Adam Clarke

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2021025655 Issued in MO

Practice address

1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583

Phone

(573) 441-7070

Fax

(573) 441-2288

NPI assigned

Mar 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Louisville School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Timothy D McGarity MD PCGroup PAC ID 0941488928, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Timothy D McGarity MD PC

  • Ophthalmology Physician
  • Columbia, MO
  • NPI 1912299884
  Medicare reassignment Care Compare group NPD
• Restoration Eyecare LLC

  • Ophthalmology Physician
  • Columbia, MO
  • NPI 1255227369
  NPD

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

• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1710418124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036583",
            "telephone_number": "573-441-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036583",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2021025655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry William Clark, M.A., LPC
• Jason M Clark, O.D.
• Jennifer L.K. Clark, M.D.
• Jennifer Nicole Clark, CRNA
• Megan Elizabeth Clark, M.D.
• Christine Clarke
• Richard E. Clarke, HIS
• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Kevin Wallace Clary, MD

• Ophthalmology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.