Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ZACHARY CLARK DO
NPI 1649973215
Emergency Medicine in Burlington, VT

Q: What is Zachary Clark's NPI number?

The NPI number for Zachary Clark is 1649973215. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Zachary Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Clark was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since March 23, 2023PECOS Enrolled

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Zachary Clark Do NPPES

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

ZACHARY CLARK DO (NPI 1649973215) is an individual emergency medicine provider in Burlington, Vermont, licensed in Vermont (032.0134304) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649973215

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameZACHARY CLARKCredential: DO

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-2345

Phone(802) 847-2345

Sole ProprietorYes

Enumeration DateMarch 23, 2023

Last NPPES UpdateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1649973215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in VT · 032.0134304✔ Licensed in NY · 343553

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 COLCHESTER AVE, Burlington, VT 05401

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Secondary Practice Locations 2

Location 175 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 562-7371

Location 2133 Park StMalone, NY 12953-1244 · Phone (518) 481-2336

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Clark Do 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.

Medicare Billing Reassignments

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

University Of Vermont Medical Center Inc

0.1 mi

Internal Medicine

111 COLCHESTER AVE
Burlington, VT 05401

Reassigned Medicare billing, Vermont enrollment
1,643 clinicians in this Medicare group

NPI 1659309615 (802) 847-0000

Alice Hyde Medical Center

60 mi

Critical Access

133 PARK ST
Malone, NY 12953

Reassigned Medicare billing, New York enrollment
326 clinicians in this Medicare group

NPI 1114954682 (518) 481-2210

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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.

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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)