DR. LIN W CLARK M.D.
NPI 1396830477
Internal Medicine in Tucson, AZ

Q: What is Lin Clark's NPI number?

The NPI number for Lin Clark is 1396830477. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Lin Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Lin Clark was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 04, 2006PECOS Enrolled

5100 E BROADWAY BLVD, TUCSON, AZ 85711(520) 613-3001(520) 504-6481 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Dec 10, 2021, Nov 25, 2020 and 2 more (5 updates tracked since 2018).

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About Dr. Lin W Clark M.d. NPPES

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

DR. LIN W CLARK M.D. (NPI 1396830477) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (65768) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1396830477

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. LIN W CLARKCredential: M.D.

Location Address5100 E BROADWAY BLVDTucson, AZ 85711-3762

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250

Phone(520) 613-3001

Fax(520) 504-6481

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 7, 20245 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1396830477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 65768

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5100 E BROADWAY BLVD, Tucson, AZ 85711

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Secondary Practice Location 1

Location 17091 E Speedway BlvdTucson, AZ 85710-1241 · Phone (520) 721-5777 · Fax (520) 298-7231

Other Identifiers 4

Other18018041MO · Blue Cross Blue Shield

OtherR5P28MO · State License Number

Other168073Coventry

Other7896043Aetna

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. Lin W Clark M.d. 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 85711 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers41 claims106 services$5.74 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers23 claims33 services$1.07 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$36.76 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers13 claims78 services$1.34 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers37 claims37 services$3.94 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier26 claims26 services$25.58 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 6

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

DR. RANDEE LYNE NICHOLAS D.O.

Family Medicine