AMANDA LOU CLARK MD - NPI 1689682205 - Obstetrics & Gynecology in Portland, OR

Q: What is Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1689682205. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Amanda Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

On this page

About Amanda Lou Clark Md NPPES

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

AMANDA LOU CLARK MD (NPI 1689682205) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD13163) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689682205

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameAMANDA LOU CLARKCredential: MD

Location Address5050 NE HOYT ST STE 255Portland, OR 97213-2982

Mailing Address5050 Ne Hoyt St Ste 255Portland, OR 97213-2982 · (503) 231-0407

Phone(503) 231-0407

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateFebruary 4, 2022

✔ NPI 1689682205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OR · MD13163

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5050 NE HOYT ST STE 255, Portland, OR 97213

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Other Identifiers 1

Medicaid114991OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lou Clark Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 5

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

KIMBERLY ANNE ALLARD CNM

Advanced Practice Midwife