KENDALL R. CLARK MD
NPI 1568509685
Family Medicine in Cary, NC

Q: What is Kendall Clark's NPI number?

The NPI number for Kendall Clark is 1568509685. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Kendall 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 Kendall Clark was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 30, 2007PECOS EnrolledAccepts Medicare Assignment

90.59/100

CMS Quality Rating

119 SW MAYNARD RD STE 150, CARY, NC 27511(919) 578-8593 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Jul 14, 2020, Mar 17, 2018 (3 updates tracked since 2018).

On this page

About Kendall R. Clark Md NPPES

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

KENDALL R. CLARK MD (NPI 1568509685) is an individual family medicine provider in Cary, North Carolina, licensed in North Carolina (200200101) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Adams County Regional Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1568509685

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENDALL R. CLARKCredential: MD

Location Address119 SW MAYNARD RD STE 150Cary, NC 27511-4472

Mailing Address119 Sw Maynard Rd Ste 150Cary, NC 27511-4472 · (919) 578-8593

Phone(919) 578-8593

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateJanuary 30, 2007

Last NPPES UpdateMay 13, 20253 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1568509685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 200200101✔ Licensed in FL · ME65017

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.144519 (OH)

119 SW MAYNARD RD STE 150, Cary, NC 27511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Kendall R. 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 ID8628210465

PECOS Enrollment IDI20220526001829, I20230602000291

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

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.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number361326

Location230 Medical Center DriveSeaman, OH 45679 · Adams County

Emergency services

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520033

Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27511 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

90.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.26

Promoting Interoperability

100

Improvement Activities

Cost

67.03

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 Kendall Clark's NPI number?

The NPI number for Kendall Clark is 1568509685. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Kendall Clark located?

Kendall Clark practices at 119 SW Maynard Rd Ste 150, Cary, NC 27511. The listed phone number is (919) 578-8593.

What is Kendall Clark's specialty?

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

Is Kendall Clark enrolled in Medicare?

Yes. Kendall 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.

What insurance does Kendall Clark accept?

Health plans from Anthem Blue Cross and Blue Shield list Kendall Clark 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 Kendall Clark affiliated with any hospitals?

According to CMS data, Kendall Clark is affiliated with Adams County Regional Medical Center and Aspirus Riverview Hospital & Clinics Inc.

When was this NPI record last updated?

The NPPES record for Kendall Clark was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.