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DR. CHARLES SPURGEON CLARK JR. M.D.
NPI 1720425416
Internal Medicine in New Orleans, LA

Active since June 04, 2013PECOS Enrolled
73.62/100
CMS Quality Rating
4605 MAGAZINE ST, NEW ORLEANS, LA 70115(504) 842-3000 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Aug 21, 2023, Feb 10, 2020 (3 updates tracked since 2020).

About Dr. Charles Spurgeon Clark Jr. M.d. NPPES

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

DR. CHARLES SPURGEON CLARK JR. M.D. (NPI 1720425416) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Louisiana (338282) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Metairie.

NPPES Registry Identity

NPI1720425416
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES SPURGEON CLARK JR.Credential: M.D.
Location Address4605 MAGAZINE STNew Orleans, LA 70115-1517
Mailing Address3530 Houma Blvd Ste 300Metairie, LA 70006-4203 · (504) 264-5142 · Fax (504) 455-2648
Phone(504) 842-3000
Sole ProprietorYes
Enumeration DateJune 4, 2013
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1720425416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 338282
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.
4605 MAGAZINE ST, New Orleans, LA 70115
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Secondary Practice Location 1

Location 13530 Houma Blvd Ste 300Metairie, LA 70006-4203 · Phone (504) 264-5142 · Fax (504) 455-2648

Other Identifiers 1

Medicaid09004327MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Spurgeon Clark Jr. M.d. 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 70115 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 7

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

TERESA E MARSHALL NP
Nurse Practitioner (Family)
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-7676
SARAH WINKELMEYER HOLT DO
Family Medicine
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-7676
NEW ORLEANS IMAGING LLC
Radiology (Diagnostic Radiology)
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 883-8111
SHEMIKA MARIE MONTANA
Nurse Practitioner (Family)
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-7676
AUDREY L MARKS PA-C
Physician Assistant
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-7676
VICKY S HEBERT M.D.
Emergency Medicine
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-7676
OCHSNER CLINIC LLC
General Practice
4605 MAGAZINE ST
NEW ORLEANS, LA 70115
Orleans Parish (504) 891-7676

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 Charles Clark's NPI number?

The NPI number for Charles Clark is 1720425416. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Charles Clark located?

Charles Clark practices at 4605 Magazine St, New Orleans, LA 70115. The listed phone number is (504) 842-3000.

What is Charles Clark's specialty?

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

Is Charles Clark enrolled in Medicare?

Yes. Charles Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.