KEVIN O. CLARKE M.D.
NPI 1598789265
Surgery - Surgical Oncology in Newark, NJ

Q: What is Kevin Clarke's NPI number?

The NPI number for Kevin Clarke is 1598789265. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Kevin Clarke's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Clarke was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

90 BERGEN ST, DOC 7100, NEWARK, NJ 07103(973) 972-2400(973) 972-2988 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Kevin O. Clarke M.d. NPPES

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

KEVIN O. CLARKE M.D. (NPI 1598789265) is an individual surgical oncology provider in Newark, New Jersey, licensed in New Jersey (25MA07226400) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of University Of Connecticut School Of Medicine (1998).

NPPES Registry Identity

NPI1598789265

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameKEVIN O. CLARKECredential: M.D.

Location Address90 BERGEN ST, DOC 7100Newark, NJ 07103-2425

Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000

Phone(973) 972-2400

Fax(973) 972-2988

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1998

Enumeration DateJuly 27, 2006

Last NPPES UpdateAugust 21, 2009

✔ NPI 1598789265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in NJ · 25MA07226400

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

90 BERGEN ST, Newark, NJ 07103

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Other Identifiers 1

Medicare PIN103720NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Kevin O. 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 ID8729045489

PECOS Enrollment IDI20061020000380

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

76 services22 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.

66 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

37 services37 patients

Hospital Affiliations CMS Care Compare

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310002

Location201 Lyons AveNewark, NJ 07112 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

93.71/100

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

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

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.

MS. YU-CHI JEN

General Acute Care Hospital

90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103

Essex County (973) 972-2800

UNIVERSITY SURGICAL ASSOCIATES (OM)

Surgery

90 BERGEN ST
NEWARK, NJ 07103

Essex County (973) 972-2400

MARC H. LAVIETES M.D.

Internal Medicine (Pulmonary Disease)

90 BERGEN ST, DOC 4500
NEWARK, NJ 07103

Essex County (973) 972-2500

JOSEPH V SCHWAB MD

Pediatrics

90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103

Essex County (973) 972-2100

DR. VISHNU CHOUDHARY POTINI MD

Orthopaedic Surgery

90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103

Essex County (973) 972-2150

DR. AREVIK ABRAMYAN MD, PHD

Student in an Organized Health Care Education/Training Program

90 BERGEN ST
NEWARK, NJ 07103

Essex County (973) 972-2323

HANNAAN SHAFIQ CHOUDHRY

Student in an Organized Health Care Education/Training Program

90 BERGEN ST
NEWARK, NJ 07103

Essex County (973) 972-2548

PATRICK MAHONY FOYE M.D.

Physical Medicine & Rehabilitation

90 BERGEN ST, DOC 3100
NEWARK, NJ 07103

Essex County (973) 972-2802

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 Kevin Clarke's NPI number?

The NPI number for Kevin Clarke is 1598789265. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kevin Clarke located?

Kevin Clarke practices at 90 Bergen St Doc 7100, Newark, NJ 07103. The listed phone number is (973) 972-2400.

What is Kevin Clarke's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Kevin Clarke enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Clarke accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kevin 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 Kevin Clarke affiliated with any hospitals?

According to CMS data, Kevin Clarke is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Clarke was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.