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DR. ADAM DOUGLAS CLOCK D.D.S.
NPI 1649272121
Dentist - General Practice in Columbus, IN

Active since August 13, 2005PECOS Enrolled
530 PLAZA DR STE J, COLUMBUS, IN 47201(812) 376-9335 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Douglas Clock D.d.s. NPPES

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

DR. ADAM DOUGLAS CLOCK D.D.S. (NPI 1649272121) is an individual general practice provider in Columbus, Indiana, licensed in Indiana (12010542A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649272121
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ADAM DOUGLAS CLOCKCredential: D.D.S.
Location Address530 PLAZA DR STE JColumbus, IN 47201-2940
Mailing Address530 Plaza Dr Ste JColumbus, IN 47201-2940 · (812) 376-9335 · Fax (812) 376-9298
Phone(812) 376-9335
Sole ProprietorNo
Enumeration DateAugust 13, 2005
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1649272121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12010542A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 12010542A (IN)
530 PLAZA DR STE J, Columbus, IN 47201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Douglas Clock D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 3

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

DR. KATHERINE BURKETT DDS
Dentist
530 PLAZA DR STE J
COLUMBUS, IN 47201
Bartholomew County (812) 376-9335
ADAM D. CLOCK, D.D.S., L.L.C.
Dentist (General Practice)
530 PLAZA DR STE J
COLUMBUS, IN 47201
Bartholomew County (812) 376-9335
DR. VAN KHANH MORIN DDS
Dentist (General Practice)
530 PLAZA DR STE J
COLUMBUS, IN 47201
Bartholomew County (812) 376-9335

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 Adam Clock's NPI number?

The NPI number for Adam Clock is 1649272121. It was assigned to this individual provider in the NPPES registry on August 13, 2005.

Where is Adam Clock located?

Adam Clock practices at 530 Plaza Dr Ste J, Columbus, IN 47201. The listed phone number is (812) 376-9335.

What is Adam Clock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Adam Clock enrolled in Medicare?

Yes. Adam Clock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Clock was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.