TERENCE JOSEPH CLARKE MD
NPI 1326090911
Surgery in Albany, NY

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
7 SOUTHWOODS BLVD STE 17, ALBANY, NY 12211(518) 641-6580(518) 292-6088 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2023, May 20, 2022 (2 updates tracked since 2022).

About Terence Joseph Clarke Md NPPES

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

TERENCE JOSEPH CLARKE MD (NPI 1326090911) is an individual surgery provider in Albany, New York, licensed in New York (222853) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital Of Troy, New York, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1326090911
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTERENCE JOSEPH CLARKECredential: MD
Location Address7 SOUTHWOODS BLVD STE 17Albany, NY 12211-2564
Mailing Address893 Grooms RdRexford, NY 12148-1305 · (518) 859-8271
Fax(518) 292-6088
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1326090911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 222853
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7 SOUTHWOODS BLVD STE 17, Albany, NY 12211

Other Identifiers 10

Other11323390NY · Caqh
Other3715H1NY · Blue Cross
Other7370593NY · Aetna
Other000000072573NY · Ghi-hmo
Other000415749001NY · Blue Shield
Other10088694NY · Cdphp
Other7515N2NY · Blue Cross
Other050127000002NY · Fidelis
Other5996001NY · Ghippo
Other782956NY · Mvp

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

Terence Joseph 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 ID4183692775
PECOS Enrollment IDI20040921001195, I20240716004812
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12211 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 14

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

Nurse Practitioner (Family)
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Physician Assistant
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Internal Medicine (Cardiovascular Disease)
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Nurse Practitioner (Acute Care)
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Pharmacist (Cardiology)
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Nurse Practitioner (Family)
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Dietitian, Registered
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211
Nurse Practitioner (Adult Health)
7 SOUTHWOODS BLVD STE 17
ALBANY, NY 12211

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 Terence Clarke's NPI number?

The NPI number for Terence Clarke is 1326090911. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Terence Clarke located?

Terence Clarke practices at 7 Southwoods Blvd Ste 17, Albany, NY 12211. The listed phone number is (518) 641-6580.

What is Terence Clarke's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Terence Clarke enrolled in Medicare?

Yes. Terence 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 Terence Clarke accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Terence 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 Terence Clarke affiliated with any hospitals?

According to CMS data, Terence Clarke is affiliated with Samaritan Hospital Of Troy, New York and Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Terence Clarke was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.