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DR. ROBERT LEON CLARK MD
NPI 1508850181
Internal Medicine - Pulmonary Disease in Bellevue, WA

Active since September 09, 2005PECOS Enrolled
17058 SE 58TH ST, BELLEVUE, WA 98006(206) 790-2397(425) 641-4827 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert Leon Clark Md NPPES

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

DR. ROBERT LEON CLARK MD (NPI 1508850181) is an individual pulmonary disease provider in Bellevue, Washington, licensed in Washington (MD 00030055) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508850181
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ROBERT LEON CLARKCredential: MD
Location Address17058 SE 58TH STBellevue, WA 98006-5595
Mailing Address17058 Se 58th StBellevue, WA 98006-5595 · (206) 790-2397 · Fax (425) 641-4827
Phone(206) 790-2397
Fax(425) 641-4827
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 28, 2016
✔ NPI 1508850181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WA · MD 00030055
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD 00030055 (WA)
17058 SE 58TH ST, Bellevue, WA 98006
Open in Google Maps ↗

Other Identifiers 7

Medicare UPINC33043
OtherP01365435WA · Rr Medicare
Other38110L&i
Other810000222WA · Rr Medicare
Medicaid1508850181WA
Medicare PING217000015WA
Medicare PING8928293, G8928294WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan, Select Health.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. Robert Leon Clark Md 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 Reassignment

Medicare enrollment records show Robert Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine Associates, P.A.
263 mi
Internal Medicine
102 S EUCLID AVE STE 202
Sandpoint, ID 83864
  • Reassigned Medicare billing, Idaho enrollment
  • 6 clinicians in this Medicare group
NPI 1154361988 (208) 263-6876

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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98006 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1508850181. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Robert Clark located?

Robert Clark practices at 17058 SE 58th St, Bellevue, WA 98006. The listed phone number is (206) 790-2397.

What is Robert Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Clark enrolled in Medicare?

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

Which organization bills Medicare for Robert Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Clark reassigns Medicare benefits to Internal Medicine Associates, P.A. (Sandpoint, ID). 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 Robert Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and Select Health list Robert 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 Robert Clark was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.