NPI Details
DR. Jason Craig Clark, M.D. is an orthopaedic surgery in Moline, IL with 22 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Jason Craig Clark, M.D. NPI is 1811075856. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2004
The provider's business location address is:
520 VALLEY VIEW DR
MOLINE, IL
ZIP 61265-194
Phone: (309) 762-3621
Fax: (309) 762-3690
The NPI 1811075856 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.
- Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS:J7325)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
- Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Fluoroscopic guidance for needle placement (HCPCS:77002)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of knee, 4 or more views (HCPCS:73564)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- X-ray of knee, 1-2 views (HCPCS:73560)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Mri scan of arm joint with contrast (HCPCS:73222)
- X-ray of knee, 3 views (HCPCS:73562)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- X-ray of wrist, minimum of 3 views (HCPCS:73110)
- Mri scan of leg joint without contrast (HCPCS:73721)
- Injection of contrast for imaging of shoulder joint (HCPCS:23350)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/6/2010.
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 |
| 1 | 207X00000X | Orthopaedic Surgery | | 38994 | IOWA | No |
| 2 | 207X00000X | Orthopaedic Surgery | | TRN7762 | FLORIDA | No |
| 3 | 207X00000X | Orthopaedic Surgery | | 036125628 | ILLINOIS | Yes |
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 |
| 1 | 036125628 | MEDICAID | ILLINOIS | |
| 2 | 578210005 | MEDICARE PIN | IOWA | |
| 3 | 209395013 | MEDICARE PIN | ILLINOIS | |