CHAD JEREMY CLARK D.O.
NPI 1346339496
Obstetrics & Gynecology in Park City, UT
About Chad Jeremy Clark D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAD JEREMY CLARK D.O. (NPI 1346339496) is an individual obstetrics & gynecology provider in Park City, Utah, licensed in Utah (8984876-1204) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Chad Jeremy Clark D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84060 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK CITY, UT 84060
PARK CITY, UT 84060
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 Chad Clark's NPI number?
The NPI number for Chad Clark is 1346339496. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is Chad Clark located?
Chad Clark practices at 900 Round Valley Dr Suite 200, Park City, UT 84060. The listed phone number is (435) 658-7400.
What is Chad Clark's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Chad Clark enrolled in Medicare?
Yes. Chad Clark 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 Chad Clark accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Chad Clark 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 Chad Clark was last updated on April 20, 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.
# Chad Jeremy Clark, D.O. · NPI 1346339496
Obstetrics & Gynecology physician in Park City, Utah. Individual provider, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1346339496 (Entity type: Individual)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 8984876-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 ROUND VALLEY DR, SUITE 200, Park City, UT 84060-7552
- **Phone:** (435) 658-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 20, 2023
- **Other identifiers:** Other 46699 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1346339496) · Data from the CMS NPPES public registry.