DR. KIM P LARK D.O. NPI 1023009016

NPI Information

  • NPI: 1023009016
  • Provider Name: DR. KIM P LARK, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2402 W PIERCE ST
    SUITE 4-A
    CARLSBAD, NM
    ZIP 88220
  • Phone: (575) 234-9964

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NPI Details

DR. Kim P Lark, D.O. is a family medicine in Carlsbad, NM with 32 years of experience. The provider is 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. DR. Kim P Lark, D.O. NPI is 1023009016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2402 W PIERCE ST
SUITE 4-A
CARLSBAD, NM
ZIP 88220-537
Phone: (575) 234-9964
Fax: (575) 234-9962

The NPI 1023009016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Urinalysis, manual test (HCPCS:81002)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Removal of impacted ear wax (HCPCS:69210)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/31/2005 and was last updated on 1/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA110698NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080145241MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICORAILROAD MEDICARE ID #
24763430001MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICODMER
3T9592MEDICAIDNEW MEXICO
4900521044MEDICARE PINNEW MEXICO
5G18709MEDICARE UPINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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