1. Home
  2. Directory
  3. Massachusetts
  4. Beverly
  5. Optometrist
  6. NPI Profile

SCOTT CLARK OD
NPI 1205903754
Optometrist in Beverly, MA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
491 RANTOUL ST, BEVERLY, MA 01915(508) 922-4732 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott Clark Od NPPES

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

SCOTT CLARK OD (NPI 1205903754) is an individual optometrist in Beverly, Massachusetts, licensed in Massachusetts (3055) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1983).

NPPES Registry Identity

NPI1205903754
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSCOTT CLARKCredential: OD
Location Address491 RANTOUL STBeverly, MA 01915-3231
Mailing Address491 Rantoul StBeverly, MA 01915-3231 · (508) 837-3790
Phone(508) 922-4732
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1983
Enumeration DateNovember 29, 2006
Last NPPES UpdateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1205903754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 3055
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
491 RANTOUL ST, Beverly, MA 01915
Open in Google Maps ↗

Other Identifiers 5

OtherDM9725MA · Hphc
OtherW15719MA · Bcbs
Medicaid0353442MA
Other40857MA · Fallon
Other003055MA · Tufts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Scott Clark Od 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 ID8426062415
PECOS Enrollment IDI20060130000208
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
168 services142 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01915 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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

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

DR SCOTT B CLARK OPTOMETRIST
Optometrist
491 RANTOUL ST
BEVERLY, MA 01915
Essex County (978) 922-4732

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 Scott Clark's NPI number?

The NPI number for Scott Clark is 1205903754. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Scott Clark located?

Scott Clark practices at 491 Rantoul St, Beverly, MA 01915. The listed phone number is (508) 922-4732.

What is Scott Clark's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Scott Clark enrolled in Medicare?

Yes. Scott 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 Scott Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Scott 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 Scott Clark was last updated on April 20, 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.