DR. DALLAS ELISE CLARK MD
NPI 1669822664
Family Medicine in Red Lodge, MT

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2525 N BROADWAY AVE, RED LODGE, MT 59068(406) 446-2345 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 6, 2019, Jun 21, 2016 (2 updates tracked since 2016).

About Dr. Dallas Elise Clark Md NPPES

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

DR. DALLAS ELISE CLARK MD (NPI 1669822664) is an individual family medicine provider in Red Lodge, Montana, licensed in Montana (MED-PHYS-LIC-77353) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Missoula.

NPPES Registry Identity

NPI1669822664
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DALLAS ELISE CLARKCredential: MD
Location Address2525 N BROADWAY AVERed Lodge, MT 59068
Mailing Address2525 N Broadway AveRed Lodge, MT 59068-9222 · (406) 446-2345
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
NPI 1669822664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MT · MED-PHYS-LIC-77353
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2525 N BROADWAY AVE, Red Lodge, MT 59068

Secondary Practice Location 1

Location 1401 Railroad St WMissoula, MT 59802-4109 · Phone (406) 258-4789 · Fax (406) 258-4732

Accepted Insurance

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. Dallas Elise 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 ID6103158142
PECOS Enrollment IDI20191024001931
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59068 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physician Assistant
2525 N BROADWAY AVE
RED LODGE, MT 59068
Physician Assistant
2525 N BROADWAY AVE
RED LODGE, MT 59068
Family Medicine
2525 N BROADWAY AVE
RED LODGE, MT 59068
Physical Therapist
2525 N BROADWAY AVE
RED LODGE, MT 59068
Physical Therapist
2525 N BROADWAY AVE
RED LODGE, MT 59068
Health Educator
2525 N BROADWAY AVE
RED LODGE, MT 59068

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 Dallas Clark's NPI number?

The NPI number for Dallas Clark is 1669822664. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Dallas Clark located?

Dallas Clark practices at 2525 N Broadway Ave, Red Lodge, MT 59068. The listed phone number is (406) 446-2345.

What is Dallas Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dallas Clark enrolled in Medicare?

Yes. Dallas 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.

What insurance does Dallas Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Dallas Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dallas Clark affiliated with any hospitals?

According to CMS data, Dallas Clark is affiliated with Billings Clinic and Beartooth Billings Clinic.

When was this NPI record last updated?

The NPPES record for Dallas Clark was last updated on September 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.