DR. MARY JO KOCARNIK CLARKE MD
NPI 1760586796
Family Medicine in Beaverton, OR

Q: What is Mary Jo Clarke's NPI number?

The NPI number for Mary Jo Clarke is 1760586796. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Mary Jo Clarke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Jo Clarke 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.

Active since September 11, 2006PECOS Enrolled

4855 SW WESTERN AVE, BEAVERTON, BEAVERTON, OR 97005(503) 643-7565 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Jo Kocarnik Clarke Md NPPES

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

DR. MARY JO KOCARNIK CLARKE MD (NPI 1760586796) is an individual family medicine provider in Beaverton, Oregon, licensed in Oregon (MD15645) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760586796

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY JO KOCARNIK CLARKECredential: MD

Location Address4855 SW WESTERN AVE, BEAVERTONBeaverton, OR 97005-3460

Mailing Address4855 Sw Western Ave, BeavertonBeaverton, OR 97005-3460

Phone(503) 643-7565

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760586796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD15645

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4855 SW WESTERN AVE, Beaverton, OR 97005

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Other Identifiers 1

Medicare UPINEO6510OR

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. Mary Jo Kocarnik Clarke 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 20

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

MRS. RANDEEP KAUR DA

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