MATTHEW H CLARK M.D.
NPI 1952417339
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Newport Beach, CA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
520 SUPERIOR AVE, SUITE 225, NEWPORT BEACH, CA 92663(949) 360-0300(949) 360-6932 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew H Clark M.d. NPPES

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

MATTHEW H CLARK M.D. (NPI 1952417339) is an individual urogynecology and reconstructive pelvic surgery provider in Newport Beach, California, licensed in California (G85764) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1993).

NPPES Registry Identity

NPI1952417339
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameMATTHEW H CLARKCredential: M.D.
Location Address520 SUPERIOR AVE, SUITE 225Newport Beach, CA 92663-3637
Mailing Address520 Superior Ave, Suite 225Newport Beach, CA 92663-3637 · (949) 360-0300 · Fax (949) 360-6932
Fax(949) 360-6932
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 16, 2019
NPI 1952417339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in CA · G85764
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License G85764 (CA)
520 SUPERIOR AVE, Newport Beach, CA 92663

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

Matthew H Clark M.d. 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 ID4587662788
PECOS Enrollment IDI20061122000510
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 38

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.

Injection, heparin sodium, per 1000 units J1644
Heparin sodium injection is a blood-thinning medication given to prevent blood clots. It's administered in units, with each dose tailored to your needs. This service refers to the administration of 1000 units of this medication.
5,596 services46 patients
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.
1,381 services649 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
818 services369 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
650 services393 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
627 services55 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
455 services297 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Breast Cancer Screening
43%243 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
48%512 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers14 claims4,092 services$1.49 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 20

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

Internal Medicine
520 SUPERIOR AVE, STE 205
NEWPORT BEACH, CA 92663
Internal Medicine (Interventional Cardiology)
520 SUPERIOR AVE
NEWPORT BEACH, CA 92663
Internal Medicine (Clinical Cardiac Electrophysiology)
520 SUPERIOR AVE, SUITE 330
NEWPORT BEACH, CA 92663
Internal Medicine (Pulmonary Disease)
520 SUPERIOR AVE, SUITE 285
NEWPORT BEACH, CA 92663
Internal Medicine (Nephrology)
520 SUPERIOR AVE, SUITE 340
NEWPORT BEACH, CA 92663
Physician Assistant (Medical)
520 SUPERIOR AVE, SUITE 270
NEWPORT BEACH, CA 92663
Surgery (Vascular Surgery)
520 SUPERIOR AVE, SUITE 370
NEWPORT BEACH, CA 92663
Audiologist-Hearing Aid Fitter
520 SUPERIOR AVE, STE. 190
NEWPORT BEACH, CA 92663

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 Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1952417339. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Matthew Clark located?

Matthew Clark practices at 520 Superior Ave Suite 225, Newport Beach, CA 92663. The listed phone number is (949) 360-0300.

What is Matthew Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Matthew Clark enrolled in Medicare?

Yes. Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Clark was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.