DR. SUSANNAH TAYLOR CLARK M.D.
NPI 1780697334
Internal Medicine in Lebanon, NH
About Dr. Susannah Taylor Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSANNAH TAYLOR CLARK M.D. (NPI 1780697334) is an individual internal medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (12781) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted 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. Susannah Taylor Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susannah Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Lebanon, NH 03766
- Reassigned Medicare billing, New Hampshire enrollment
- 283 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
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 Susannah Clark's NPI number?
The NPI number for Susannah Clark is 1780697334. It was assigned to this individual provider in the NPPES registry on August 14, 2006. The provider is also known as Susannah Cord Taylor.
Where is Susannah Clark located?
Susannah Clark practices at 1 Medical Center Dr Dhmc Department Of General Internal Medicine, Lebanon, NH 03756. The listed phone number is (603) 650-5000.
What is Susannah Clark's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Susannah Clark enrolled in Medicare?
Yes. Susannah Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susannah Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Clark reassigns Medicare benefits to 2 organizations: Dartmouth-Hitchcock Clinic (Lebanon, NH) and Alice Peck Day Memorial Hospital (Lebanon, NH). 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 Susannah Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susannah Clark accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Susannah 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 Susannah Clark was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Susannah Taylor Clark, M.D. · NPI 1780697334
Internal Medicine physician in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1780697334 (Entity type: Individual)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 12781 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR, DHMC DEPARTMENT OF GENERAL INTERNAL MEDICINE, Lebanon, NH 03756-1000
- **Phone:** (603) 650-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Dartmouth-Hitchcock Clinic (NPI 1548210198, Lebanon, NH); Alice Peck Day Memorial Hospital (NPI 1073569810, Lebanon, NH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 00A873190 (NH); Medicaid 1011886 (VT); Medicare UPIN I16305 (NH); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780697334) · Data from the CMS NPPES public registry.