MATTHEW E.A. CLARKE MD
NPI 1528315835
Internal Medicine - Endocrinology, Diabetes & Metabolism in Long Beach, CA

Active since August 07, 2012PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1868 PACIFIC AVE, LONG BEACH, CA 90806(562) 595-4718(562) 591-7323 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew E.a. Clarke Md NPPES

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

MATTHEW E.A. CLARKE MD (NPI 1528315835) is an individual endocrinology, diabetes & metabolism provider in Long Beach, California, licensed in California (A134249) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1528315835
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMATTHEW E.A. CLARKECredential: MD
Location Address1868 PACIFIC AVELong Beach, CA 90806-6113
Mailing Address24200 Walnut St Spc 108Torrance, CA 90501-6737 · (424) 653-9547
Fax(562) 591-7323
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 7, 2012
Last NPPES UpdateJune 3, 2019
NPI 1528315835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · A134249
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License A134249 (CA)
1868 PACIFIC AVE, Long Beach, CA 90806

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

Matthew E.a. 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 ID9739483090
PECOS Enrollment IDI20160205001867
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 8

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.
50 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
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.
46 services26 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.
26 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
23 services21 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$9.30 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 9

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

Nurse Practitioner
1868 PACIFIC AVE
LONG BEACH, CA 90806
Nurse Practitioner
1868 PACIFIC AVE
LONG BEACH, CA 90806
Dietitian, Registered
1868 PACIFIC AVE
LONG BEACH, CA 90806
Registered Nurse (Diabetes Educator)
1868 PACIFIC AVE
LONG BEACH, CA 90806
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1868 PACIFIC AVE
LONG BEACH, CA 90806
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1868 PACIFIC AVE
LONG BEACH, CA 90806
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1868 PACIFIC AVE
LONG BEACH, CA 90806
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1868 PACIFIC AVE
LONG BEACH, CA 90806

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 Matthew Clarke's NPI number?

The NPI number for Matthew Clarke is 1528315835. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Matthew Clarke located?

Matthew Clarke practices at 1868 Pacific Ave, Long Beach, CA 90806. The listed phone number is (562) 595-4718.

What is Matthew Clarke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Matthew Clarke enrolled in Medicare?

Yes. Matthew Clarke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Clarke was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.