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EDWARD DEALLEN CLARK M.D.
NPI 1730294232
Obstetrics & Gynecology in Grapevine, TX

Active since August 21, 2006PECOS Enrolled
1600 W COLLEGE ST STE LL10, GRAPEVINE, TX 76051(817) 410-7982(817) 410-7986 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Deallen Clark M.d. NPPES

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

EDWARD DEALLEN CLARK M.D. (NPI 1730294232) is an individual obstetrics & gynecology provider in Grapevine, Texas, licensed in Texas (K3564) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730294232
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameEDWARD DEALLEN CLARKCredential: M.D.
Location Address1600 W COLLEGE ST STE LL10Grapevine, TX 76051-3598
Mailing Address1600 W College St Ste Ll10Grapevine, TX 76051-3598 · (817) 410-7982 · Fax (817) 410-7986
Phone(817) 410-7982
Fax(817) 410-7986
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730294232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K3564
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.
1600 W COLLEGE ST STE LL10, Grapevine, TX 76051
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified00817LTX
Medicare UPING99128TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Deallen Clark 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 76051 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
85%33 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
84%252 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%245 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 252 patients
85%252 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Edward Clark's NPI number?

The NPI number for Edward Clark is 1730294232. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Edward Clark located?

Edward Clark practices at 1600 W College St Ste Ll10, Grapevine, TX 76051. The listed phone number is (817) 410-7982.

What is Edward Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edward Clark enrolled in Medicare?

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

What insurance does Edward Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Edward Clark 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 Edward 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.