DR. TIMOTHY VAUGHAN CLARK D.O.
NPI 1932420320
Internal Medicine - Critical Care Medicine in Marysville, CA

Q: What is Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1932420320. It was assigned to this individual provider in the NPPES registry on June 20, 2010.

Q: What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 20, 2010PECOS EnrolledAccepts Medicare Assignment

726 4TH ST, MARYSVILLE, CA 95901(530) 743-4377(530) 749-6616 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Timothy Vaughan Clark D.o. NPPES

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

DR. TIMOTHY VAUGHAN CLARK D.O. (NPI 1932420320) is an individual critical care medicine provider in Marysville, California, licensed in California (20A13845) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1932420320

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. TIMOTHY VAUGHAN CLARKCredential: D.O.

Location Address726 4TH STMarysville, CA 95901-5656

Mailing AddressPo Box 3067Yuba City, CA 95992-3067 · (207) 939-4204

Phone(530) 743-4377

Fax(530) 749-6616

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013

Enumeration DateJune 20, 2010

Last NPPES UpdateFebruary 24, 2016

✔ NPI 1932420320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in CA · 20A13845

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License OTO13674 (PA)

726 4TH ST, Marysville, CA 95901

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Other Identifiers 1

Other20A13845CA · License

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

Dr. Timothy Vaughan 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 ID8921263757

PECOS Enrollment IDI20150901003345

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 Timothy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - Intensivists PC

40 mi

Critical Care Medicine

2825 CAPITOL AVE
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
126 clinicians in this Medicare group

NPI 1215577291 (946) 887-1230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

346 services182 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95901 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

ELAINE HOILE

Physical Therapist