ROY R CLARK MD
NPI 1215938907
Obstetrics & Gynecology - Obstetrics in Irwin, PA

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
8800 BARNES LAKE RD, IRWIN, PA 15642(724) 832-9190(724) 978-0544 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Jul 10, 2021, Oct 8, 2020 and 1 more (4 updates tracked since 2017).

About Roy R Clark Md NPPES

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

ROY R CLARK MD (NPI 1215938907) is an individual obstetrics provider in Irwin, Pennsylvania, licensed in Pennsylvania (MD055102L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1991).

NPPES Registry Identity

NPI1215938907
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameROY R CLARKCredential: MD
Location Address8800 BARNES LAKE RDIrwin, PA 15642-3177
Mailing Address8800 Barnes Lake RdIrwin, PA 15642-3177 · (724) 832-9190 · Fax (724) 978-0544
Fax(724) 978-0544
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1991
Enumeration DateAugust 3, 2005
Last NPPES UpdateAugust 3, 20214 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1215938907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in PA · MD055102L
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
8800 BARNES LAKE RD, Irwin, PA 15642

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

Roy R Clark Md 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 ID8325147283
PECOS Enrollment IDI20120508000126
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
8800 BARNES LAKE RD
IRWIN, PA 15642
Physician Assistant
8800 BARNES LAKE RD
IRWIN, PA 15642
Dentist (General Practice)
8800 BARNES LAKE RD, SUITE 300
IRWIN, PA 15642
Obstetrics & Gynecology
8800 BARNES LAKE RD
NORTH HUNTINGDON, PA 15642
Obstetrics & Gynecology
8800 BARNES LAKE RD
NORTH HUNTINGDON, PA 15642
Nurse Practitioner (Women's Health)
8800 BARNES LAKE RD
IRWIN, PA 15642

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 Clark's NPI number?

The NPI number for Roy Clark is 1215938907. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Roy Clark located?

Roy Clark practices at 8800 Barnes Lake Rd, Irwin, PA 15642. The listed phone number is (724) 832-9190.

What is Roy Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Roy Clark enrolled in Medicare?

Yes. Roy 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.

Is Roy Clark affiliated with any hospitals?

According to CMS data, Roy Clark is affiliated with Uniontown Hospital, Excela Health Westmoreland Regional Hospital, Excela Health - Frick Hospital, Excela Health Latrobe Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Roy Clark was last updated on August 3, 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.