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HEATHER LYNN CLARK MD, PHD
NPI 1215424270
Internal Medicine - Pulmonary Disease in Winston-salem, NC

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157(336) 716-4649 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Nov 21, 2023, Apr 16, 2018 (3 updates tracked since 2018).

About Heather Lynn Clark Md, Phd NPPES

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

HEATHER LYNN CLARK MD, PHD (NPI 1215424270) is an individual pulmonary disease provider in Winston-salem, North Carolina, licensed in North Carolina (2024-00687) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215424270
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameHEATHER LYNN CLARKCredential: MD, PHD
Location Address1 MEDICAL CENTER BLVDWinston-salem, NC 27157
Mailing Address55 Beresford RdRochester, NY 14610-1901 · (949) 230-2279
Phone(336) 716-4649
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1215424270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NC · 2024-00687✔ Licensed in NY · 306238-01
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1 MEDICAL CENTER BLVD, Winston-salem, NC 27157
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Heather Lynn Clark Md, Phd 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 ID3971856378
PECOS Enrollment IDI20240813002432
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services15 patients

Hospital Affiliations CMS Care Compare 3

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

DR. KATHERINE MARIE DAVIS FRANCOIS MD, MPH
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27157
Forsyth County (336) 716-4039
KELLY KAITLIN ELLIOTT DPM
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-1203
MAYA ELENA FISHER
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
SEBASTIAN STONE HERNANDEZ MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
SAMANTHA GABRIELA ECHEVARRIA
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
REBECCA G DUGAL
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
WILLIAM ALEXANDER BEAM MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-9253
AMY CAROL KNIGHT MS, CGC
Genetic Counselor, MS
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-0327

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1215424270. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Heather Clark located?

Heather Clark practices at 1 Medical Center Blvd, Winston-Salem, NC 27157. The listed phone number is (336) 716-4649.

What is Heather Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Heather Clark enrolled in Medicare?

Yes. Heather 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 Heather Clark accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Heather 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 Heather Clark affiliated with any hospitals?

According to CMS data, Heather Clark is affiliated with High Point Regional Health System, North Carolina Baptist Hospital and Lexington Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Heather Clark was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.