1. Home
  2. Directory
  3. North Carolina
  4. Boone
  5. Internal Medicine
  6. NPI Profile

DR. MARC L. CLARK M.D.
NPI 1609982081
Internal Medicine - Gastroenterology in Boone, NC

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
870 STATE FARM RD, STE 102, BOONE, NC 28607(828) 264-0029(828) 265-3305 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marc L. Clark M.d. NPPES

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

DR. MARC L. CLARK M.D. (NPI 1609982081) is an individual gastroenterology provider in Boone, North Carolina, licensed in Tennessee (16869) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1980).

NPPES Registry Identity

NPI1609982081
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARC L. CLARKCredential: M.D.
Location Address870 STATE FARM RD, STE 102Boone, NC 28607-4861
Mailing Address870 State Farm Rd, Ste 102Boone, NC 28607-4861 · (828) 264-0029 · Fax (828) 265-3305
Phone(828) 264-0029
Fax(828) 265-3305
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1980
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 7, 2010
✔ NPI 1609982081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · 16869
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
870 STATE FARM RD, Boone, NC 28607
Open in Google Maps ↗

Other Identifiers 4

Other3702765Medicare Group Number
Medicare UPINA98309TN
Other62-1482379Tax Id
Medicare ID-Type Unspecified3019375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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. Marc L. Clark 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 ID7911896766
PECOS Enrollment IDI20150519000988
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 2

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.

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.
229 services219 patients
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.
106 services89 patients

Hospital Affiliations CMS Care Compare

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

Jackson Hospital

Acute Care Hospitals · Marianna, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100142
Location4250 Hospital DrMarianna, FL 32446 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
55%404 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%1,298 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,096 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%45 patients1/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%947 patients2/55-star benchmark: 99%
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…
24%754 patients2/55-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: 45% · 301 patients
Patients tobacco: 37% · 301 patients
23%31 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%1,124 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,124 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 258 patients
2%258 patients4/55-star benchmark: 100%
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 17

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

THOMAS J BOEVE M.D.
Otolaryngology
870 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 264-4545
R R REED D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
870 STATE FARM RD, SUITE 103 B
BOONE, NC 28607
Watauga County (828) 268-9797
DR. CHARLES W FORD JR. M.D.
Otolaryngology
870 STATE FARM RD, SUITE 101
BOONE, NC 28607
Watauga County (828) 264-4545
TUONG CATE TRATE M.D.
Physical Medicine & Rehabilitation
870 STATE FARM RD, SUITE 102
BOONE, NC 28607
Watauga County (828) 264-7760
APPALACHIAN GASTROENTEROLOGY PA
Internal Medicine (Gastroenterology)
870 STATE FARM RD, SUITE 102
BOONE, NC 28607
Watauga County (828) 264-0029
APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC
Orthopaedic Surgery
870 STATE FARM RD, SUITE 100
BOONE, NC 28607
Watauga County (828) 386-2663
DR. ROBERT EDWARD LEE SHIRLEY JR. M.D.
Obstetrics & Gynecology
870 STATE FARM RD, SUITE 100
BOONE, NC 28607
Watauga County (828) 264-5464
APPALACHIAN GASTROENTEROLOGY PA
Clinic/Center (Endoscopy)
870 STATE FARM RD, SUITE 102
BOONE, NC 28607
Watauga County (828) 264-0029

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 Marc Clark's NPI number?

The NPI number for Marc Clark is 1609982081. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Marc Clark located?

Marc Clark practices at 870 State Farm Rd Ste 102, Boone, NC 28607. The listed phone number is (828) 264-0029.

What is Marc Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marc Clark enrolled in Medicare?

Yes. Marc 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 Marc Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Marc 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 Marc Clark affiliated with any hospitals?

According to CMS data, Marc Clark is affiliated with Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Marc Clark was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.