THOMAS EUGENE CLARK O.D.
NPI 1427044692
Optometrist in New Ulm, MN

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
23.25/100
CMS Quality Rating
1715 S BROADWAY ST, NEW ULM, MN 56073(507) 354-8531(507) 359-1124 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Eugene Clark O.d. NPPES

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

THOMAS EUGENE CLARK O.D. (NPI 1427044692) is an individual optometrist in New Ulm, Minnesota, licensed in Minnesota (2902) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2002).

NPPES Registry Identity

NPI1427044692
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTHOMAS EUGENE CLARKCredential: O.D.
Location Address1715 S BROADWAY STNew Ulm, MN 56073-3751
Mailing Address1715 S Broadway StNew Ulm, MN 56073-3751 · (507) 354-8531 · Fax (507) 359-1124
Fax(507) 359-1124
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2002
Enumeration DateSeptember 23, 2005
Last NPPES UpdateFebruary 27, 2015
NPI 1427044692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MN · 2902
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1715 S BROADWAY ST, New Ulm, MN 56073

Other Identifiers 8

Medicare UPINU92445MN
Medicaid747652300MN
Medicare PINP00069728MN
Other241M0CLMN · Blue Cross/blue Shield Mn
OtherHP38790MN · Healthpartners
Other1034694MN · Preferred One
Other2202087MN · Medica
Other171829MN · Ucare

Accepted 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

Thomas Eugene Clark O.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 ID3274669262
PECOS Enrollment IDI20100329001137
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,787 services19 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
462 services461 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
117 services93 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
73 services62 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
70 services60 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
60 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56073 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

23.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%42 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims13 services$52.94 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims24 services$52.61 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.

Optometrist
1715 S BROADWAY ST
NEW ULM, MN 56073
Optometrist
1715 S BROADWAY ST
NEW ULM, MN 56073
Optometrist
1715 S BROADWAY ST
NEW ULM, MN 56073
Optometrist
1715 S BROADWAY ST
NEW ULM, MN 56073
Durable Medical Equipment & Medical Supplies
1715 S BROADWAY ST
NEW ULM, MN 56073
Optometrist
1715 S BROADWAY ST
NEW ULM, MN 56073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427044692, enumerated as an "individual" on September 23, 2005.

The provider is located at 1715 S BROADWAY ST NEW ULM, MN 56073 and the phone number is (507) 354-8531.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medica, Providence Health Plan, Medicare,. Please consult your insurance carrier or call the provider to verify.