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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RACHAEL CLARK MD
NPI 1235870460
Obstetrics & Gynecology - Complex Family Planning in Salt Lake City, UT

Active since April 03, 2022PECOS Enrolled
30 N MARIO CAPECCHI DR 5S126, SALT LAKE CITY, UT 84112(801) 213-9299 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Dr. Rachael Clark Md NPPES

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

DR. RACHAEL CLARK MD (NPI 1235870460) is an individual complex family planning provider in Salt Lake City, Utah, licensed in Utah (14277762-1205) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1235870460
Entity TypeIndividualFemale
Primary Taxonomy207VC0300X
Provider Legal NameDR. RACHAEL CLARKCredential: MD
Location Address30 N MARIO CAPECCHI DR 5S126Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr 5s126Salt Lake City, UT 84112 · (801) 213-9299
Phone(801) 213-9299
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 3, 2022
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1235870460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Complex Family PlanningAllopathic & Osteopathic Physicians
Taxonomy Code207VC0300X
License✔ Licensed in UT · 14277762-1205
Definition
A complex family planning physician specializes in the diagnosis and treatment of individuals with complex reproductive needs. These physicians are experts in abortion and contraception clinical care, research, education, and advocacy.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 14277762-1205 (UT)
30 N MARIO CAPECCHI DR 5S126, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-1000

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

Dr. Rachael 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 ID4587040589
PECOS Enrollment IDI20260602000878
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.

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

MEGAN B. KONIGKRAMER MD
Obstetrics & Gynecology (Complex Family Planning)
30 N MARIO CAPECCHI DR 5S126
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Rachael Clark's NPI number?

The NPI number for Rachael Clark is 1235870460. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Where is Rachael Clark located?

Rachael Clark practices at 30 N Mario Capecchi Dr 5s126, Salt Lake City, UT 84112. The listed phone number is (801) 213-9299.

What is Rachael Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Complex Family Planning, with taxonomy code 207VC0300X.

Is Rachael Clark enrolled in Medicare?

Yes. Rachael 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 Rachael Clark affiliated with any hospitals?

According to CMS data, Rachael Clark is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Rachael Clark was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.