DR. CLARENCE E. CLARK MD
NPI 1952582397
Colon & Rectal Surgery in Chandler, AZ

Q: What is Clarence Clark's NPI number?

The NPI number for Clarence Clark is 1952582397. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Q: What is Clarence Clark's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Clark was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 November 14, 2007PECOS EnrolledAccepts Medicare Assignment

485 S DOBSON RD STE 201, CHANDLER, AZ 85224(480) 728-4700(480) 728-4747 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Mar 31, 2021, Nov 18, 2020 and 3 more (6 updates tracked since 2015).

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About Dr. Clarence E. Clark Md NPPES

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

DR. CLARENCE E. CLARK MD (NPI 1952582397) is an individual colon & rectal surgery provider in Chandler, Arizona, licensed in Arizona (61606) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2004).

NPPES Registry Identity

NPI1952582397

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. CLARENCE E. CLARKCredential: MD

Location Address485 S DOBSON RD STE 201Chandler, AZ 85224-5604

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-4700

Fax(480) 728-4747

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2004

Enumeration DateNovember 14, 2007

Last NPPES UpdateDecember 16, 20246 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1952582397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in AZ · 61606

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 61606 (AZ)

485 S DOBSON RD STE 201, Chandler, AZ 85224

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Other Identifiers 2

Medicaid003126879AGA

Medicaid003126879CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Clarence E. Clark Md 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 ID3274725973

PECOS Enrollment IDI20200904000835

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

Medicare enrollment records show Clarence Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chandler Regional Medical Center

0.1 mi

Emergency Care

1955 W FRYE ROAD
Chandler, AZ 85224

Reassigned Medicare billing, Arizona enrollment
101 clinicians in this Medicare group

NPI 1871910968 (480) 728-4700

St. Joseph's Hospital And Medical Center

17 mi

Emergency Care

350 W THOMAS RD
Phoenix, AZ 85013

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

NPI 1255382412 (602) 406-3000

Sjhmc Physician Services

17 mi

Multi-Specialty

350 W THOMAS RD
Phoenix, AZ 85013

Reassigned Medicare billing, Arizona enrollment
773 clinicians in this Medicare group

NPI 1326098005 (602) 406-3729

Morehouse Healthcare, Inc.

1,580 mi

Cardiovascular Disease

1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318

Reassigned Medicare billing, Georgia enrollment
322 clinicians in this Medicare group

NPI 1801832324 (404) 752-1000

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

40 services18 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.

28 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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.

SARAH WILSON PA-C

Physician Assistant (Medical)