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MARY CLAIRE LARK
NPI 1861071425
Emergency Medicine in Myrtle Beach, SC

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
809 82ND PKWY, GME OFFICE, MYRTLE BEACH, SC 29572(843) 692-1752(843) 692-1904 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 12, 2025, Apr 2, 2021 (2 updates tracked since 2021).

About Mary Claire Lark NPPES

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

MARY CLAIRE LARK (NPI 1861071425) is an individual emergency medicine provider in Myrtle Beach, South Carolina, licensed in Arizona (74534) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2015).

NPPES Registry Identity

NPI1861071425
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY CLAIRE LARK
Location Address809 82ND PKWY, GME OFFICEMyrtle Beach, SC 29572-4607
Mailing Address197 Cabana RdMyrtle Beach, SC 29572-5643 · (843) 455-3202
Phone(843) 692-1752
Fax(843) 692-1904
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2015
Enumeration DateApril 2, 2021
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1861071425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 74534
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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

Mary Claire Lark 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 ID1254738313
PECOS Enrollment IDI20250730003573
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 Reassignment

Medicare enrollment records show Mary Lark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America- Arizona, PC
Emergency Medicine
14502 W MEEKER BLVD
Sun City West, AZ 85375
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
NPI 1003161605 (623) 214-4000

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 29572 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

SOUTHEASTERN HOSPITALIST SERVICES PC
Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
BENJAMIN TYLER MCKINNEY MD
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
MRS. ANGELA KATHLINE NAPLES APRN FNP-C
Nurse Practitioner
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
ALBAB SYED UDDIN
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (854) 894-3509
RAINECE J EADDY MD
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-8340
VISHAL SHAH DO
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1118
ZACHERY WILLIAM HENSEL DO
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1595
SAMUEL LAUER
Physician Assistant
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000

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 Mary Lark's NPI number?

The NPI number for Mary Lark is 1861071425. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Mary Lark located?

Mary Lark practices at 809 82nd Pkwy Gme Office, Myrtle Beach, SC 29572. The listed phone number is (843) 692-1752.

What is Mary Lark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Lark enrolled in Medicare?

Yes. Mary Lark 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 organization bills Medicare for Mary Lark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lark reassigns Medicare benefits to Cep America- Arizona, PC (Sun City West, AZ). The 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 Mary Lark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Lark was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.