DR. ERIKA L. CLARK MD
NPI 1871574020
Obstetrics & Gynecology in Raleigh, NC

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
4414 LAKE BOONE TRL, STE 205, RALEIGH, NC 27607(919) 788-4444(919) 788-4464 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Erika L. Clark Md NPPES

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

DR. ERIKA L. CLARK MD (NPI 1871574020) is an individual obstetrics & gynecology provider in Raleigh, North Carolina, licensed in North Carolina (9701287) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1993).

NPPES Registry Identity

NPI1871574020
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ERIKA L. CLARKCredential: MD
Location Address4414 LAKE BOONE TRL, STE 205Raleigh, NC 27607-7513
Mailing Address4414 Lake Boone Trl, Ste 205Raleigh, NC 27607-7513 · (919) 788-4444 · Fax (919) 788-4464
Fax(919) 788-4464
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1993
Enumeration DateNovember 7, 2005
Last NPPES UpdateJune 4, 2012
NPI 1871574020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 9701287
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.

4414 LAKE BOONE TRL, Raleigh, NC 27607

Other Identifiers 3

Other1091HNC · Bcbs Of Nc
Other2243083ENC · Medicare
Medicare UPING56750NC

Accepted Insurance

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. Erika L. Clark Md 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 ID1658453626
PECOS Enrollment IDI20080129000773
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
32 services32 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
19 services19 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
94%372 patients5/55-star benchmark: 93%
Cervical Cancer Screening
93%902 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
27%137 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
72%622 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
62%29 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,505 patients4/55-star benchmark: 100%
e-Prescribing
98%261 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%977 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%1,220 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 86% · 1,023 patients
84%1,023 patients
Provide Patients Electronic Access to Their Health Information
99%463 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Obstetrics & Gynecology
4414 LAKE BOONE TRL, STE 210
RALEIGH, NC 27607
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Obstetrics & Gynecology
4414 LAKE BOONE TRL, STE 205
RALEIGH, NC 27607
Specialist
4414 LAKE BOONE TRL, STE 205
RALEIGH, NC 27607
Nurse Practitioner (Women's Health)
4414 LAKE BOONE TRL, STE 205
RALEIGH, NC 27607
Obstetrics & Gynecology (Gynecology)
4414 LAKE BOONE TRL, STE 205
RALEIGH, NC 27607

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 Erika Clark's NPI number?

The NPI number for Erika Clark is 1871574020. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Erika Clark located?

Erika Clark practices at 4414 Lake Boone Trl Ste 205, Raleigh, NC 27607. The listed phone number is (919) 788-4444.

What is Erika Clark's specialty?

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

Is Erika Clark enrolled in Medicare?

Yes. Erika 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.

What insurance does Erika Clark accept?

Health plans from Blue Cross and Blue Shield of NC list Erika 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.

When was this NPI record last updated?

The NPPES record for Erika Clark was last updated on June 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.