DR. DEBORAH Y CLARK M.D.
NPI 1730137209
Obstetrics & Gynecology in Upper Marlboro, MD

Q: What is Deborah Clark's NPI number?

The NPI number for Deborah Clark is 1730137209. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Deborah 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 Deborah Clark was last updated on July 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2006PECOS Enrolled

1221 MERCANTILE LN, UPPER MARLBORO, MD 20774(301) 618-5500 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Deborah Y Clark M.d. NPPES

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

DR. DEBORAH Y CLARK M.D. (NPI 1730137209) is an individual obstetrics & gynecology provider in Upper Marlboro, Maryland, licensed in Maryland (D78154) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1730137209

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. DEBORAH Y CLARKCredential: M.D.

Location Address1221 MERCANTILE LNUpper Marlboro, MD 20774-5374

Mailing Address1001 Pine Heights Ave, Suite 100Baltimore, MD 21229-5208 · (410) 644-2582 · Fax (410) 644-6232

Phone(301) 618-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateMay 5, 2006

Last NPPES UpdateJuly 1, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1730137209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MD · D78154✔ Licensed in IN · 01072948A

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.

1221 MERCANTILE LN, Upper Marlboro, MD 20774

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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. Deborah Y Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769457407

PECOS Enrollment IDI20260518003161

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 20774 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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