CAROLYN MAE CLARK M.D.
NPI 1497155220
Emergency Medicine in Overland Park, KS

Q: What is Carolyn Clark's NPI number?

The NPI number for Carolyn Clark is 1497155220. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Q: What is Carolyn Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Clark was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 29, 2014PECOS EnrolledAccepts Medicare Assignment

5721 W 119TH ST, OVERLAND PARK, KS 66209(913) 498-6000 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2020, May 17, 2016 (2 updates tracked since 2016).

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About Carolyn Mae Clark M.d. NPPES

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

CAROLYN MAE CLARK M.D. (NPI 1497155220) is an individual emergency medicine provider in Overland Park, Kansas, licensed in Kansas (04-42111) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Menorah Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2014).

NPPES Registry Identity

NPI1497155220

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameCAROLYN MAE CLARKCredential: M.D.

Location Address5721 W 119TH STOverland Park, KS 66209-3753

Mailing Address5721 W 119th StOverland Park, KS 66209-3753 · (913) 498-6623

Phone(913) 498-6000

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2014

Enumeration DateAugust 29, 2014

Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration

NPPES CertifiedAugust 13, 2020

✔ NPI 1497155220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in KS · 04-42111

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5721 W 119TH ST, Overland Park, KS 66209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.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

Carolyn Mae Clark M.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 ID9234425778

PECOS Enrollment IDI20190822000226

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

425 services397 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

125 services122 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

38 services38 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66209 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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. AURELIANE N HARDY MD

Student in an Organized Health Care Education/Training Program