DR. AMIZETTA CAROL CLARK M.D.
NPI 1841646353
Psychiatry & Neurology - Psychiatry in Saint Helena, CA

Active since May 13, 2016PECOS EnrolledAccepts Medicare Assignment
78.73/100
CMS Quality Rating
10 WOODLAND RD, SAINT HELENA, CA 94574(707) 963-3611 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Aug 5, 2022, May 13, 2016 (3 updates tracked since 2016).

About Dr. Amizetta Carol Clark M.d. NPPES

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

DR. AMIZETTA CAROL CLARK M.D. (NPI 1841646353) is an individual psychiatry provider in Saint Helena, California, licensed in California (A175677) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1841646353
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. AMIZETTA CAROL CLARKCredential: M.D.
Location Address10 WOODLAND RDSaint Helena, CA 94574-9554
Mailing Address10 Woodland RdSaint Helena, CA 94574-9554 · (808) 287-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 13, 2016
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1841646353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A175677
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License A175677 (CA)
10 WOODLAND RD, Saint Helena, CA 94574

Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-2393 · Fax (252) 744-0013

Other Identifiers 1

OtherA175677CA · Medical License

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

Dr. Amizetta Carol 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 ID5496048183
PECOS Enrollment IDI20220913002973
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
217 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94574 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
$192.16 typical visit price
range $65.08 – $192.16
Typical copayment $48.04 (range $16.27 – $48.04)
Most-billed visit code 99205
Established Patient
$80.32 typical visit price
range $21.86 – $157.83
Typical copayment $20.08 (range $5.46 – $39.45)
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.

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.

78.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.85
Promoting Interoperability94
Improvement Activities40
Cost55.1

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.

Radiology (Diagnostic Radiology)
10 WOODLAND RD
SAINT HELENA, CA 94574
Internal Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Preventive Medicine (Occupational Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Radiology (Diagnostic Radiology)
10 WOODLAND RD
SAINT HELENA, CA 94574

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841646353, enumerated as an "individual" on May 13, 2016.

The provider is located at 10 WOODLAND RD SAINT HELENA, CA 94574 and the phone number is (707) 963-3611.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.