DR. SCOTT A CLARKE O.D.
NPI 1336209055
Optometrist in Charleston, IL

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
620 6TH ST, CHARLESTON, IL 61920(217) 348-0800(217) 348-0802 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2020, Jan 9, 2019 (2 updates tracked since 2019).

About Dr. Scott A Clarke O.d. NPPES

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

DR. SCOTT A CLARKE O.D. (NPI 1336209055) is an individual optometrist in Charleston, Illinois, licensed in Illinois (046008347) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1990).

NPPES Registry Identity

NPI1336209055
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SCOTT A CLARKECredential: O.D.
Location Address620 6TH STCharleston, IL 61920-2017
Mailing Address620 6th StCharleston, IL 61920-2017 · (217) 348-0800 · Fax (217) 248-0802
Fax(217) 348-0802
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1990
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1336209055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IL · 046008347
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

620 6TH ST, Charleston, IL 61920

Other Identifiers 1

Medicaid046008347IL

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

Dr. Scott A Clarke O.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 ID4486672110
PECOS Enrollment IDI20051111000021
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 4

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,800 services13 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
129 services116 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
57 services47 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61920 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

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

Optometrist
620 6TH ST
CHARLESTON, IL 61920

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 Scott Clarke's NPI number?

The NPI number for Scott Clarke is 1336209055. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Scott Clarke located?

Scott Clarke practices at 620 6th St, Charleston, IL 61920. The listed phone number is (217) 348-0800.

What is Scott Clarke's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Scott Clarke enrolled in Medicare?

Yes. Scott 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 Scott Clarke accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Clarke was last updated on July 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.