RANDALL BRUCE CLARK II D.O.
NPI 1265873111
Radiology - Diagnostic Radiology in Cape Girardeau, MO

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703(573) 334-6071(573) 334-4739 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Bruce Clark Ii D.o. NPPES

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

RANDALL BRUCE CLARK II D.O. (NPI 1265873111) is an individual diagnostic radiology provider in Cape Girardeau, Missouri, licensed in Missouri (2013021199) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265873111
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameRANDALL BRUCE CLARK IICredential: D.O.
Location Address70 DOCTORS PARKCape Girardeau, MO 63703-4928
Mailing Address70 Doctors ParkCape Girardeau, MO 63703-4928 · (573) 334-6071 · Fax (573) 334-4739
Fax(573) 334-4739
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2013
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
NPI 1265873111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · 2013021199
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
70 DOCTORS PARK, Cape Girardeau, MO 63703

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

Randall Bruce Clark Ii D.o. 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 ID2668606476
PECOS Enrollment IDI20211021002131
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 68

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
17,262 services165 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
8,766 services95 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
790 services790 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
789 services789 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
332 services326 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
227 services227 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology Practitioner Assistant
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Vascular & Interventional Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Radiology (Diagnostic Radiology)
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

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 Randall Clark's NPI number?

The NPI number for Randall Clark is 1265873111. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Randall Clark located?

Randall Clark practices at 70 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 334-6071.

What is Randall Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Randall Clark enrolled in Medicare?

Yes. Randall 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.

When was this NPI record last updated?

The NPPES record for Randall Clark was last updated on January 27, 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.