TIMOTHY A CLARK MD
NPI 1407814726
Internal Medicine - Pulmonary Disease in Enola, PA
About Timothy A Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY A CLARK MD (NPI 1407814726) is an individual pulmonary disease provider in Enola, Pennsylvania, licensed in Pennsylvania (MD067096L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy A Clark Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 95 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan Chambersburg Hospital
Acute Care Hospitals · Chambersburg, PAMilton S Hershey Medical Center
Acute Care Hospitals · Hershey, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENOLA, PA 17025
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 Timothy Clark's NPI number?
The NPI number for Timothy Clark is 1407814726. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is Timothy Clark located?
Timothy Clark practices at 2250 Millennium Way Ste 400, Enola, PA 17025. The listed phone number is (717) 724-2791.
What is Timothy Clark's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Timothy Clark enrolled in Medicare?
Yes. Timothy 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.
Which organization bills Medicare for Timothy Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Clark reassigns Medicare benefits to Clearfield-Jefferson Primary Care Associates PC (Du Bois, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Clark affiliated with any hospitals?
According to CMS data, Timothy Clark is affiliated with Wellspan Chambersburg Hospital and Milton S Hershey Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Clark was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Timothy A Clark, MD · NPI 1407814726
Pulmonary Disease physician in Enola, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 3, 2006.
## Identity
- **NPI:** 1407814726 (Entity type: Individual)
- **Enumerated:** May 3, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** MD067096L (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2250 MILLENNIUM WAY, STE 400, Enola, PA 17025
- **Phone:** (717) 724-2791 · **Fax:** (717) 724-2797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clearfield-Jefferson Primary Care Associates PC (NPI 1710233895, Du Bois, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** July 6, 2012
- **Other identifiers:** Medicare UPIN H23114; Medicare ID-Type Unspecified 040611; Medicaid 001821036 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407814726) · Data from the CMS NPPES public registry.