DR. JAMES W CLARK MD
NPI 1306824255
Pediatrics in Eagan, MN

Q: What is James Clark's NPI number?

The NPI number for James Clark is 1306824255. It was assigned to this individual provider in the NPPES registry on January 1, 2006.

Q: What is James Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Clark was last updated on March 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 01, 2006PECOS Enrolled

1885 PLAZA DR, EAGAN, MN 55122(952) 993-4001 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James W Clark Md NPPES

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

DR. JAMES W CLARK MD (NPI 1306824255) is an individual pediatrics provider in Eagan, Minnesota, licensed in Minnesota (26114) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306824255

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JAMES W CLARKCredential: MD

Location Address1885 PLAZA DREagan, MN 55122-2612

Mailing Address3800 Park Nicollet Blvd, CredentialingSt Louis Park, MN 55416-2527

Phone(952) 993-4001

Sole ProprietorNo

Enumeration DateJanuary 1, 2006

Last NPPES UpdateMarch 1, 2012

✔ NPI 1306824255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 26114

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1885 PLAZA DR, Eagan, MN 55122

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Other Identifiers 3

Medicaid444703400MN

Medicare ID-Type Unspecified370000109MN

Medicare UPINA95242MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James W Clark Md 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 55122 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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