DAVID CLARK
NPI 1699361071
Nurse Anesthetist, Certified Registered in Louisville, KY

Active since December 18, 2020Accepts Medicare Assignment
86.32/100
CMS Quality Rating
4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 897-8100 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2021, Dec 18, 2020 (2 updates tracked since 2020).

About David Clark NPPES

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

DAVID CLARK (NPI 1699361071) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (134602) and active in the NPI registry since December 2020. He is affiliated with Sacred Heart Hospital On The Emerald Coast and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699361071
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDAVID CLARK
Location Address4000 KRESGE WAYLouisville, KY 40207-4605
Mailing Address7741 Upton Oxmoor Ln Apt 101Louisville, KY 40222-4453 · (334) 596-1336
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 18, 2020
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
NPI 1699361071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in KY · 134602
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1-148235 (AL)
4000 KRESGE WAY, Louisville, KY 40207

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

David Clark 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 ID4688087844
PECOS Enrollment IDI20250213000656

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
21 services21 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
14 services14 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
12 services12 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
11 services11 patients
Anesthesia for procedure on upper 2/3rd of thigh bone 01230
Anesthesia for a procedure on the upper 2/3rd of the thigh bone involves administering medication to numb the area or make you unconscious, ensuring you don't feel pain during the operation. It's a safe and routine part of surgical procedures.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

86.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.91
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699361071, enumerated as an "individual" on December 18, 2020.

The provider is located at 4000 KRESGE WAY LOUISVILLE, KY 40207 and the phone number is (502) 897-8100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

David Clark is affiliated with: SACRED HEART HOSPITAL ON THE EMERALD COAST.