DR. KATHY S CLARK MD
NPI 1952304701
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since May 24, 2005PECOS Enrolled
96.22/100
CMS Quality Rating
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278(317) 328-5050(317) 715-9965 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathy S Clark Md NPPES

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

DR. KATHY S CLARK MD (NPI 1952304701) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (01036050A) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952304701
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KATHY S CLARKCredential: MD
Location Address5901 TECHNOLOGY CENTER DRIndianapolis, IN 46278-6013
Mailing Address5901 Technology Center DrIndianapolis, IN 46278-6013 · (317) 328-5050 · Fax (317) 328-5053
Fax(317) 715-9965
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 3, 2016
NPI 1952304701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IN · 01036050A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5901 TECHNOLOGY CENTER DR, Indianapolis, IN 46278

Other Identifiers 9

Other000000492338IN · Anthem 203778927
Other011838IN · Siho-351158723
OtherQ0085630IN · Cmosho351158723-352047427
Medicare UPINE73938IN
Other300128808IN · Rr Medicare-351158723
Medicare PIN026010CCCIN
Other085331IN · Health Alliance-351158723
Other000000214716IN · Anthem-351158723
Medicaid100348870IN

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 (PECOS)

Dr. Kathy S Clark Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

96.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Radiology (Diagnostic Radiology)
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278
Physician Assistant
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278

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 Kathy Clark's NPI number?

The NPI number for Kathy Clark is 1952304701. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kathy Clark located?

Kathy Clark practices at 5901 Technology Center Dr, Indianapolis, IN 46278. The listed phone number is (317) 328-5050.

What is Kathy Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kathy Clark enrolled in Medicare?

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

What insurance does Kathy Clark accept?

Health plans from CareSource list Kathy 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 Kathy Clark was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.