BRIAN DAVID CLARKE MD
NPI 1316960669
Internal Medicine - Gastroenterology in Indianapolis, IN

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
81.11/100
CMS Quality Rating
7250 CLEARVISTA DR, # 375, INDIANAPOLIS, IN 46256(317) 621-2100(317) 621-2105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Brian David Clarke Md NPPES

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

BRIAN DAVID CLARKE MD (NPI 1316960669) is an individual gastroenterology provider in Indianapolis, Indiana and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Indiana University School Of Medicine (1985).

NPPES Registry Identity

NPI1316960669
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRIAN DAVID CLARKECredential: MD
Location Address7250 CLEARVISTA DR, # 375Indianapolis, IN 46256-5601
Mailing Address7250 Clearvista Dr, # 375Indianapolis, IN 46256-5601 · (317) 621-2100 · Fax (317) 621-2105
Fax(317) 621-2105
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1985
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316960669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
7250 CLEARVISTA DR, Indianapolis, IN 46256

Other Identifiers 2

Medicare UPINE44307
Medicare ID-Type Unspecified246360AIN

Accepted Insurance

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

Brian David Clarke 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 ID4284528993
PECOS Enrollment IDI20110208000988
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.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services173 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
99 services99 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
84 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services19 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
40 services40 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
40 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150181
Location13861 Olio RoadFishers, IN 46037 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

81.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.29
Promoting Interoperability96
Improvement Activities40
Cost51.09

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
3%32 patients
Breast Cancer Screening
64%252 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
96%516 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
62%325 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%106 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,064 patients4/55-star benchmark: 100%
e-Prescribing
99%722 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
38%319 patients2/55-star benchmark: 100%
HIV Screening
18%615 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%862 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
37%513 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%574 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 139 patients
96%139 patients
Provide Patients Electronic Access to Their Health Information
100%444 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%326 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Pulmonary Disease)
7250 CLEARVISTA DR, SUITE 120
INDIANAPOLIS, IN 46256
Physician Assistant
7250 CLEARVISTA DR, STE 355
INDIANAPOLIS, IN 46256
Physician Assistant
7250 CLEARVISTA DR, STE 355
INDIANAPOLIS, IN 46256
Physician Assistant (Surgical)
7250 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Physician Assistant
7250 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Internal Medicine (Infectious Disease)
7250 CLEARVISTA DR, SUITE 260
INDIANAPOLIS, IN 46256
Nurse Practitioner (Family)
7250 CLEARVISTA DR, STE 355
INDIANAPOLIS, IN 46256
Psychiatry & Neurology (Neurology)
7250 CLEARVISTA DR, STE 225
INDIANAPOLIS, IN 46256

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 Brian Clarke's NPI number?

The NPI number for Brian Clarke is 1316960669. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Brian Clarke located?

Brian Clarke practices at 7250 Clearvista Dr # 375, Indianapolis, IN 46256. The listed phone number is (317) 621-2100.

What is Brian Clarke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Clarke enrolled in Medicare?

Yes. Brian Clarke 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.

What insurance does Brian Clarke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Brian Clarke 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 Brian Clarke affiliated with any hospitals?

According to CMS data, Brian Clarke is affiliated with Riverview Health, Community Hospital East, Ascension St Vincent Carmel, Community Hospital North and Ascension St Vincent Fishers.

When was this NPI record last updated?

The NPPES record for Brian Clarke 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.