1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Internal Medicine
  6. NPI Profile

PHYLLIS VERONICA CLARK M.D.
NPI 1720128283
Internal Medicine in Colorado Springs, CO

Active since February 07, 2007Opted out of Medicare · through Jul 1, 2028
1375 E FILLMORE ST, COLORADO SPRINGS, CO 80907(719) 632-8845 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Phyllis Veronica Clark M.d. NPPES

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

PHYLLIS VERONICA CLARK M.D. (NPI 1720128283) is an individual internal medicine provider in Colorado Springs, Colorado, licensed in Colorado (CO27522) and active in the NPI registry since February 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720128283
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePHYLLIS VERONICA CLARKCredential: M.D.
Location Address1375 E FILLMORE STColorado Springs, CO 80907-6457
Mailing Address1375 E Fillmore StColorado Springs, CO 80907-6457 · (719) 632-8845
Phone(719) 632-8845
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720128283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · CO27522
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1375 E FILLMORE ST, Colorado Springs, CO 80907
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Phyllis Veronica Clark M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2012 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2012
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Phyllis Clark's NPI number?

The NPI number for Phyllis Clark is 1720128283. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Phyllis Clark located?

Phyllis Clark practices at 1375 E Fillmore St, Colorado Springs, CO 80907. The listed phone number is (719) 632-8845.

What is Phyllis Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phyllis Clark enrolled in Medicare?

No. Phyllis Clark has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Phyllis Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.