DR. CATHERINE JANE CLARKE MD
NPI 1528043007
Internal Medicine in Memphis, TN

Q: What is Catherine Clarke's NPI number?

The NPI number for Catherine Clarke is 1528043007. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Catherine Clarke's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Catherine Clarke was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 December 07, 2005PECOS EnrolledAccepts Medicare Assignment

81.46/100

CMS Quality Rating

1325 EASTMORELAND AVE STE 370, MEMPHIS, TN 38104(901) 758-7888(901) 387-5153 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Catherine Jane Clarke Md NPPES

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

DR. CATHERINE JANE CLARKE MD (NPI 1528043007) is an individual internal medicine provider in Memphis, Tennessee, licensed in Tennessee (27374) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1994).

NPPES Registry Identity

NPI1528043007

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CATHERINE JANE CLARKECredential: MD

Location Address1325 EASTMORELAND AVE STE 370Memphis, TN 38104-7542

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 758-7888

Fax(901) 387-5153

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1994

Enumeration DateDecember 7, 2005

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1528043007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 27374

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1325 EASTMORELAND AVE STE 370, Memphis, TN 38104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 and accepts Medicare assignment

Dr. Catherine Jane Clarke Md 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 ID2860585197

PECOS Enrollment IDI20070831000675

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

Medicare enrollment records show Catherine Clarke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Healthcare - Memphis Hospitals

Same address

Internal Medicine

1325 EASTMORELAND AVE, SUITE 101
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
6 clinicians in this Medicare group

NPI 1528146867 (901) 516-8785

Ut Methodist Physicians LLC

Same address

Internal Medicine

1325 EASTMORELAND AVE STE 310
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
170 clinicians in this Medicare group

NPI 1427317908 (901) 758-7970

Primary Care Group LLC

0.2 mi

Family Medicine

1211 UNION AVE STE 200
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
110 clinicians in this Medicare group

NPI 1093016651 (901) 525-0278

Geriatric Wellness Physicians LLC

Internal Medicine

177 N HIGHLAND ST #320
Memphis, TN 38111

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1841143724 (901) 761-6157

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

113 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

43 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Telephone medical discussion provided by nonphysician professional, 5-10 minutes 98966

This is a brief, 5-10 minute medical consultation conducted over the phone by a trained healthcare professional. It's a convenient way to discuss your health concerns, get advice, or receive guidance on managing your condition. It's not a physical examination but can be a valuable tool for your healthcare.

14 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

14 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

81.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

49.58

Promoting Interoperability

100

Improvement Activities

Cost

62.61

Referred Medical Equipment & Supplies CMS DME claims

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

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers12 claims12 services$42.81 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 7

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

KATHERINE NEARING M.D.

Psychiatry & Neurology (Neurology)