CHANELLE JACORA MATTHEWS CLARK MD
NPI 1285830174
Obstetrics & Gynecology in Pearland, TX

Q: What is Chanelle Clark's NPI number?

The NPI number for Chanelle Clark is 1285830174. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Q: What is Chanelle Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Chanelle Clark was last updated on June 6, 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.

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment

2515 BUSINESS CENTER DR, PEARLAND, TX 77584(713) 442-7200 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2021, Apr 15, 2019, Dec 15, 2016 (3 updates tracked since 2016).

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About Chanelle Jacora Matthews Clark Md NPPES

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

CHANELLE JACORA MATTHEWS CLARK MD (NPI 1285830174) is an individual obstetrics & gynecology provider in Pearland, Texas, licensed in Texas (M6750) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1285830174

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCHANELLE JACORA MATTHEWS CLARKCredential: MD

Location Address2515 BUSINESS CENTER DRPearland, TX 77584-2294

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(713) 442-7200

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2003

Enumeration DateJune 26, 2007

Last NPPES UpdateJune 6, 20213 updates tracked since enumeration

NPPES CertifiedJune 6, 2021

✔ NPI 1285830174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · M6750

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2515 BUSINESS CENTER DR, Pearland, TX 77584

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Other Identifiers 2

Medicaid188237501TX

Medicaid188237502TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Chanelle Jacora Matthews 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 ID7315030244

PECOS Enrollment IDI20070907000483

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.

Medicare Billing Reassignments

Medicare enrollment records show Chanelle Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kelsey-Seybold Medical Group, PLLC

9.8 mi

Multi-Specialty

2727 W HOLCOMBE BLVD
Houston, TX 77025

Reassigned Medicare billing, Texas enrollment
1,649 clinicians in this Medicare group

NPI 1013915255 (713) 442-0000

Obhg Texas Holdings, P.A.

151 mi

Obstetrics & Gynecology

12221 N MOPAC EXPY
Austin, TX 78758

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Obhg Texas Holdings PA
998 clinicians in this Medicare group

NPI 1083917769 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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

$131.03 typical visit price

range $57.16 – $172.89

Typical copayment $32.75 (range $14.29 – $43.22)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.45 – $141.27

Typical copayment $17.82 (range $4.61 – $35.31)

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 20

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

EKANEM OFFIONG OHIA MD

Family Medicine