268-2318 · (717) 762-9118 · Fax (717) 762-2860

Phone(717) 762-9118

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2018

Enumeration DateMay 24, 2018

Last NPPES UpdateFebruary 2, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1205327293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD473102

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1051 E MAIN ST STE 1, Waynesboro, PA 17268

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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

Ms. Jacquelyn Helena Clark M.d. 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 ID2062768112

PECOS Enrollment IDI20210608001174

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 Jacquelyn Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Waynesboro Family Medical Associates, LLP

Same address

Family Medicine

1051 E MAIN ST, SUITE 1
Waynesboro, PA 17268

Reassigned Medicare billing, Pennsylvania enrollment
9 clinicians in this Medicare group

NPI 1952347411 (717) 762-9118

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 22

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

415 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

412 services274 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

400 services266 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

318 services207 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

200 services63 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

186 services186 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

46 services46 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

41 services37 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

40 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

37 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services31 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

29 services13 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

26 services22 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

23 services23 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services12 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

22 services13 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

22 services22 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

20 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services18 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

17 services17 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390138

Location501 East Main StWaynesboro, PA 17268 · Franklin County

Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17268 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers36 claims68 services$6.23 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$17.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims32 services$89.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$34.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by James ***** April 22, 2024

5/5

Dr. CLARK PUT ME IN TOUCH WITH SOME OF THE BEST PHYSICIANS TO BATTLE MY CANCER. I AM NOW 100% CANCER FREE. LONG BATTLE, BUT COULD NOT HAVE DONE IT WITHOUT DR. CLARK. MY HIGEST RECOMMENDATION.

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

Other Providers at the Same Location NPPES

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

AMANDA BROWN

Nurse Practitioner (Family)

1051 E MAIN ST STE 1
WAYNESBORO, PA 17268

Franklin County (717) 762-9118

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 Jacquelyn Clark's NPI number?

The NPI number for Jacquelyn Clark is 1205327293. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Jacquelyn Clark located?

Jacquelyn Clark practices at 1051 E Main St Ste 1, Waynesboro, PA 17268. The listed phone number is (717) 762-9118.

What is Jacquelyn Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacquelyn Clark enrolled in Medicare?

Yes. Jacquelyn 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 Jacquelyn Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Clark reassigns Medicare benefits to Waynesboro Family Medical Associates, LLP (Waynesboro, PA). 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 Jacquelyn Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacquelyn Clark affiliated with any hospitals?

According to CMS data, Jacquelyn Clark is affiliated with Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelyn Clark was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.