NPIMap

Individual provider Active NPI

Christopher Nicholson Clarke, D.O.

  • Family Medicine Physician
  • Berlin, PA
National Provider Identifier
1093971947
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017576 Issued in PA
Practice address
426 Main St
Berlin, PA 15530-1229
Phone
(814) 267-4603
Fax
(814) 267-6467
NPI assigned
Jul 31, 2008
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5908 NE
Family Medicine Physician 207Q00000X OS017576 PA Primary

Addresses

Primary practice location

426 Main St
Berlin, PA 15530-1229

Mailing address

329 S Pleasant Ave
Somerset, PA 15501-2262
Phone (814) 445-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002047 PA Practitioner - Family Practice 4587823125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

426 Main St
Berlin, PA 15530-1229
Phone (814) 267-4603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65.53
Promoting interoperability
100
Improvement activities
40
Cost
76.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5908NEMDGeneral Practice Dentistry
734NEMDRegistered Dietitian
OS017576PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services Inc Family Medicine Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Somerset Health Services, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

329 S Pleasant Ave
Somerset, PA 15501
Phone (814) 445-3575

Interoperability endpoints

  • Direct secure messaging: christopher.n.clarke@upmcdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1093971947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575",
            "fax_number": "814-445-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "BERLIN",
            "state": "PA",
            "postal_code": "155301229",
            "telephone_number": "814-267-4603",
            "fax_number": "814-267-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "NICHOLSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "5908",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, PA

Sources for this page

Verify at the official NPI Registry.