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ADAM D CLARK PAC
NPI 1386832194
Physician Assistant - Surgical in Laurinburg, NC

Active since October 05, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1600 MEDICAL DR, LAURINBURG, NC 28352(910) 277-9164(910) 277-9189 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam D Clark Pac NPPES

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

ADAM D CLARK PAC (NPI 1386832194) is an individual surgical provider in Laurinburg, North Carolina, licensed in North Carolina (0010-01061) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1386832194
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameADAM D CLARKCredential: PAC
Location Address1600 MEDICAL DRLaurinburg, NC 28352-5524
Mailing AddressPo Box 2257Laurinburg, NC 28353-2257 · (910) 277-9164 · Fax (910) 277-9189
Phone(910) 277-9164
Fax(910) 277-9189
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 5, 2007
Last NPPES UpdateMay 16, 2011
✔ NPI 1386832194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 0010-01061
1600 MEDICAL DR, Laurinburg, NC 28352
Open in Google Maps ↗

Other Identifiers 1

Other0010-01061NC · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Adam D Clark Pac 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 ID8820186448
PECOS Enrollment IDI20071115000427
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 3

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.
299 services202 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.
87 services87 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MS. RUBY APOLINARIO GERONIMO NP-C
Nurse Practitioner (Primary Care)
1600 MEDICAL DR
LAURINBURG, NC 28352
Scotland County (910) 277-9164
MRS. MEREDITH WAY WAWNER PA-C
Physician Assistant (Surgical)
1600 MEDICAL DR
LAURINBURG, NC 28352
Scotland County (910) 277-9164
STEPHEN LOUIS LANUTI MD PA
Specialist
1600 MEDICAL DR
LAURINBURG, NC 28352
Scotland County (910) 277-9164
BRIAN PARKES, M.D. PA
Specialist
1600 MEDICAL DR
LAURINBURG, NC 28352
Scotland County (910) 277-9164
SCOTLAND MEMORIAL HOSPITAL INC
Surgery (Vascular Surgery)
1600 MEDICAL DR
LAURINBURG, NC 28352
Scotland County (910) 291-7653

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 Adam Clark's NPI number?

The NPI number for Adam Clark is 1386832194. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Adam Clark located?

Adam Clark practices at 1600 Medical Dr, Laurinburg, NC 28352. The listed phone number is (910) 277-9164.

What is Adam Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Adam Clark enrolled in Medicare?

Yes. Adam 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 Adam Clark accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Adam 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 Adam Clark affiliated with any hospitals?

According to CMS data, Adam Clark is affiliated with Scotland Memorial Hospital and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Adam Clark was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.