DR. CLARK JON KNUTSON MD
NPI 1730276247
Pediatrics in Plattsburgh, NY

Q: What is Clark Knutson's NPI number?

The NPI number for Clark Knutson is 1730276247. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Clark Knutson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Knutson was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 06, 2006PECOS Enrolled

151 BRIDGE STREET, PLATTSBURGH, NY 12901(518) 561-7337(518) 561-1335 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2024, Jul 18, 2024 (2 updates tracked since 2024).

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About Dr. Clark Jon Knutson Md NPPES

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

DR. CLARK JON KNUTSON MD (NPI 1730276247) is an individual pediatrics provider in Plattsburgh, New York, licensed in New York (2128611) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mansfield.

NPPES Registry Identity

NPI1730276247

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CLARK JON KNUTSONCredential: MD

Location Address151 BRIDGE STREETPlattsburgh, NY 12901

Mailing Address151 Bridge StreetPlattsburgh, NY 12901 · (518) 561-7337 · Fax (518) 561-1335

Phone(518) 561-7337

Fax(518) 561-1335

Sole ProprietorNo

Enumeration DateOctober 6, 2006

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1730276247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 2128611✔ Licensed in OH · 35C001716

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 35C001716 (OH)

151 BRIDGE STREET, Plattsburgh, NY 12901

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Secondary Practice Location 1

Location 1335 Glessner AveMansfield, OH 44903-2269 · Phone (419) 526-8581

Other Identifiers 3

Other000490822003NY · Bsnny

Medicaid0054654OH

Medicaid01908429NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clark Jon Knutson 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.

Medicare Billing Reassignments

Medicare enrollment records show Clark Knutson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vi Government Hospital & Health Facilities Corp

1,882 mi

General Acute Care Hospital

9048 SUGAR EST
St Thomas, VI 00802

Reassigned Medicare billing, U.S. Virgin Islands enrollment
Medicare enrollment name: Vi Government Hospital And Health Facilities Corp
114 clinicians in this Medicare group

NPI 1548712409 (340) 776-8311

Governor Juan F. Luis Hospital & Medical Center

General Acute Care Hospital

#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821

Reassigned Medicare billing, U.S. Virgin Islands enrollment
331 clinicians in this Medicare group

NPI 1972503647 (340) 778-6311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 2

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

HAROLD H CHASKEY JR. MD

Pediatrics

151 BRIDGE STREET
PLATTSBURGH, NY 12901

Clinton County (518) 561-7337

PLATTSBURGH PEDIATRICS PC

Pediatrics

151 BRIDGE STREET
PLATTSBURGH, NY 12901

Clinton County (518) 561-7337

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 Clark Knutson's NPI number?

The NPI number for Clark Knutson is 1730276247. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Clark Knutson located?

Clark Knutson practices at 151 Bridge Street, Plattsburgh, NY 12901. The listed phone number is (518) 561-7337.

What is Clark Knutson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Clark Knutson enrolled in Medicare?

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

Which organizations bill Medicare for Clark Knutson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clark Knutson reassigns Medicare benefits to 2 organizations: Vi Government Hospital & Health Facilities Corp (St Thomas, VI) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clark Knutson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clark Knutson accept?

Health plans from CareSource list Clark Knutson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Knutson was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.