DUSTIN MICHAEL CLARK M.D.
NPI 1285831644
Emergency Medicine in Greeneville, TN

Active since June 29, 2007PECOS Enrolled
1420 TUSCULUM BLVD, LAUGHLIN MEMORIAL HOSPITAL, GREENEVILLE, TN 37745(423) 787-5000 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin Michael Clark M.d. NPPES

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

DUSTIN MICHAEL CLARK M.D. (NPI 1285831644) is an individual emergency medicine provider in Greeneville, Tennessee, licensed in Tennessee (50872) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285831644
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDUSTIN MICHAEL CLARKCredential: M.D.
Location Address1420 TUSCULUM BLVD, LAUGHLIN MEMORIAL HOSPITALGreeneville, TN 37745
Mailing Address900 Melrose CirJohnson City, TN 37601-2114
Sole ProprietorYes
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 31, 2017
NPI 1285831644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TN · 50872
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1420 TUSCULUM BLVD, Greeneville, TN 37745

Other Identifiers 1

Other39020000XTX · Resident In Training

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dustin Michael Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Physician Assistant
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745
Hospitalist
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745
Nurse Practitioner (Gerontology)
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745
Internal Medicine (Infectious Disease)
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745
Hospitalist
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745
Specialist
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745
Internal Medicine (Hematology & Oncology)
1420 TUSCULUM BLVD, LAUGHLIN MEMORIAL HOSPITAL
GREENEVILLE, TN 37745
Physical Therapist
1420 TUSCULUM BLVD
GREENEVILLE, TN 37745

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 Dustin Clark's NPI number?

The NPI number for Dustin Clark is 1285831644. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Dustin Clark located?

Dustin Clark practices at 1420 Tusculum Blvd Laughlin Memorial Hospital, Greeneville, TN 37745. The listed phone number is (423) 787-5000.

What is Dustin Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dustin Clark enrolled in Medicare?

Yes. Dustin Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Clark was last updated on July 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.