DR. RICHARD GARY CLARK MD
NPI 1962406793
Internal Medicine in Jamestown, TN

Q: What is Richard Clark's NPI number?

The NPI number for Richard Clark is 1962406793. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Richard Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Clark was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 09, 2005PECOS EnrolledAccepts Medicare Assignment

42.64/100

CMS Quality Rating

100 S DUNCAN ST, JAMESTOWN, TN 38556(931) 879-5864(931) 879-3903 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2018, Sep 28, 2016 (2 updates tracked since 2016).

On this page

About Dr. Richard Gary Clark Md NPPES

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

DR. RICHARD GARY CLARK MD (NPI 1962406793) is an individual internal medicine provider in Jamestown, Tennessee, licensed in Tennessee (11080) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1977).

NPPES Registry Identity

NPI1962406793

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RICHARD GARY CLARKCredential: MD

Location Address100 S DUNCAN STJamestown, TN 38556-3009

Mailing AddressPo Box 2861Crossville, TN 38557-2861 · (931) 879-5864 · Fax (931) 879-3903

Phone(931) 879-5864

Fax(931) 879-3903

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1977

Enumeration DateJune 9, 2005

Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration

NPPES CertifiedMarch 25, 2024

✔ NPI 1962406793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 11080

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 11080 (TN)

Also ListedHospitalistTaxonomy 208M00000X · License 11080 (TN)

100 S DUNCAN ST, Jamestown, TN 38556

Open in Google Maps ↗

Other Identifiers 1

Medicaid4053283TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

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

Dr. Richard Gary 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 ID8123157971

PECOS Enrollment IDI20100603000658

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 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.

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.

918 services144 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services43 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

44 services44 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

41 services41 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

32 services32 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38556 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

42.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

36.06

Improvement Activities

Cost

68.5

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers24 claims24 services$39.94 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers11 claims22 services$60.59 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

2 suppliers11 claims66 services$25.11 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers22 claims48 services$1.79 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers26 claims26 services$100.29 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers19 claims36 services$40.66 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

1 supplier18 claims18 services$67.94 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers21 claims21 services$22.53 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

1 supplier15 claims15 services$19.52 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers39 claims194 services$2.68 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers33 claims33 services$69.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers78 claims78 services$19.68 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$52.74 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier21 claims21 services$17.07 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier39 claims39 services$7.43 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier22 claims22 services$50.56 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers302 claims302 services$107.76 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers102 claims102 services$36.31 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers50 claims5,929 services$0.09 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier20 claims20 services$20.98 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers27 claims27 services$207.84 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers48 claims48 services$23.89 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 10

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

CUMBERLAND SPINE & SPORT, LLC

Pain Medicine (Pain Medicine)

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

KAYLA ROSE JUDD APRN

Nurse Practitioner (Primary Care)

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

MR. JOHNNY WAYNE PRESLEY PAC

Physician Assistant (Medical)

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

DR. FANI B MANNEY M.D.

Psychiatry & Neurology (Neurology)

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

MS. LYNDA ANN GREEN CNP GNP

Nurse Practitioner (Family)

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

JAMESTOWN INTERNAL MEDICINE P.C.

Internal Medicine

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

MRS. LAURA JEAN LATA ANP

Nurse Practitioner

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 879-5864

JOSEPH PAYANT

Family Medicine

100 S DUNCAN ST
JAMESTOWN, TN 38556

Fentress County (931) 839-5864

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 Richard Clark's NPI number?

The NPI number for Richard Clark is 1962406793. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Richard Clark located?

Richard Clark practices at 100 S Duncan St, Jamestown, TN 38556. The listed phone number is (931) 879-5864.

What is Richard Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Clark enrolled in Medicare?

Yes. Richard 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.

What insurance does Richard Clark accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Richard 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 Richard Clark was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.