DR. STACY J CLARK D.O.
NPI 1376728048
Family Medicine in Santa Clarita, CA

Q: What is Stacy Clark's NPI number?

The NPI number for Stacy Clark is 1376728048. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Q: What is Stacy Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Clark was last updated on December 31, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 31, 2007PECOS Enrolled

27107 TOURNEY RD, SANTA CLARITA, CA 91355(661) 222-2154 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Stacy J Clark D.o. NPPES

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

DR. STACY J CLARK D.O. (NPI 1376728048) is an individual family medicine provider in Santa Clarita, California, licensed in California (20A7457) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376728048

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STACY J CLARKCredential: D.O.

Location Address27107 TOURNEY RDSanta Clarita, CA 91355-1860

Mailing Address24920 Greensbrier DrStevenson Ranch, CA 91381-1830 · (661) 286-9996

Phone(661) 222-2154

Sole ProprietorNo

Enumeration DateDecember 31, 2007

✔ NPI 1376728048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A7457

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.

27107 TOURNEY RD, Santa Clarita, CA 91355

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy J Clark D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91355 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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