NPI Details
DR. Richard Gary Clark, MD is an internal medicine in Jamestown, TN with 49 years of experience. The provider is 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. DR. Richard Gary Clark, MD NPI is 1962406793. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1977
The provider's business location address is:
100 S DUNCAN ST
JAMESTOWN, TN
ZIP 38556-009
Phone: (931) 879-5864
Fax: (931) 879-3903
The NPI 1962406793 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, 30-39 minutes (HCPCS:99214)
- Physician or allowed practitioner re-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 a (HCPCS:G0179)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- 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)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- X-ray of chest, 2 views (HCPCS:71046)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
- Telehealth originating site facility fee (HCPCS:Q3014)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
- X-ray of upper spine, 4-5 views (HCPCS:72050)
The enumeration date for this NPI number is 6/9/2005 and was last updated on 3/25/2024.
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 | 207P00000X | Emergency Medicine | | 11080 | TENNESSEE | No |
| 2 | 208M00000X | Hospitalist | | 11080 | TENNESSEE | No |
| 3 | 207R00000X | Internal Medicine | | 11080 | TENNESSEE | 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 | 4053283 | MEDICAID | TENNESSEE | |
