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DR. JOHN MIRRELL CLARK MD
NPI 1609815786
Internal Medicine in Hurricane, WV

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
3860 TEAYS VALLEY RD, SUITE 4, HURRICANE, WV 25526(304) 201-2545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Mirrell Clark Md NPPES

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

DR. JOHN MIRRELL CLARK MD (NPI 1609815786) is an individual internal medicine provider in Hurricane, West Virginia, licensed in West Virginia (21953) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (2003).

NPPES Registry Identity

NPI1609815786
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN MIRRELL CLARKCredential: MD
Location Address3860 TEAYS VALLEY RD, SUITE 4Hurricane, WV 25526-9772
Mailing Address4023 Farmington DrHurricane, WV 25526-8756 · (304) 881-4225
Phone(304) 201-2545
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2003
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609815786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 21953
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3860 TEAYS VALLEY RD, Hurricane, WV 25526
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Other Identifiers 1

Medicare UPINI55275WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. John Mirrell 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 ID5698778785
PECOS Enrollment IDI20060810000002
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 4

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 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.
287 services99 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.
92 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
78 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25526 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims46 services$6.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$64.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST VIRGINIA FOOT CARE SPECIALISTS, PLLC
Podiatrist (Primary Podiatric Medicine)
3860 TEAYS VALLEY RD, SUITE 1
HURRICANE, WV 25526
Putnam County (304) 757-5880
DR. CRAIG SMOLDER D.D.S
Dentist (General Practice)
3860 TEAYS VALLEY RD, SUITE 5
HURRICANE, WV 25526
Putnam County (304) 757-1000
DR. JOHN BOWMAN WHITE III DPM
Podiatrist (Primary Podiatric Medicine)
3860 TEAYS VALLEY RD, SUITE 1
HURRICANE, WV 25526
Putnam County (304) 757-5880
J MICHAEL MUTO II DDS
Dentist
3860 TEAYS VALLEY RD, SUITE 5
HURRICANE, WV 25526
Putnam County (304) 757-1000
JOHN M CLARK MD & ASSOCIATES PLLC
Internal Medicine
3860 TEAYS VALLEY RD, SUITE 4
HURRICANE, WV 25526
Putnam County (304) 201-2545
INTEGRATED HEALTH CARE PROVIDERS, INC.
Internal Medicine (Hematology & Oncology)
3860 TEAYS VALLEY RD, SUITE 5
HURRICANE, WV 25526
Putnam County (304) 388-4949
TEAYS DENTAL CARE
Dentist
3860 TEAYS VALLEY RD, SUITE 5
HURRICANE, WV 25526
Putnam County (304) 757-1000
MEDTEST LABORATORIES LLC
Clinical Medical Laboratory
3860 TEAYS VALLEY RD, SUITE 2
HURRICANE, WV 25526
Putnam County (304) 757-9982

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 John Clark's NPI number?

The NPI number for John Clark is 1609815786. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is John Clark located?

John Clark practices at 3860 Teays Valley Rd Suite 4, Hurricane, WV 25526. The listed phone number is (304) 201-2545.

What is John Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Clark enrolled in Medicare?

Yes. John 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 John Clark accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list John 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 John Clark affiliated with any hospitals?

According to CMS data, John Clark is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John 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.