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DR. TED ROBERT CLARK M.D., M.P.P.
NPI 1497914741
Emergency Medicine in Springfield, IL

Active since June 03, 2008PECOS Enrolled
701 N. 1ST STREET, SPRINGFIELD, IL 62781(217) 545-7409(217) 545-2711 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ted Robert Clark M.d., M.p.p. NPPES

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

DR. TED ROBERT CLARK M.D., M.P.P. (NPI 1497914741) is an individual emergency medicine provider in Springfield, Illinois, licensed in Indiana (01064079A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497914741
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TED ROBERT CLARKCredential: M.D., M.P.P.
Location Address701 N. 1ST STREETSpringfield, IL 62781
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-7409 · Fax (217) 545-2711
Phone(217) 545-7409
Fax(217) 545-2711
Sole ProprietorNo
Enumeration DateJune 3, 2008
Last NPPES UpdateMarch 14, 2013
✔ NPI 1497914741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01064079A
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.
701 N. 1ST STREET, Springfield, IL 62781
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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. Ted Robert Clark M.d., M.p.p. 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.

Areas of Expertise CMS Part B claims 3

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.
117 services115 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.
48 services48 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

ELISE B ARNOLD CRNA
Nurse Anesthetist, Certified Registered
701 N. 1ST STREET
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3755

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 Ted Clark's NPI number?

The NPI number for Ted Clark is 1497914741. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Ted Clark located?

Ted Clark practices at 701 N. 1st Street, Springfield, IL 62781. The listed phone number is (217) 545-7409.

What is Ted Clark's specialty?

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

Is Ted Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ted Clark was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.