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DR. HOLLY CLARK M.D.
NPI 1376639047
Internal Medicine - Gastroenterology in Salt Lake City, UT

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
1250 E 3900 S, SUITE 360, SALT LAKE CITY, UT 84124(801) 263-3041(801) 263-8485 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Holly Clark M.d. NPPES

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

DR. HOLLY CLARK M.D. (NPI 1376639047) is an individual gastroenterology provider in Salt Lake City, Utah, licensed in Utah (4977163) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and is a graduate of University Of Arizona College Of Medicine (1997).

NPPES Registry Identity

NPI1376639047
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HOLLY CLARKCredential: M.D.
Location Address1250 E 3900 S, SUITE 360Salt Lake City, UT 84124-1348
Mailing Address6360 S 3000 E, #220Salt Lake City, UT 84121-6923 · (801) 263-3041 · Fax (801) 263-8485
Phone(801) 263-3041
Fax(801) 263-8485
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1997
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 9, 2015
✔ NPI 1376639047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in UT · 4977163
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1250 E 3900 S, Salt Lake City, UT 84124
Open in Google Maps ↗

Other Identifiers 8

OtherQM0000217387UT · Altius
Medicare ID-Type Unspecified005505504UT
Other78498UT · Public Employees
Medicare ID-Type UnspecifiedP00135924UT · Rr Medicare
Other49771631200001UT · Blue Cross Blue Shield
Other49771631200001UT · Value Care
Other49771631200001UT · Healthwise
Medicare UPINI01293UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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. Holly Clark M.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 ID7214921170
PECOS Enrollment IDI20040413000966
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 7

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
80 services78 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
72 services72 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
46 services38 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
43 services43 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
37 services37 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Park City Hospital

Acute Care Hospitals · Park City, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460057
Location900 Round Valley DrivePark City, UT 84060 · Summit County
Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

UTAH ORTHOPAEDIC ASSOCIATES
Orthopaedic Surgery
1250 E 3900 S, #440
SLC, UT 84124
Salt Lake County (801) 261-2232
DR. MELANIE ANN DANCE M.D.
Family Medicine
1250 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
DR. FRANCIS JOHN WAPNER M.D.
Ophthalmology
1250 E 3900 S, #310
SALT LAKE CITY, UT 84124
Salt Lake County (801) 263-2020
DR. RONALD D JOSEPH M.D.
Internal Medicine (Gastroenterology)
1250 E 3900 S, SUITE 360
SALT LAKE CITY, UT 84124
Salt Lake County (801) 263-3041
ROBERT YENCHEK M.D.
Internal Medicine (Nephrology)
1250 E 3900 S, SUITE 410
SALT LAKE CITY, UT 84124
Salt Lake County (801) 281-5996
ALEC KITCH M.D.
Family Medicine
1250 E 3900 S, SUITE #260 BR
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
DR. DAVID BRADLEY TROWBRIDGE M.D.
Internal Medicine (Gastroenterology)
1250 E 3900 S, SUITE 360
SALT LAKE CITY, UT 84124
Salt Lake County (801) 263-3041
ROSEMARIE LINSLER NP
Nurse Practitioner (Family)
1250 E 3900 S, #260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000

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 Holly Clark's NPI number?

The NPI number for Holly Clark is 1376639047. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Holly Clark located?

Holly Clark practices at 1250 E 3900 S Suite 360, Salt Lake City, UT 84124. The listed phone number is (801) 263-3041.

What is Holly Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Holly Clark enrolled in Medicare?

Yes. Holly 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 Holly Clark accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Holly 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 Holly Clark affiliated with any hospitals?

According to CMS data, Holly Clark is affiliated with Park City Hospital and Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Holly Clark was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.