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DR. AMY LYNN CLARK DO
NPI 1427285774
Pediatrics - Pediatric Endocrinology in Saint Louis, MO

Active since June 14, 2009PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5648(314) 268-6448 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2021, Mar 26, 2021, Jun 13, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Amy Lynn Clark Do NPPES

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

DR. AMY LYNN CLARK DO (NPI 1427285774) is an individual pediatric endocrinology provider in Saint Louis, Missouri, licensed in Missouri (2012016489) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427285774
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. AMY LYNN CLARKCredential: DO
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5648 · Fax (314) 268-6448
Phone(314) 577-5648
Fax(314) 268-6448
Sole ProprietorNo
Enumeration DateJune 14, 2009
Last NPPES UpdateJuly 8, 20215 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1427285774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in MO · 2012016489
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 2012016489 (MO)
1465 S GRAND BLVD, Saint Louis, MO 63104
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Other Identifiers 1

MedicaidENROLLEDIL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy Lynn Clark Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
0.2 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Washington University
1.7 mi
Multi-Specialty
1 CHILDRENS PL
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 628 clinicians in this Medicare group
NPI 1194765685 (314) 286-1264

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 20

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

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
MS. MASHAL AZIZ RANA MBBS
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST.LOUIS, MO 63104
St. Louis City (314) 577-5382
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695

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 Amy Clark's NPI number?

The NPI number for Amy Clark is 1427285774. It was assigned to this individual provider in the NPPES registry on June 14, 2009.

Where is Amy Clark located?

Amy Clark practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5648.

What is Amy Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Amy Clark enrolled in Medicare?

Yes. Amy Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Clark reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Washington University (Saint Louis, MO). Each 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 Amy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.