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LISA BARDY CLARK M.D.
NPI 1598779100
Family Medicine in Destin, FL

Active since July 28, 2006PECOS Enrolled
62.81/100
CMS Quality Rating
12815 HIGHWAY 98 WEST, SUITE 116, DESTIN, FL 32550(850) 269-0111(850) 269-0114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Bardy Clark M.d. NPPES

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

LISA BARDY CLARK M.D. (NPI 1598779100) is an individual family medicine provider in Destin, Florida, licensed in Florida (ME73997) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598779100
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA BARDY CLARKCredential: M.D.
Location Address12815 HIGHWAY 98 WEST, SUITE 116Destin, FL 32550
Mailing Address12815 Highway 98 West, Suite 116Destin, FL 32550 · (850) 269-0111 · Fax (850) 269-0114
Phone(850) 269-0111
Fax(850) 269-0114
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1598779100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME73997
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.
12815 HIGHWAY 98 WEST, Destin, FL 32550
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Other Identifiers 3

Other43826FL · Bcbs Of Fl Provider #
Medicare UPING77346FL
Other7589056Aetna Ushc #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Bardy Clark M.d. 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 32550 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

62.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.15
Improvement Activities40
Cost45.16

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 Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1598779100. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Lisa Clark located?

Lisa Clark practices at 12815 Highway 98 West Suite 116, Destin, FL 32550. The listed phone number is (850) 269-0111.

What is Lisa Clark's specialty?

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

Is Lisa Clark enrolled in Medicare?

Yes. Lisa Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.