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CAMILLE CLARK MD
NPI 1295819316
Obstetrics & Gynecology in Dallas, TX

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
7777 FOREST LN, #D550, DALLAS, TX 75230(972) 566-7009(972) 566-6289 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Camille Clark Md NPPES

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

CAMILLE CLARK MD (NPI 1295819316) is an individual obstetrics & gynecology provider in Dallas, Texas, licensed in Texas (G4917) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1983).

NPPES Registry Identity

NPI1295819316
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAMILLE CLARKCredential: MD
Location Address7777 FOREST LN, #D550Dallas, TX 75230
Mailing Address7777 Forest Ln, #d550Dallas, TX 75230 · (972) 566-7009 · Fax (972) 566-6289
Phone(972) 566-7009
Fax(972) 566-6289
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1983
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295819316 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 · G4917
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.
7777 FOREST LN, Dallas, TX 75230
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC14521
Medicare ID-Type Unspecified877428TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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

Camille 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 ID4587823190
PECOS Enrollment IDI20120316000321
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 Reassignment

Medicare enrollment records show Camille Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology PA
Same address
Specialist
7777 FOREST LN STE D550
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1649222647 (972) 566-7009

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
70 services70 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services38 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

JEFFREY SZOT M.D.
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-2667
NORTH DALLAS ORTHOPEDICS & REHABILITATION, PA
Clinic/Center
7777 FOREST LN, C-500
DALLAS, TX 75230
Dallas County (972) 566-6366
KASEY REHME
Speech-Language Pathologist
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
DR. CHRISTIAN BREWER MD
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
JEFFREY L. HORSWELL, MD PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 247-9946
MRS. AMELIE P. MCKNEELY PA-C
Physician Assistant (Surgical)
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
MRS. SUSAN KAY DEAHL M.C.D.
Audiologist-Hearing Aid Fitter
7777 FOREST LN, BUILDING C SUITE 100
DALLAS, TX 75230
Dallas County (972) 566-4848
360 ANESTHESIA, PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-4817

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 Camille Clark's NPI number?

The NPI number for Camille Clark is 1295819316. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Camille Clark located?

Camille Clark practices at 7777 Forest Ln #d550, Dallas, TX 75230. The listed phone number is (972) 566-7009.

What is Camille Clark's specialty?

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

Is Camille Clark enrolled in Medicare?

Yes. Camille 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 Camille Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Clark reassigns Medicare benefits to Obstetrics & Gynecology PA (Dallas, TX). 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 Camille Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Clark accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Camille 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.

Is Camille Clark affiliated with any hospitals?

According to CMS data, Camille Clark is affiliated with Medical City Dallas Hospital and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Camille Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.