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RODERICK CLARK MD
NPI 1538880281
Urology in Hershey, PA

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DR RM C4830, HERSHEY, PA 17033(717) 531-1132(717) 531-4475 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roderick Clark Md NPPES

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

RODERICK CLARK MD (NPI 1538880281) is an individual urology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD478170) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Dalhousie University, Faculty Of Medicine (2015).

NPPES Registry Identity

NPI1538880281
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameRODERICK CLARKCredential: MD
Location Address500 UNIVERSITY DR RM C4830Hershey, PA 17033-2360
Mailing Address500 University Dr Rm C4830Hershey, PA 17033-2360 · (717) 531-1132 · Fax (717) 531-4475
Phone(717) 531-1132
Fax(717) 531-4475
Sole ProprietorYes
Medical School CMSDalhousie University, Faculty Of MedicineGraduated 2015
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1538880281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PA · MD478170
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
500 UNIVERSITY DR RM C4830, Hershey, PA 17033
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Other Identifiers 1

OtherCAMD-0160-2520Canadian Medical Identification Number (minc)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Roderick Clark 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 ID1951787688
PECOS Enrollment IDI20221004002817
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 11

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 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.
94 services72 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.
94 services64 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
40 services30 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.
35 services29 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.
31 services31 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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 Roderick Clark's NPI number?

The NPI number for Roderick Clark is 1538880281. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Roderick Clark located?

Roderick Clark practices at 500 University Dr Rm C4830, Hershey, PA 17033. The listed phone number is (717) 531-1132.

What is Roderick Clark's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Roderick Clark enrolled in Medicare?

Yes. Roderick Clark 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.

Is Roderick Clark affiliated with any hospitals?

According to CMS data, Roderick Clark is affiliated with Penn State Health Holy Spirit Medical Center, Wellspan York Hospital, Penn State Health St. Joseph, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Roderick Clark was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.