DR. CHERYL A. CLARK M.D.
NPI 1750337549
Internal Medicine - Critical Care Medicine in Orlando, FL
Quality Rating: 82.42 out of 100 score
NPI Status: Active since May 25, 2006
Contact Information
601 E ROLLINS ST
ORLANDO, FL
ZIP 32803
Phone: (407) 303-7283
Fax: (407) 303-0347
- Individual
- Female
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About CHERYL CLARK
This page provides the complete NPI Profile along with additional information for Cheryl Clark, an internist established in Orlando, Florida with a medical specialization in Internal Medicine, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1750337549 assigned on May 2006. The practitioner's primary taxonomy code is 207RC0200X with license number 39002779A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1750337549
- Provider Name
- DR. CHERYL A. CLARK M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 E ROLLINS ST ORLANDO, FL 32803
- Location Phone
- (407) 303-7283
- Location Fax
- (407) 303-0347
- Mailing Address
- 601 E ROLLINS ST ORLANDO, FL 32803
- Mailing Phone
- (407) 303-7283
- Mailing Fax
- (407) 303-0347
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-25-2006
- Last Update Date
- 10-15-2022
- Code Navigator
An internist like Cheryl Clark is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845
(260) 672-6637
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 39002779A
- License State
- IN
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | ME45484 (FL) |
2 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | ME45484 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
01035 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
019628100 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Cheryl Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
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.
This service was performed 20 times for 20 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 32803 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.42, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 82.42 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 76.34
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 65.08
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 65.08
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for DR. CHERYL A. CLARK M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 3 | 3 | 7 | 5 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 3 | 14 | 5 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 3 + 1 + 4 + 5 + 8 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1750337549 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1295739522 | DAVID KOS DO Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1790781433 | ANNE CLAIBORNE M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 767-0433 |
1710984240 | JACK L BERGER M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1760489207 | BRUCE CROSSMAN M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1801893342 | MICHAEL DOYLE D.O. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1386641611 | JOHN T GIUFFRIDA M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1699772921 | STEPHEN M BORSTELMANN M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1538166582 | KENNETH MARGESON M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1174520134 | SAMUEL T RICHBOURG M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1295732089 | JAMES D OVERMEYER M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1356349096 | ROBERT SCHULTZ M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1245237973 | JAMES E. HANNAH M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1497752240 | ANTONIO GONZALEZ M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1629076187 | ASHIT SHAH M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1912905530 | BRIAN REEVES D.O. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1548268170 | LEN MORRIS M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1972501310 | TIMOTHY FARLEY M.D. Individual | Radiology (Diagnostic Radiology) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-1944 |
1033111943 | MS. JANET LEE GOSHORN ARNP Individual | Nurse Practitioner (Adult Health) | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-9779 |
1790778058 | MR. EDWARD ALEXANDER CRNA Individual | Nurse Anesthetist, Certified Registered | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 667-0444 |
1780677898 | DR. LESLIE R MASEM PHARM.D. Individual | Pharmacist | 601 E ROLLINS ST ORLANDO, FL 32803 (407) 303-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750337549, enumerated in the NPI registry as an "individual" on May 25, 2006
The provider is located at 601 E Rollins St Orlando, Fl 32803 and the phone number is (407) 303-7283
The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine
The provider might be accepting Accepts: HAP CareSource, Molina Healthcare, Priority. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $130.04 with an average copayment of $32.51 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes.
This NPI record was last updated on May 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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