DR. KATHERINE A CLARK DO
NPI 1366424798
Family Medicine in Beavercreek, OH

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
4172 INDIAN RIPPLE RD STE A, BEAVERCREEK, OH 45440(937) 431-3779(937) 431-3776 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Katherine A Clark Do NPPES

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

DR. KATHERINE A CLARK DO (NPI 1366424798) is an individual family medicine provider in Beavercreek, Ohio, licensed in Ohio (34004845) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Ohio University, College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1366424798
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE A CLARKCredential: DO
Location Address4172 INDIAN RIPPLE RD STE ABeavercreek, OH 45440-3286
Mailing Address4172 Indian Ripple Rd Ste ABeavercreek, OH 45440-3286 · (937) 431-3779 · Fax (937) 431-3776
Fax(937) 431-3776
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1988
Enumeration DateNovember 21, 2005
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
NPI 1366424798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34004845
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4172 INDIAN RIPPLE RD STE A, Beavercreek, OH 45440

Other Identifiers 1

Medicaid0935368OH

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. Katherine A Clark Do 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 ID6002980349
PECOS Enrollment IDI20080804000554
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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45440 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$60.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
4172 INDIAN RIPPLE RD STE A
BEAVERCREEK, OH 45440

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 Katherine Clark's NPI number?

The NPI number for Katherine Clark is 1366424798. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Katherine Clark located?

Katherine Clark practices at 4172 Indian Ripple Rd Ste A, Beavercreek, OH 45440. The listed phone number is (937) 431-3779.

What is Katherine Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Clark enrolled in Medicare?

Yes. Katherine 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 Katherine Clark accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Katherine 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.

Is Katherine Clark affiliated with any hospitals?

According to CMS data, Katherine Clark is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Upper Valley Medical Center, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Katherine Clark was last updated on November 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.