STEPHEN CLARK MD
NPI 1962898338
Internal Medicine in Richmond, VA

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
417 N 11TH ST, RICHMOND, VA 23298(804) 828-9357(804) 828-7591 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Clark Md NPPES

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

STEPHEN CLARK MD (NPI 1962898338) is an individual internal medicine provider in Richmond, Virginia, licensed in Virginia (0101269479) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1962898338
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEPHEN CLARKCredential: MD
Location Address417 N 11TH STRichmond, VA 23298-5024
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-7591
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2015
Enumeration DateApril 12, 2015
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
NPI 1962898338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101269479
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.
417 N 11TH ST, Richmond, VA 23298

Secondary Practice Location 1

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-9357 · Fax (804) 828-7591

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

Stephen 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 ID3971810284
PECOS Enrollment IDI20200924001034
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 3

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.
151 services110 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.
32 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers24 claims24 services$3.27 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
2 suppliers37 claims37 services$191.93 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.

Nurse Practitioner (Acute Care)
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Orthopaedic Surgery
417 N 11TH ST
RICHMOND, VA 23298

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 Stephen Clark's NPI number?

The NPI number for Stephen Clark is 1962898338. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Stephen Clark located?

Stephen Clark practices at 417 N 11th St, Richmond, VA 23298. The listed phone number is (804) 828-9357.

What is Stephen Clark's specialty?

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

Is Stephen Clark enrolled in Medicare?

Yes. Stephen 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.

Is Stephen Clark affiliated with any hospitals?

According to CMS data, Stephen Clark is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Stephen Clark was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.