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DR. JILL ELISABETH CLARK M.D.
NPI 1295922052
Colon & Rectal Surgery in Albuquerque, NM

Active since September 26, 2007PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
715 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 87102(505) 727-7090 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Aug 10, 2021, Jan 12, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jill Elisabeth Clark M.d. NPPES

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

DR. JILL ELISABETH CLARK M.D. (NPI 1295922052) is an individual colon & rectal surgery provider in Albuquerque, New Mexico, licensed in Washington (61161110) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1295922052
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. JILL ELISABETH CLARKCredential: M.D.
Location Address715 DR MARTIN LUTHER KING JR AVE NE STE 301Albuquerque, NM 87102-3668
Mailing Address715 Dr Martin Luther King Jr Ave Ne Ste 301Albuquerque, NM 87102-3668 · (505) 727-7090
Phone(505) 727-7090
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2003
Enumeration DateSeptember 26, 2007
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1295922052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in WA · 61161110
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
715 DR MARTIN LUTHER KING JR AVE NE STE 301, Albuquerque, NM 87102
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Other Names 1

Former Name (1)Dr. Jill Elisabeth Waldron Md

Secondary Practice Location 1

Location 11135 116th Ave NE Ste 550Bellevue, WA 98004-4623 · Phone (425) 646-7400

Other Identifiers 2

Medicaid1295922052UT
OtherMD2024-1149NM · State License

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

Dr. Jill Elisabeth Clark M.d. 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 ID7416093646
PECOS Enrollment IDI20241122002867
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.

Hospital Affiliations CMS Care Compare 2

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 7

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

KACEE CHILD
Nurse Practitioner
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7090
MALLORY MEYER DO
Surgery
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7090
BENJAMIN CLIFFORD
Physician Assistant
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7090
BRIANNE WIEMANN MD
Surgery
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7096
DAVID HOANG M.D.
Surgery
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7090
MRS. KIMBERLY MARIE MERELMAN PA-C
Physician Assistant
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7090
MS. OKSANA GONCHARENKO APRN-CNP
Nurse Practitioner (Gerontology)
715 DR MARTIN LUTHER KING JR AVE NE STE 301
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-7090

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 Jill Clark's NPI number?

The NPI number for Jill Clark is 1295922052. It was assigned to this individual provider in the NPPES registry on September 26, 2007. The provider is also known as Dr. Jill Elisabeth Waldron MD.

Where is Jill Clark located?

Jill Clark practices at 715 Dr Martin Luther King Jr Ave NE Ste 301, Albuquerque, NM 87102. The listed phone number is (505) 727-7090.

What is Jill Clark's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jill Clark enrolled in Medicare?

Yes. Jill 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.

Is Jill Clark affiliated with any hospitals?

According to CMS data, Jill Clark is affiliated with Lovelace Medical Center and Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Jill Clark was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.