TANNER CODY CLARK M.D.
NPI 1689060139
Radiology - Diagnostic Radiology in Bedford, Nh 03110, NH

Active since April 11, 2015PECOS EnrolledAccepts Medicare Assignment
703 RIVERWAY PLACE, BEDFORD, NH 03110, NH 03110(603) 627-1661(603) 669-6944 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Jun 7, 2021, Jun 27, 2017 and 2 more (5 updates tracked since 2016).

About Tanner Cody Clark M.d. NPPES

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

TANNER CODY CLARK M.D. (NPI 1689060139) is an individual diagnostic radiology provider in Bedford, Nh 03110, New Hampshire, licensed in New Hampshire (24268) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of University Of Washington School Of Medicine (2015).

NPPES Registry Identity

NPI1689060139
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTANNER CODY CLARKCredential: M.D.
Location Address703 RIVERWAY PLACEBedford, Nh 03110, NH 03110
Mailing Address703 Riverway PlaceBedford, Nh 03110, NH 03110 · (603) 627-1661 · Fax (603) 669-6944
Fax(603) 669-6944
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015
Enumeration DateApril 11, 2015
Last NPPES UpdateSeptember 8, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1689060139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NH · 24268 Licensed in WA · MD60961230
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
703 RIVERWAY PLACE, Bedford, Nh 03110, NH 03110

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

Tanner Cody Clark M.d. 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 ID6002129376
PECOS Enrollment IDI20210720003658, I20250629000044
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 69

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
392 services381 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
354 services337 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
292 services288 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
258 services195 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
205 services197 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
199 services193 patients

Hospital Affiliations CMS Care Compare 5

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Androscoggin Valley Hospital

Critical Access Hospitals · Berlin, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301310
Location59 Page Hill RoadBerlin, NH 03570 · Coos County
Emergency services Birthing friendly

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03110 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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

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

Radiology (Diagnostic Radiology)
703 RIVERWAY PLACE
BEDFORD, NH 03110

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 Tanner Clark's NPI number?

The NPI number for Tanner Clark is 1689060139. It was assigned to this individual provider in the NPPES registry on April 11, 2015.

Where is Tanner Clark located?

Tanner Clark practices at 703 Riverway Place, Bedford, Nh 03110, NH 03110. The listed phone number is (603) 627-1661.

What is Tanner Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tanner Clark enrolled in Medicare?

Yes. Tanner 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.

Is Tanner Clark affiliated with any hospitals?

According to CMS data, Tanner Clark is affiliated with Elliot Hospital, Southern Nh Medical Center, Catholic Medical Center, Androscoggin Valley Hospital and Speare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tanner Clark was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.