ANDREW ROBERT CLARK D.O.
NPI 1912988635
Family Medicine in Bradenton, FL

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
5123 4TH AVENUE CIR E, BRADENTON, FL 34208(941) 744-5510(941) 744-5166 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Robert Clark D.o. NPPES

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

ANDREW ROBERT CLARK D.O. (NPI 1912988635) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (OS9370) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912988635
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW ROBERT CLARKCredential: D.O.
Location Address5123 4TH AVENUE CIR EBradenton, FL 34208-5620
Mailing Address5123 4th Avenue Cir EBradenton, FL 34208-5620 · (941) 744-5510 · Fax (941) 744-5166
Fax(941) 744-5166
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 9, 2005
Last NPPES UpdateMay 15, 2014
NPI 1912988635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS9370
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.
5123 4TH AVENUE CIR E, Bradenton, FL 34208

Other Identifiers 4

Other28803FL · Blue Cross
Medicare ID-Type UnspecifiedU4758Y
Medicaid272670000FL
Medicare UPINI29463

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

Andrew Robert 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 ID1951343235
PECOS Enrollment IDI20050526000345
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 28

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.
407 services301 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
364 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
187 services187 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.
185 services134 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
174 services174 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
166 services114 patients

Hospital Affiliations CMS Care Compare 3

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100299
Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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 suppliers18 claims46 services$5.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Family Medicine
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Family Medicine
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Family Medicine
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Physician Assistant
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Family Medicine (Adult Medicine)
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Family Medicine
5123 4TH AVENUE CIR E
BRADENTON, FL 34208
Family Medicine (Adult Medicine)
5123 4TH AVENUE CIR E
BRADENTON, FL 34208

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 Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1912988635. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Andrew Clark located?

Andrew Clark practices at 5123 4th Avenue Cir E, Bradenton, FL 34208. The listed phone number is (941) 744-5510.

What is Andrew Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Clark enrolled in Medicare?

Yes. Andrew 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 Andrew Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Andrew 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.

Is Andrew Clark affiliated with any hospitals?

According to CMS data, Andrew Clark is affiliated with Manatee Memorial Hospital, Sarasota Memorial Hospital and Lakewood Ranch Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.