1. Home
  2. Directory
  3. Massachusetts
  4. S Weymouth
  5. Pediatrics
  6. NPI Profile

ALLISON C CLACK MD
NPI 1528646783
Pediatrics in S Weymouth, MA

Active since March 30, 2021PECOS Enrolled
55 FOGG RD, S WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 20, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Allison C Clack Md NPPES

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

ALLISON C CLACK MD (NPI 1528646783) is an individual pediatrics provider in S Weymouth, Massachusetts, licensed in Massachusetts (1019548) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528646783
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALLISON C CLACKCredential: MD
Location Address55 FOGG RDS Weymouth, MA 02190-2432
Mailing Address55 Fogg RdS Weymouth, MA 02190-2432 · (781) 624-8000
Phone(781) 624-8000
Sole ProprietorYes
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1528646783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 1019548
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FOGG RD, S Weymouth, MA 02190
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-4357
Location 2300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison C Clack 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

LINDA CASHMAN-BELTON R.D.
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 340-4293
DR. ARI CHARLES SACKS M.D.
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
OLIVIA SERPA
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8935
MRS. PAULA L KENNEDY RDN
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 624-7267
DONNA J HUDSON-BRYANT FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
DR. GABRIEL PARIS DO
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
MELISSA MCPHERSON
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-3021
NKIRU SOFIA OGBUEFI
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 624-8000

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 Allison Clack's NPI number?

The NPI number for Allison Clack is 1528646783. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Allison Clack located?

Allison Clack practices at 55 Fogg Rd, S Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Allison Clack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Allison Clack enrolled in Medicare?

Yes. Allison Clack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allison Clack was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.