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DR. CARRIE JEAN CLARK D.O
NPI 1942445804
Emergency Medicine in Oklahoma City, OK

Active since December 08, 2008PECOS Enrolled
4401 S WESTER, OKLAHOMA CITY, OK 73109(405) 636-7500 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carrie Jean Clark D.o NPPES

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

DR. CARRIE JEAN CLARK D.O (NPI 1942445804) is an individual emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4628) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942445804
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CARRIE JEAN CLARKCredential: D.O
Location Address4401 S WESTEROklahoma City, OK 73109
Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 951-2545
Phone(405) 636-7500
Sole ProprietorYes
Enumeration DateDecember 8, 2008
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1942445804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 4628
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.
4401 S WESTER, Oklahoma City, OK 73109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carrie Jean Clark D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Carrie Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Services Of Oklahoma PC
15 mi
Emergency Medicine
901 N PORTER AVE
Norman, OK 73071
  • Reassigned Medicare billing, Oklahoma enrollment
  • 418 clinicians in this Medicare group
NPI 1215249891 (925) 924-1600
South Central Emergency Services PC
53 mi
Emergency Medicine
1323 W 6TH AVE
Stillwater, OK 74074
  • Reassigned Medicare billing, Oklahoma enrollment
  • 298 clinicians in this Medicare group
NPI 1558663724 (925) 924-1600

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
312 services305 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services38 patients
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Carrie Clark's NPI number?

The NPI number for Carrie Clark is 1942445804. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is Carrie Clark located?

Carrie Clark practices at 4401 S Wester, Oklahoma City, OK 73109. The listed phone number is (405) 636-7500.

What is Carrie Clark's specialty?

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

Is Carrie Clark enrolled in Medicare?

Yes. Carrie Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carrie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Clark reassigns Medicare benefits to 2 organizations: Emergency Services Of Oklahoma PC (Norman, OK) and South Central Emergency Services PC (Stillwater, OK). Each 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 Carrie Clark'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 Carrie Clark was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.