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DR. JAMES M. CLARK M.D.
NPI 1811101231
Obstetrics & Gynecology in Coudersport, PA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
1001 E 2ND ST STE N, COUDERSPORT, PA 16915(814) 274-7101 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2024, Mar 26, 2021, Jan 23, 2020 (3 updates tracked since 2020).

About Dr. James M. Clark M.d. NPPES

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

DR. JAMES M. CLARK M.D. (NPI 1811101231) is an individual obstetrics & gynecology provider in Coudersport, Pennsylvania, licensed in Pennsylvania (MD446841) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Cole, and maintains a secondary practice location in Sarasota.

NPPES Registry Identity

NPI1811101231
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES M. CLARKCredential: M.D.
Location Address1001 E 2ND ST STE NCoudersport, PA 16915-8161
Mailing Address1001 E 2nd St Ste NCoudersport, PA 16915-8161 · (814) 274-7101
Phone(814) 274-7101
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 9, 2007
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1811101231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in PA · MD446841✔ Licensed in FL · ME106885
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.
1001 E 2ND ST STE N, Coudersport, PA 16915
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Secondary Practice Location 1

Location 11700 S Tamiami TrlSarasota, FL 34239-3509 · Phone (941) 917-8560 · Fax (941) 917-2675

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Dr. James M. Clark M.d. 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.

PECOS PAC ID6305970880
PECOS Enrollment IDI20100819000407
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

5

Medicare enrollment records show James Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaleida Health
90 mi
Diagnostic Radiology
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1427870070 (716) 859-7200
Hardin Emergency Group LLC
715 mi
Emergency Medicine
2006 WAYNE RD
Savannah, TN 38372
  • Reassigned Medicare billing, Tennessee enrollment
  • 37 clinicians in this Medicare group
NPI 1972850477 (800) 893-9698
Obhg Tennessee, P.C.
722 mi
Obstetrics & Gynecology
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 92 clinicians in this Medicare group
NPI 1285924977 (800) 967-2289
Smh Physician Services Inc
1,029 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720
Dhp Of Manatee PA
1,042 mi
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 clinicians in this Medicare group
NPI 1134771611 (561) 844-6300

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16915 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES

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

DR. ETHAN GABLE M.D.
Obstetrics & Gynecology
1001 E 2ND ST STE N
COUDERSPORT, PA 16915
Potter County (814) 274-7101

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 James Clark's NPI number?

The NPI number for James Clark is 1811101231. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is James Clark located?

James Clark practices at 1001 E 2nd St Ste N, Coudersport, PA 16915. The listed phone number is (814) 274-7101.

What is James Clark's specialty?

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

Is James Clark enrolled in Medicare?

Yes. James Clark 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 James Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Clark reassigns Medicare benefits to 5 organizations: Kaleida Health (Buffalo, NY), Hardin Emergency Group LLC (Savannah, TN), Obhg Tennessee, P.C. (Jackson, TN), Smh Physician Services Inc (Sarasota, FL) and Dhp Of Manatee PA (Mangonia Park, FL). 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 James Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list James 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.

Is James Clark affiliated with any hospitals?

According to CMS data, James Clark is affiliated with Upmc Cole.

When was this NPI record last updated?

The NPPES record for James Clark was last updated on May 13, 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.