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VICTORIA IVELLISE CLARK M.D.
NPI 1619362183
Orthopaedic Surgery in Washington, DC

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
2041 GEORGIA AVE NW, WASHINGTON, DC 20060(202) 865-6100 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Aug 17, 2022 (2 updates tracked since 2022).

About Victoria Ivellise Clark M.d. NPPES

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

VICTORIA IVELLISE CLARK M.D. (NPI 1619362183) is an individual orthopaedic surgery provider in Washington, District Of Columbia, licensed in New York (317706) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1619362183
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameVICTORIA IVELLISE CLARKCredential: M.D.
Location Address2041 GEORGIA AVE NWWashington, DC 20060-0001
Mailing Address2041 Georgia Ave NwWashington, DC 20060-0001
Phone(202) 865-6100
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1619362183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 317706
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2041 GEORGIA AVE NW, Washington, DC 20060
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Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7606 · Phone (718) 992-7669

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

Victoria Ivellise 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 ID2163715335
PECOS Enrollment IDI20230915000111, I20230919004396, I20230920004377
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.

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.
22 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20060 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

SHERYL JACOB DESBORDES
Speech-Language Pathologist
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-4424
DR. SAIMA M QURESHI M.D.
Ophthalmology
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-6100
DR. MICHAEL CHOI DDS
Dentist (Oral and Maxillofacial Surgery)
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (646) 239-7552
MUHAMMAD MAAZ KHALID ZUBERI MBBS
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW, WASHINGTON, DC
WASHINGTON, DC 20060
District of Columbia (202) 865-7151
AKINOLA EMMANUEL OLADIMEJI
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (646) 626-3940
NICKALOUS TREVINO
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-6100
AUGUSTINA ADARKU ANADOR
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (202) 865-4359
JAYA SINGH PERERA MD
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
District of Columbia (240) 246-5647

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 Victoria Clark's NPI number?

The NPI number for Victoria Clark is 1619362183. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Victoria Clark located?

Victoria Clark practices at 2041 Georgia Ave NW, Washington, DC 20060. The listed phone number is (202) 865-6100.

What is Victoria Clark's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Victoria Clark enrolled in Medicare?

Yes. Victoria 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.

Is Victoria Clark affiliated with any hospitals?

According to CMS data, Victoria Clark is affiliated with Holy Cross Hospital and Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Victoria Clark was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.