ROY ELLIS CLARK M.S., CCC-A
NPI 1285808188
Audiologist in Columbus, IN
About Roy Ellis Clark M.s., Ccc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROY ELLIS CLARK M.S., CCC-A (NPI 1285808188) is an individual audiologist in Columbus, Indiana, licensed in Indiana (23002042) and active in the NPI registry since April 2008. He is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Roy Ellis Clark M.s., Ccc-a 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.
Medicare Billing Reassignment
Medicare enrollment records show Roy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, IN 47203
- Reassigned Medicare billing, Indiana enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1285808188. It was assigned to this individual provider in the NPPES registry on April 22, 2008.
Where is Roy Clark located?
Roy Clark practices at 2345 Northpark Dr, Columbus, IN 47203. The listed phone number is (812) 669-1490.
What is Roy Clark's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
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.
Which organization bills Medicare for Roy Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roy Clark reassigns Medicare benefits to Otolaryngology Specialty Care, LLC (Columbus, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roy Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Roy 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.
When was this NPI record last updated?
The NPPES record for Roy Clark was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Roy Ellis Clark, M.S., CCC-A · NPI 1285808188
Audiologist provider in Columbus, Indiana. Individual provider, active in the CMS NPPES registry since April 22, 2008.
## Identity
- **NPI:** 1285808188 (Entity type: Individual)
- **Enumerated:** April 22, 2008
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 23002042 (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2345 NORTHPARK DR, Columbus, IN 47203-4473
- **Phone:** (812) 669-1490 · **Fax:** (812) 669-1491
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Otolaryngology Specialty Care, LLC (NPI 1730440108, Columbus, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** May 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285808188) · Data from the CMS NPPES public registry.