Active NPI 1568456036 Individual Practitioner Male Practitioner

Dr. Randolph A Clark , MD

Internal Medicine • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Clark, MD is a certified Internal Medicine practicing in Phoenix, AZ. With approximately 28 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1998, Dr. Clark delivers high-quality medical care to the local community at 2510 W DUNLAP AVE STE 290.

Dr. Clark maintains professional affiliations with Clark Medical And Post-Acute Services Llc, Pine Park Health, Inc, Geriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.D. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2510 W Dunlap Ave Ste 290

Phoenix, AZ 850212759

Telephone 6027890344

Fax 6027898389

Associated Practice Facility / Clinic

🏢 Hospitalists Of Arizona, Llc Facility NPI 1578564860

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

726 Specialists

Practicing in Phoenix, AZ (2967 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (28 Years) 28 Yrs

Phoenix Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	268	161	$120.00	$60.43
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	268	117	$235.00	$122.30
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	238	110	$95.00	$46.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	194	128	$115.00	$71.48
99306 Initial nursing facility visit, typically 45 minutes per day	181	167	$270.00	$174.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	130	97	$155.00	$103.35
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	121	115	$199.50	$127.99
36415 Insertion of needle into vein for collection of blood sample	67	52	$15.00	$8.65
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	61	50	$140.00	$73.67
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	31	15	$145.00	$69.84
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	26	24	$85.00	$43.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$500.00	$125.10
99315 Nursing facility discharge day management, 30 minutes or less	19	19	$125.00	$78.36
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	17	15	$340.00	$177.94
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	17	15	$265.00	$129.71
99344 New patient home visit, typically 1 hour	14	14	$260.00	$137.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	253	110	$200.00	$123.46
99306 Initial nursing facility visit, typically 45 minutes per day	212	197	$337.69	$173.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	143	143	$243.21	$127.34
36415 Insertion of needle into vein for collection of blood sample	139	94	$10.00	$8.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	72	$150.31	$71.35
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	72	37	$100.00	$60.39
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	63	46	$128.00	$73.81
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	62	60	$65.00	$63.70
G0008 Administration of influenza virus vaccine	61	59	$28.24	$27.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	52	$185.51	$102.24
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	44	22	$75.00	$45.68
99315 Nursing facility discharge day management, 30 minutes or less	33	33	$176.25	$78.36
G0180 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	21	21	$135.35	$50.30
99497 Advance care planning, first 30 minutes	19	19	$201.20	$72.37
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	16	16	$270.00	$180.15
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	16	15	$62.50	$43.35
99344 New patient home visit, typically 1 hour	11	11	$216.00	$139.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	852	249	$231.90	$87.21
99306 Initial nursing facility visit, typically 45 minutes per day	328	286	$424.95	$158.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	185	82	$175.95	$66.03
99497 Advance care planning, first 30 minutes	91	88	$201.20	$74.69
99316 Nursing facility discharge management, more than 30 minutes	75	75	$268.00	$99.50
G0180 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	70	70	$135.35	$51.13
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	60	58	$329.33	$123.55
99316 Nursing facility discharge management, more than 30 minutes	31	29	$268.00	$99.84
G0180 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	26	24	$135.35	$51.26
99315 Nursing facility discharge day management, 30 minutes or less	19	19	$186.75	$69.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	416	390	$452.43	$160.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	408	189	$231.68	$87.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	212	125	$175.95	$66.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	77	74	$351.95	$125.38
99315 Nursing facility discharge day management, 30 minutes or less	54	53	$184.70	$70.13
G0180 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	44	43	$137.77	$51.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	33	$213.00	$67.39
99497 Advance care planning, first 30 minutes	26	26	$206.01	$75.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	23	22	$280.61	$88.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	390	363	$495.95	$165.89
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	126	124	$387.24	$127.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	66	$273.22	$90.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	16	$207.00	$68.59
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	24	$277.59	$90.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	16	$205.94	$68.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	481	433	$474.43	$164.09
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	162	154	$369.56	$128.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	103	72	$194.65	$67.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	58	$261.60	$89.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	224	80	$185.45	$68.26
99306 Initial nursing facility visit, typically 45 minutes per day	168	163	$452.57	$164.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	155	69	$245.87	$90.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	69	66	$355.59	$128.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	216	74	$180.00	$66.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	203	80	$236.03	$88.20
99306 Initial nursing facility visit, typically 45 minutes per day	112	102	$436.63	$163.36
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	50	49	$339.88	$126.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	39	$183.81	$68.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	23	$241.17	$89.82
99335 Established patient assisted living visit, typically 25 minutes	16	12	$241.50	$91.14

Medical Specialties & State Licenses

CMS Verified: 2025-04-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ 27792

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NV 26212

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

648751 (AZ)

Hospital & Practice Group Affiliations

Pine Park Health, Inc

19303 N New Tradition Rd, Sun City West, AZ 853753806

Phone: 5109291400

Clark Medical And Post-Acute Services Llc

10810 N Tatum Blvd, Phoenix, AZ 850286055

Phone: 6025684362

Geriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.d.

6880 S Mccarran Blvd, Reno, NV 895096129

Phone: 7753981981

Secondary Practice Locations

6880 S Mccarran Blvd Ste 5

Reno, NV 895096129

Phone: 7753981981

2645 E Southern Ave

Tempe, AZ 852827649

Phone: 6236248280

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Ricardo Cestero , MD

Internal Medicine

NPI 1023216835

Doctor of Medicine (M.D.)

Dr. Irvin Belzer , MD

Internal Medicine

NPI 1063450344

Doctor of Medicine (M.D.)

Dr. Shishir Shah , DO

Family Medicine

NPI 1083663306

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Couch , DO

Pediatrics - Neonatal-Perinatal Medicine

NPI 1093009672

Doctor of Osteopathic Medicine (D.O.)

Ryan Alder , FNP

Nurse Practitioner - Family

NPI 1104811892

Family Nurse Practitioner

Dr. Mohammad Wisam Baqdunes , MD

Internal Medicine

NPI 1124356779

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2025

Internal Medicine (License #26212 in NV)

✅

NPI Profile Active May 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 30, 2017

Registered at 2510 W DUNLAP AVE STE 290, PHOENIX, AZ 850212759 (Tel: 6027890344)

📍

Updated Business Mailing Address May 30, 2017

Registered at 2510 W DUNLAP AVE STE 290, PHOENIX, AZ 850212759 (Tel: (602) 789-0344)

👤

Provider Name / Credentials Updated May 30, 2017

Recorded as RANDOLPH CLARK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2017

Internal Medicine (License #27792 in AZ)

✅

NPI Profile Active January 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2008

Registered at 2020 N CENTRAL AVE, SUITE 1010, PHOENIX, AZ 850044501 (Tel: 6025538400)

📍

Updated Business Mailing Address January 22, 2008

Registered at 2020 N CENTRAL AVE, SUITE 1010, PHOENIX, AZ 850044501 (Tel: 6025538400)

👤

Provider Name / Credentials Updated January 22, 2008

Recorded as RANDOLPH CLARK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2008

Internal Medicine (License #27792 in AZ)

🟢

Initial NPI Registration & Enumeration September 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Randolph Clark. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1568456036

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 09, 2005

Last Update: April 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2510 W Dunlap Ave Ste 290

Phoenix, AZ 850212759

Phone: 6027890344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.