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CLARK THOMAS EDDY DO
NPI 1962609941
Family Medicine in Shawnee Mission, KS

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
9100 W 74TH ST, SHAWNEE MISSION, KS 66204(913) 676-2000 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Thomas Eddy Do NPPES

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

CLARK THOMAS EDDY DO (NPI 1962609941) is an individual family medicine provider in Shawnee Mission, Kansas, licensed in Kansas (05-33757) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Kansas City College Of Medicine And Surgery (2007).

NPPES Registry Identity

NPI1962609941
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLARK THOMAS EDDYCredential: DO
Location Address9100 W 74TH STShawnee Mission, KS 66204-4004
Mailing Address36123 Schoolcraft RdLivonia, MI 48150-1216 · (913) 660-1616 · Fax (913) 660-0998
Phone(913) 676-2000
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2007
Enumeration DateJuly 2, 2007
Last NPPES UpdateApril 6, 2018
✔ NPI 1962609941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 05-33757
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9100 W 74TH ST, Shawnee Mission, KS 66204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..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

Clark Thomas Eddy Do 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 ID1759407901
PECOS Enrollment IDI20100925000149
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 7

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
322 services173 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
197 services187 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.
122 services119 patients
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.
111 services76 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.
35 services27 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66204 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%370 patients1/55-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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$12.39 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
3 suppliers32 claims32 services$62.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$32.48 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.

MRS. MARY SWINGLE CRNA
Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204
Johnson County (913) 632-2230
RHEUMATOLOGY SPECIALISTS OF KANSAS CITY PA
Specialist
9100 W 74TH ST
OVERLAND PARK, KS 66204
Johnson County (816) 753-5736
MS. PENNY ANN WALTER RD, LD
Dietitian, Registered
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2195
LORENE CREASSER ARNP
Nurse Practitioner (Family)
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2200
MS. ANN WHEELER BCBA
Behavior Analyst
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2253
TYLER DAVIS DO
Anesthesiology
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2000
ELIZABETH DANIELLE FLESHMAN
Registered Nurse
9100 W 74TH ST
MERRIAM, KS 66204
Johnson County (913) 909-2776
MITCHELL YOUNG
Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204
Johnson County (913) 676-2000

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 Clark Eddy's NPI number?

The NPI number for Clark Eddy is 1962609941. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Clark Eddy located?

Clark Eddy practices at 9100 W 74th St, Shawnee Mission, KS 66204. The listed phone number is (913) 676-2000.

What is Clark Eddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clark Eddy enrolled in Medicare?

Yes. Clark Eddy 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 Clark Eddy accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Clark Eddy 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.

Is Clark Eddy affiliated with any hospitals?

According to CMS data, Clark Eddy is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Clark Eddy was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.