DR. CHERYL CHARMAINE CLARKE M.D.
NPI 1568420313
Obstetrics & Gynecology in Fort Defiance, AZ

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2024, Jan 23, 2017 (2 updates tracked since 2017).

About Dr. Cheryl Charmaine Clarke M.d. NPPES

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

DR. CHERYL CHARMAINE CLARKE M.D. (NPI 1568420313) is an individual obstetrics & gynecology provider in Fort Defiance, Arizona, licensed in Florida (ME121900) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1568420313
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CHERYL CHARMAINE CLARKECredential: M.D.
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1568420313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME121900
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

Other Identifiers 1

Medicaid171353905TX

Accepted 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. Cheryl Charmaine Clarke 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 ID8224087085
PECOS Enrollment IDI20050314001023
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

11

Medicare enrollment records show Cheryl Clarke reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
Public Health, Federal
007 CHOOSGAI DRIVE
Tohatchi, NM 87325
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
Urgent Care
1850 E HIGHWAY 66 STE 1
Gallup, NM 87301
  • Reassigned Medicare billing, New Mexico enrollment
  • 179 clinicians in this Medicare group
Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • Also billed through NPI 1558347708 (New Mexico)
  • 2,331 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10 E HOSPITAL ST
Manning, SC 29102
  • Reassigned Medicare billing, South Carolina enrollment
  • 215 clinicians in this Medicare group
Urgent Care
964 LOCHEND DR
Darlington, SC 29532
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1129 N MISSOURI AVE
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 165 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%65 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
98%346 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
69%312 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 315 patients
Patients tobacco: 21% · 42 patients
89%315 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physician Assistant
CORNER OF ROUTE N12 AND N7, CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

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 Cheryl Clarke's NPI number?

The NPI number for Cheryl Clarke is 1568420313. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Cheryl Clarke located?

Cheryl Clarke practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Cheryl Clarke's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cheryl Clarke enrolled in Medicare?

Yes. Cheryl 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.

Which organizations bill Medicare for Cheryl Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cheryl Clarke reassigns Medicare benefits to 11 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM), Rehoboth Mckinley Christian Health Care Services, Inc (Gallup, NM), Tuba City Regional Health Care Corporation (Kykotsmovi, AZ), Presbyterian Healthcare Services (Albuquerque, NM) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cheryl Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cheryl Clarke accept?

Health plans from Blue Cross Blue Shield of Arizona list Cheryl Clarke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cheryl Clarke affiliated with any hospitals?

According to CMS data, Cheryl Clarke is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Cheryl Clarke was last updated on April 23, 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.