Barry Lee Clark, D.O.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

26229 Issued in MS

Practice address

700 Medical Park Dr
Hartsville, SC 29550-4765

Phone

(843) 383-3742

NPI assigned

Jul 29, 2005

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Orthopedic Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolinas Home Health Home health agency, Florence, SC, CCN 427058
• Coastal Health LLC Home health agency, Florence, SC, CCN 427142
• Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
• Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: barry.clark.1@8689.direct.athenahealth.com
• Direct secure messaging: barryclark@oa.exscribedirect.com
• FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4

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.

• Hartsville Medical Group LLC

  • Internal Medicine Physician
  • Hartsville, SC
  • NPI 1598995300

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Orthopaedic Institute of North Mississippi, LLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1790755320
  NPD
• Pee Dee Orthopedic Assoc

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1700887742
  NPD (past)
• Pee Dee Orthopedic Assoc

  • Orthopaedic Surgery Physician
  • Laurinburg, NC
  • NPI 1619273802
  NPD (past)

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

• Amedisys Home Health of South Carolina LLC

  dba Amedisys Home Health of Conway

  • Home Health Agency
  • Conway, SC
  • NPI 1316905573
  Care Compare affiliation
• Capital Care Resources of South Carolina, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation
• Coastal Health, LLC

  • Home Health Agency
  • Florence, SC
  • NPI 1518508050
  Care Compare affiliation
• Florence Home Care Services LLC

  dba Adoration Home Health

  • Home Health Agency
  • Florence, SC
  • NPI 1043258189
  Care Compare affiliation
• Hartsville, LLC

  dba Carolina Pines Regional Medical Center

  • General Acute Care Hospital
  • Hartsville, SC
  • NPI 1174500458
  Care Compare affiliation

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1891795985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014751",
            "telephone_number": "662-377-2663",
            "fax_number": "662-377-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL PARK DR",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504765",
            "telephone_number": "843-383-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Johns St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062777",
            "country_code": "US",
            "telephone_number": "843-662-5233 x3042",
            "fax_number": "843-678-9003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062707",
            "country_code": "US",
            "telephone_number": "843-777-7900",
            "fax_number": "843-777-7925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Gloster Creek Vlg Ste G1",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "38801",
            "country_code": "US",
            "telephone_number": "662-377-2663",
            "fax_number": "662-377-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Gloster Creek Vlg Ste G1",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "38801",
            "country_code": "US",
            "telephone_number": "662-377-2663",
            "fax_number": "662-377-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BARRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "833",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "26229",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MS",
            "license": "26229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02537316",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Hardee Chapman, LISW-CP
• Raymond M Chapman, M.D.
• Childrens Group PC
• Chiropractic Solutions of Hartsville, LLC
• Christine a Ballenger PSYD LLC
• Heather Nicole Clark, MA, ADC,CSAP
• Nancy S Clark, M.D.
• Clemson Eye, PA
• Danna Dubose Coe
• Samuel Pressly Coker III, LPC

• Adult Reconstructive Orthopaedic Surgery Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.