BENJAMIN T CLARK D.O.
NPI 1831400894
Family Medicine in Mesa, AZ

Q: What is Benjamin Clark's NPI number?

The NPI number for Benjamin Clark is 1831400894. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Q: What is Benjamin Clark'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 Benjamin Clark was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 24, 2010PECOS EnrolledAccepts Medicare Assignment

1840 S STAPLEY DR STE 101, MESA, AZ 85204(480) 464-6979(480) 464-6910 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Apr 12, 2018 (2 updates tracked since 2018).

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About Benjamin T Clark D.o. NPPES

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

BENJAMIN T CLARK D.O. (NPI 1831400894) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (006841) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1831400894

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBENJAMIN T CLARKCredential: D.O.

Location Address1840 S STAPLEY DR STE 101Mesa, AZ 85204-6682

Mailing Address25500 N Norterra DrPhoenix, AZ 85085-8200 · (623) 277-1130 · Fax (866) 837-6575

Phone(480) 464-6979

Fax(480) 464-6910

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 24, 2010

Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration

NPPES CertifiedDecember 1, 2021

✔ NPI 1831400894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 006841

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1840 S STAPLEY DR STE 101, Mesa, AZ 85204

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Secondary Practice Location 1

Location 15891 W Eugie AveGlendale, AZ 85304-1252 · Phone (602) 588-6725

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

Benjamin T Clark D.o. 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 ID7416109186

PECOS Enrollment IDI20180418002516

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 9

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

DR. JONATHAN RAFAEL JAVIER LAZARO M.D.

Family Medicine