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DAVID ANTHONY CLARK M.D.
NPI 1659518926
Emergency Medicine in Glen Allen, VA

Active since January 08, 2009PECOS Enrolled
11453 ABBOTS CROSS LN, GLEN ALLEN, VA 23059(804) 347-4357 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Anthony Clark M.d. NPPES

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

DAVID ANTHONY CLARK M.D. (NPI 1659518926) is an individual emergency medicine provider in Glen Allen, Virginia, licensed in Virginia (0101032223) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1659518926
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID ANTHONY CLARKCredential: M.D.
Location Address11453 ABBOTS CROSS LNGlen Allen, VA 23059-1102
Mailing Address11453 Abbots Cross LnGlen Allen, VA 23059-1102 · (804) 347-4357
Phone(804) 347-4357
Sole ProprietorYes
Enumeration DateJanuary 8, 2009
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1659518926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101032223
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 ListedFamily MedicineTaxonomy 207Q00000X · License 0101032223 (VA)
11453 ABBOTS CROSS LN, Glen Allen, VA 23059
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Secondary Practice Location 1

Location 1759 S Main StWoodstock, VA 22664-1154 · Phone (540) 459-1100 · Fax (540) 459-1121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Anthony Clark M.d. 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

2

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

App Of Tennessee Ed, PLLC
381 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Virginia enrollment
  • 60 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211
Governor Juan F. Luis Hospital & Medical Center
General Acute Care Hospital
#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 331 clinicians in this Medicare group
NPI 1972503647 (340) 778-6311

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 23059 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

ADVANCED FAMILY PRACTICE
Family Medicine
11453 ABBOTS CROSS LN
GLEN ALLEN, VA 23059
Hanover County (804) 347-4357

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 David Clark's NPI number?

The NPI number for David Clark is 1659518926. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is David Clark located?

David Clark practices at 11453 Abbots Cross Ln, Glen Allen, VA 23059. The listed phone number is (804) 347-4357.

What is David Clark's specialty?

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

Is David Clark enrolled in Medicare?

Yes. David Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Clark reassigns Medicare benefits to 2 organizations: App Of Tennessee Ed, PLLC (Maryville, TN) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). 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 David 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 David Clark was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.