TERENCE JOSEPH CLARKE MD
NPI 1326090911
Surgery in Albany, NY
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 Southwestern Vermont Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Terence Clarke reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, NY 12211
- Reassigned Medicare billing, New York enrollment
- 33 clinicians in this Medicare group
Albany, NY 12211
- Reassigned Medicare billing, New York and Vermont enrollments
- 20 clinicians in this Medicare group
Schenectady, NY 12308
- Reassigned Medicare billing, New York enrollment
- 462 clinicians in this Medicare group
Bennington, VT 05201
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1740682921 (Vermont)
- 143 clinicians in this Medicare group
Kingston, NY 12401
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Nuvance Health Medical Practice PC
- 638 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southwestern Vermont Medical Center
Acute Care Hospitals · Bennington, VTPhysician 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.
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.
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.
Which organizations bill Medicare for Terence Clarke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terence Clarke reassigns Medicare benefits to 5 organizations: Capital Cardiology Associates PLLC (Albany, NY), Twin Rivers Medical PC (Albany, NY), Ellis Hospital (Schenectady, NY), Southwestern Vermont Medical Center Inc. (Bennington, VT) and Health Quest Medical Practice, PC (Kingston, NY). Each 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 Terence Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Terence Joseph Clarke, MD · NPI 1326090911
Surgery physician in Albany, New York. Individual provider, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1326090911 (Entity type: Individual)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 222853 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 SOUTHWOODS BLVD STE 17, Albany, NY 12211-2564
- **Phone:** (518) 641-6580 · **Fax:** (518) 292-6088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Capital Cardiology Associates PLLC (NPI 1518952332, Albany, NY); Twin Rivers Medical PC (NPI 1063229458, Albany, NY); Ellis Hospital (NPI 1487644993, Schenectady, NY); Southwestern Vermont Medical Center Inc. (NPI 1962650556, Bennington, VT); Health Quest Medical Practice, PC (NPI 1558906610, Kingston, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 27, 2023
- **Other identifiers:** Other 11323390 (NY); Other 3715H1 (NY); Other 7370593 (NY); and 7 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1326090911) · Data from the CMS NPPES public registry.