CLARK D PHELPS III MD
NPI 1730749151
Surgery in Greenville, SC
About Clark D Phelps Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK D PHELPS III MD (NPI 1730749151) is an individual surgery provider in Greenville, South Carolina, licensed in South Carolina (LL82868) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of Wayne State University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clark D Phelps Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Clark Phelps reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 34 clinicians in this Medicare group
Mount Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Colleton Medical Center
Acute Care Hospitals · Walterboro, SCTrident Medical Center
Acute Care Hospitals · Charleston, SCRoper St Francis Hospital-Berkeley Inc
Acute Care Hospitals · Summerville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Phelps's NPI number?
The NPI number for Clark Phelps is 1730749151. It was assigned to this individual provider in the NPPES registry on June 18, 2019.
Where is Clark Phelps located?
Clark Phelps practices at 701 Grove Rd Fl 3, Greenville, SC 29605. The listed phone number is (864) 455-1435.
What is Clark Phelps's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Clark Phelps enrolled in Medicare?
Yes. Clark Phelps is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Clark Phelps's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clark Phelps reassigns Medicare benefits to 2 organizations: Charleston Radiologists PA (Mount Pleasant, SC) and Pelican II, LLC (Mount Pleasant, SC). 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 Phelps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clark Phelps accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Clark Phelps 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.
Is Clark Phelps affiliated with any hospitals?
According to CMS data, Clark Phelps is affiliated with Colleton Medical Center, Trident Medical Center and Roper St Francis Hospital-Berkeley Inc.
When was this NPI record last updated?
The NPPES record for Clark Phelps was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Clark D Phelps III, MD · NPI 1730749151
Surgery physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since June 18, 2019.
## Identity
- **NPI:** 1730749151 (Entity type: Individual)
- **Enumerated:** June 18, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** LL82868 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 GROVE RD FL 3, Greenville, SC 29605-4295
- **Phone:** (864) 455-1435 · **Fax:** (864) 455-1320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Charleston Radiologists PA (NPI 1811000177, Mount Pleasant, SC); Pelican II, LLC (NPI 1871681445, Mount Pleasant, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** June 18, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1730749151) · Data from the CMS NPPES public registry.