DR. PETER CLARK M.D.
NPI 1528113628
Family Medicine in Mammoth Lakes, CA

Q: What is Peter Clark's NPI number?

The NPI number for Peter Clark is 1528113628. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Peter Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Clark was last updated on March 7, 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.

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment

85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 934-2551(760) 924-4081 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Peter Clark M.d. NPPES

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

DR. PETER CLARK M.D. (NPI 1528113628) is an individual family medicine provider in Mammoth Lakes, California, licensed in California (A68635) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1528113628

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PETER CLARKCredential: M.D.

Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-0660

Mailing AddressPo Box 660, 85 Sierra Park RdMammoth Lakes, CA 93546-0660 · (760) 923-4255 · Fax (760) 924-4081

Phone(760) 934-2551

Fax(760) 924-4081

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 1996

Enumeration DateJanuary 25, 2007

Last NPPES UpdateMarch 7, 2013

✔ NPI 1528113628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A68635

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

85 SIERRA PARK RD, Mammoth Lakes, CA 93546

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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 and accepts Medicare assignment

Dr. Peter 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 ID8325134083

PECOS Enrollment IDI20071011000375

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93546 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers15 claims30 services$6.39 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers12 claims12 services$22.68 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers14 claims14 services$22.60 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers17 claims89 services$3.22 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$21.31 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers27 claims27 services$45.98 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 20

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

PHYLLIS LEE MENESES RN

Registered Nurse (Registered Nurse First Assistant)