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DR. MITCHELL BRENT CLARK MD
NPI 1669817854
Obstetrics & Gynecology - Gynecologic Oncology in New Haven, CT

Active since May 02, 2013PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
333 CEDAR ST., YALE MEDICAL SCHOOL, NEW HAVEN, CT 06510(203) 833-0281 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitchell Brent Clark Md NPPES

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

DR. MITCHELL BRENT CLARK MD (NPI 1669817854) is an individual gynecologic oncology provider in New Haven, Connecticut, licensed in Connecticut (65152) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669817854
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. MITCHELL BRENT CLARKCredential: MD
Location Address333 CEDAR ST., YALE MEDICAL SCHOOLNew Haven, CT 06510
Mailing Address333 Cedar St., Yale Medical SchoolNew Haven, CT 06510
Phone(203) 833-0281
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 2, 2013
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1669817854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in CT · 65152
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
333 CEDAR ST., New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Location 1

Location 1267 Grant St.Bridgeport, CT 06610 · Phone (203) 384-3990

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Mitchell Brent 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 ID6002234473
PECOS Enrollment IDI20200916002622
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 9

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.
120 services70 patients
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.
46 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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. EUGENE KEVIN HALL M.D.
Pediatrics (Pediatric Cardiology)
333 CEDAR ST., PEDIATRIC CARDIOLOGY, #208064
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2022
DR. BISHWAJIT BHATTACHARYA M.D.
Surgery (Trauma Surgery)
333 CEDAR ST., YALE MEDICAL SCHOOL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 432-4771
BETHANN MOHAMED M.D.
Emergency Medicine
333 CEDAR ST., YALE MEDICAL SCHOOL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2259

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 Mitchell Clark's NPI number?

The NPI number for Mitchell Clark is 1669817854. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Mitchell Clark located?

Mitchell Clark practices at 333 Cedar St. Yale Medical School, New Haven, CT 06510. The listed phone number is (203) 833-0281.

What is Mitchell Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Mitchell Clark enrolled in Medicare?

Yes. Mitchell 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.

When was this NPI record last updated?

The NPPES record for Mitchell Clark was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.