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AMBER M CLARK MD
NPI 1255566220
Family Medicine in Sandpoint, ID

Active since May 20, 2009Opted out of Medicare · through Aug 16, 2027
1218 N DIVISION AVE STE 208, SANDPOINT, ID 83864(208) 263-3091 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Nov 12, 2021, Oct 14, 2020 and 1 more (4 updates tracked since 2017).

About Amber M Clark Md NPPES

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

AMBER M CLARK MD (NPI 1255566220) is an individual family medicine provider in Sandpoint, Idaho, licensed in Idaho (4271941) and active in the NPI registry since May 2009. She has opted out of Medicare through August 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255566220
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER M CLARKCredential: MD
Location Address1218 N DIVISION AVE STE 208Sandpoint, ID 83864-5054
Mailing Address1218 N Division Ave Ste 208Sandpoint, ID 83864-5054 · (208) 263-3091 · Fax (208) 263-3147
Phone(208) 263-3091
Sole ProprietorNo
Enumeration DateMay 20, 2009
Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1255566220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · 4271941✔ Licensed in OR · MD162440
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1218 N DIVISION AVE STE 208, Sandpoint, ID 83864
Open in Google Maps ↗

Other Identifiers 2

OtherP01296606OR · Rr Medicare - Ph&s - Oregon (pmg)
Medicaid500662211OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amber M Clark Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2025 through August 16, 2027.

Opt-Out Effective DateAugust 16, 2025
Opt-Out In Effect ThroughAugust 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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

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

DR. JOSEPH BENJAMIN COOPER MD
Family Medicine
1218 N DIVISION AVE STE 208
SANDPOINT, ID 83864
Bonner County (208) 263-3091

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 Amber Clark's NPI number?

The NPI number for Amber Clark is 1255566220. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Amber Clark located?

Amber Clark practices at 1218 N Division Ave Ste 208, Sandpoint, ID 83864. The listed phone number is (208) 263-3091.

What is Amber Clark's specialty?

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

Is Amber Clark enrolled in Medicare?

No. Amber Clark has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amber Clark was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.