ALYSSE CLARK MD
NPI 1619472941
Radiology - Diagnostic Radiology in Fresno, CA

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
155 N FRESNO ST, FRESNO, CA 93701(559) 499-6500 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2024, Mar 28, 2018 (2 updates tracked since 2018).

About Alysse Clark Md NPPES

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

ALYSSE CLARK MD (NPI 1619472941) is an individual diagnostic radiology provider in Fresno, California, licensed in California (A165227) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2018).

NPPES Registry Identity

NPI1619472941
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameALYSSE CLARKCredential: MD
Location Address155 N FRESNO STFresno, CA 93701-2302
Mailing Address155 N Fresno StFresno, CA 93701-2302 · (559) 499-6500
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1619472941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A165227
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A165227 (CA)
155 N FRESNO ST, Fresno, CA 93701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alysse 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 ID8426594516
PECOS Enrollment IDI20240725000916
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alysse Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2823 FRESNO ST, FRESNO AND R STREETS
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 85 clinicians in this Medicare group
Radiology
1867 E FIR AVE, SUITE 101
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 60 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 31

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,730 services43 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
2,650 services43 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
171 services153 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
133 services125 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
85 services85 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Emergency Medicine
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Pediatrics (Adolescent Medicine)
155 N FRESNO ST, STE 326
FRESNO, CA 93701
Internal Medicine (Infectious Disease)
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701

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 Alysse Clark's NPI number?

The NPI number for Alysse Clark is 1619472941. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Alysse Clark located?

Alysse Clark practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 499-6500.

What is Alysse Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Alysse Clark enrolled in Medicare?

Yes. Alysse 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.

Which organizations bill Medicare for Alysse Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysse Clark reassigns Medicare benefits to 2 organizations: Central Valley Community Medical Imaging (Fresno, CA) and California Imaging Institute Medical Group Inc (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alysse Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alysse Clark was last updated on July 23, 2024. 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.