KEITH FREDRICK CLARK MD PHD
NPI 1376506642
Otolaryngology in Oklahoma City, OK

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
535 NW 9TH ST, SUITE 300, OKLAHOMA CITY, OK 73102(405) 272-6027(405) 272-8315 Get Directions Write a Review

NPPES record last updated: October 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Fredrick Clark Md Phd NPPES

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

KEITH FREDRICK CLARK MD PHD (NPI 1376506642) is an individual otolaryngology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (14220) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Michigan Medical School (1978).

NPPES Registry Identity

NPI1376506642
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKEITH FREDRICK CLARKCredential: MD PHD
Location Address535 NW 9TH ST, SUITE 300Oklahoma City, OK 73102-1070
Mailing Address535 Nw 9th St, Suite 300Oklahoma City, OK 73102-1070 · (405) 272-6027 · Fax (405) 272-8315
Fax(405) 272-8315
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1978
Enumeration DateApril 8, 2006
Last NPPES UpdateOctober 18, 2020
NPPES CertifiedOctober 18, 2020
NPI 1376506642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OK · 14220
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

535 NW 9TH ST, Oklahoma City, OK 73102

Other Identifiers 6

Medicaid157107001AR
OtherA0209ZPpo Oklahoma
OtherP00075512Rr Medicare
Other2994975Aetna Us Healthcare
Medicaid100823600BOK
Other731461178005Tricare

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

Keith Fredrick Clark Md Phd 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 ID6204985641
PECOS Enrollment IDI20120302000522
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 12

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 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.
375 services245 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
169 services169 patients
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
113 services32 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
98 services86 patients
Injection of chemical for paralysis of nerve muscles on side of voice box 64617
This procedure involves injecting a chemical into the nerve muscles on one side of your voice box. The chemical temporarily paralyzes these muscles, helping to manage conditions that affect voice and swallowing. It's a safe, often temporary measure to improve your quality of life.
83 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

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.

Clinic/Center (Medical Specialty)
535 NW 9TH ST, SUITE 220
OKLAHOMA CITY, OK 73102
Psychiatry & Neurology (Neurology)
535 NW 9TH ST, SUITE 235
OKLAHOMA CITY, OK 73102
Audiologist
535 NW 9TH ST, SUITE 305
OKLAHOMA CITY, OK 73102
Otolaryngology
535 NW 9TH ST, SUITE 300
OKLAHOMA CITY, OK 73102
Internal Medicine
535 NW 9TH ST, SUITE 235
OKLAHOMA CITY, OK 73102
Pharmacist
535 NW 9TH ST
OKLAHOMA CITY, OK 73102
Obstetrics & Gynecology
535 NW 9TH ST, #220
OKLAHOMA CITY, OK 73102
Pharmacy
535 NW 9TH ST
OKLAHOMA CITY, OK 73102

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 Keith Clark's NPI number?

The NPI number for Keith Clark is 1376506642. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Keith Clark located?

Keith Clark practices at 535 NW 9th St Suite 300, Oklahoma City, OK 73102. The listed phone number is (405) 272-6027.

What is Keith Clark's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Keith Clark enrolled in Medicare?

Yes. Keith 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 Keith Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Keith 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 Keith Clark affiliated with any hospitals?

According to CMS data, Keith Clark is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Midwest and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Keith Clark was last updated on October 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.