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JESSE LAWTON CLARK M.D.
NPI 1811166572
Family Medicine in Los Angeles, CA

Active since February 27, 2008PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
910 VINE ST, LOS ANGELES, CA 90038(323) 461-3106 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Lawton Clark M.d. NPPES

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

JESSE LAWTON CLARK M.D. (NPI 1811166572) is an individual family medicine provider in Los Angeles, California, licensed in California (A95103) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2002).

NPPES Registry Identity

NPI1811166572
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJESSE LAWTON CLARKCredential: M.D.
Location Address910 VINE STLos Angeles, CA 90038-2702
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(323) 461-3106
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2002
Enumeration DateFebruary 27, 2008
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1811166572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A95103
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A95103 (CA)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A95103 (CA)
910 VINE ST, Los Angeles, CA 90038
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A951030CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse Lawton 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 ID42378861
PECOS Enrollment IDI20081023000393
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
120 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90038 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

ERENDIDA CANO FNP
Nurse Practitioner (Family)
910 VINE ST
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3106
MICHELE VERTUCCI PA-C/NP
Physician Assistant
910 VINE ST
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3106
ELVIN LUCCON FNP
Nurse Practitioner
910 VINE ST
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3106

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 Jesse Clark's NPI number?

The NPI number for Jesse Clark is 1811166572. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Jesse Clark located?

Jesse Clark practices at 910 Vine St, Los Angeles, CA 90038. The listed phone number is (323) 461-3106.

What is Jesse Clark's specialty?

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

Is Jesse Clark enrolled in Medicare?

Yes. Jesse 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.

When was this NPI record last updated?

The NPPES record for Jesse Clark was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.