DR. KENNETH A CLARK MD
NPI 1902880370
Internal Medicine in Galax, VA

Q: What is Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1902880370. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Kenneth Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Clark was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 November 30, 2005PECOS EnrolledAccepts Medicare Assignment

199 HOSPITAL DR, SUITE 5, GALAX, VA 24333(276) 236-6136 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth A Clark Md NPPES

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

DR. KENNETH A CLARK MD (NPI 1902880370) is an individual internal medicine provider in Galax, Virginia, licensed in Virginia (0101-041662) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of University Of South Florida College Of Medicine (1986).

NPPES Registry Identity

NPI1902880370

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KENNETH A CLARKCredential: MD

Location Address199 HOSPITAL DR, SUITE 5Galax, VA 24333-2454

Mailing Address199 Hospital Dr, Suite 5Galax, VA 24333-2454

Phone(276) 236-6136

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1986

Enumeration DateNovember 30, 2005

Last NPPES UpdateOctober 24, 2014

✔ NPI 1902880370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101-041662

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

199 HOSPITAL DR, Galax, VA 24333

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Other Identifiers 10

Medicare UPINE65850VA

Medicare PIN110007468

Medicaid005826781VA

Medicaid010044065VA

Medicare PIN003350C86

Medicaid005826772VA

Medicare PIN001437C87

Medicaid010022100VA

Medicare PIN003350C86VA

Medicare PIN003349C40

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. Kenneth A 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 ID1951207836

PECOS Enrollment IDI20031210001122

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 7

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

162 services158 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

143 services140 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

71 services71 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

69 services68 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

49 services49 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340003

Location830 Rockford StMount Airy, NC 27030 · Surry County

Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490042

Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County

Emergency services Birthing friendly

Wythe County Community Hospital

Acute Care Hospitals · Wytheville, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490111

Location600 West Ridge RoadWytheville, VA 24382 · Wythe County

Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490115

Location200 Hospital DriveGalax, VA 24333 · Galax City County

Emergency services Birthing friendly

Carilion Giles Community Hospital

Critical Access Hospitals · Pearisburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491302

Location159 Hartley WayPearisburg, VA 24134 · Giles County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24333 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers66 claims186 services$6.29 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers11 claims11 services$2.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers33 claims51 services$1.19 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030