Active NPI 1396830477 Individual Practitioner Female Practitioner

Dr. Lin W Clark , MD

Internal Medicine • Tucson, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Lin Clark, MD is a registered healthcare professional specializing in Internal Medicine in Tucson, AZ. Official NPI practice address is registered at 5100 E BROADWAY BLVD.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5100 E Broadway Blvd

Tucson, AZ 857113762

Telephone 5206133001

Fax 5205046481

Associated Practice Facility / Clinic

🏢 Archwell Health Professional Services Of Alabama, Llc Facility NPI 1033792502

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tucson, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.6 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

674 Specialists

Practicing in Tucson, AZ (2967 Statewide)

Telehealth Adoption Rate

9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	46	$379.95	$126.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$387.96	$129.32
G0444 Annual depression screening, 5 to 15 minutes	21	21	$54.30	$18.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	573	311	$382.79	$127.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$389.83	$131.42
99213 Established patient office or other outpatient visit, typically 15 minutes	193	147	$270.06	$89.90
G0444 Annual depression screening, 5 to 15 minutes	183	183	$54.74	$18.40
G0008 Administration of influenza virus vaccine	110	110	$87.00	$16.27
90662 Influenza vaccine split virus, preservative free	86	86	$62.15	$57.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	24	$42.14	$13.99
99442 Telephone medical discussion with physician, 11-20 minutes	52	44	$264.91	$67.43
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	40	40	$78.73	$26.49
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	25	$155.88	$52.23
99441 Telephone medical discussion with physician, 5-10 minutes	20	19	$165.90	$35.87
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	19	19	$50.00	$28.33
G0009 Administration of pneumococcal vaccine	12	12	$87.00	$16.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$234.00	$123.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$332.40	$111.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$497.07	$167.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	492	309	$318.16	$108.50
99213 Established patient office or other outpatient visit, typically 15 minutes	283	182	$216.00	$74.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	212	212	$343.00	$115.67
G0444 Annual depression screening, 5 to 15 minutes	146	146	$54.00	$18.08
G0008 Administration of influenza virus vaccine	112	112	$87.00	$16.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	27	$74.00	$14.16
90653 Vaccine for influenza for injection into muscle	71	71	$70.00	$58.69
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	44	44	$50.00	$29.23
G0442 Annual alcohol misuse screening, 5 to 15 minutes	36	36	$54.00	$18.01
G0009 Administration of pneumococcal vaccine	29	29	$87.00	$16.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$234.00	$118.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$319.28	$107.73
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	17	17	$159.00	$53.11
J1040 Injection, methylprednisolone acetate, 80 mg	15	13	$28.00	$11.63
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$173.53	$102.32
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$207.00	$56.73
99495 Transitional care management services for problem of at least moderate complexity	14	14	$485.00	$184.04
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$493.00	$166.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	11	$50.00	$16.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	536	272	$317.55	$106.37
99213 Established patient office or other outpatient visit, typically 15 minutes	262	176	$215.77	$73.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$343.00	$114.10
G0444 Annual depression screening, 5 to 15 minutes	170	170	$53.85	$17.65
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	91	90	$49.73	$27.05
G0008 Administration of influenza virus vaccine	90	89	$87.00	$16.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	26	$74.00	$16.37
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	55	55	$77.89	$25.91
G0009 Administration of pneumococcal vaccine	48	48	$87.00	$16.25
99496 Transitional care management services for problem of high complexity	35	30	$683.00	$227.83
99495 Transitional care management services for problem of at least moderate complexity	33	30	$485.00	$161.32
G0442 Annual alcohol misuse screening, 5 to 15 minutes	32	32	$54.00	$17.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$234.00	$110.52
90670 Pneumococcal vaccine for injection into muscle	23	23	$462.00	$209.71
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	23	18	$159.00	$52.37
J1040 Injection, methylprednisolone acetate, 80 mg	19	17	$28.00	$12.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$320.00	$107.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$489.00	$162.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	270	$318.00	$104.66
99213 Established patient office or other outpatient visit, typically 15 minutes	416	243	$216.00	$71.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	199	199	$343.00	$114.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	123	63	$74.00	$20.09
G0008 Administration of influenza virus vaccine	80	80	$87.00	$19.96
G0009 Administration of pneumococcal vaccine	73	73	$87.00	$19.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	55	55	$234.00	$103.67
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	52	52	$45.00	$23.12
90670 Pneumococcal vaccine for injection into muscle	43	43	$462.00	$197.60
G0444 Annual depression screening, 5 to 15 minutes	39	39	$54.00	$17.60
99495 Transitional care management services for problem of at least moderate complexity	31	29	$485.00	$161.55
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$36.00	$19.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$320.00	$106.72
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	22	17	$159.00	$52.93
99496 Transitional care management services for problem of high complexity	18	17	$683.00	$228.90
J1040 Injection, methylprednisolone acetate, 80 mg	16	15	$28.00	$13.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$469.92	$162.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	551	285	$215.18	$71.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	194	$318.00	$105.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$343.00	$113.05
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	118	115	$44.66	$23.54
G0008 Administration of influenza virus vaccine	117	114	$86.64	$24.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	23	$73.63	$24.72
G0009 Administration of pneumococcal vaccine	59	59	$77.51	$24.54
90670 Pneumococcal vaccine for injection into muscle	59	59	$316.51	$182.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$320.00	$105.94
99495 Transitional care management services for problem of at least moderate complexity	22	21	$485.00	$159.80
J1040 Injection, methylprednisolone acetate, 80 mg	16	12	$26.69	$10.75
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$50.23	$16.65
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	11	11	$158.55	$52.66

Medical Specialties & State Licenses

CMS Verified: 2024-08-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ 65768

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield

18018041 (MO)

Commercial Insurance / Payer ID State License Number

R5P28 (MO)

Commercial Insurance / Payer ID Coventry

168073

Commercial Insurance / Payer ID Aetna

7896043

Secondary Practice Locations

7091 E Speedway Blvd

Tucson, AZ 857101241

Phone: 5207215777

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Marisela Mariscal , MD

Family Medicine

NPI 1063075836

Doctor of Medicine (M.D.)

Nicolette Miller

Nurse Practitioner - Family

NPI 1255169314

Dr. Onna Lau , MD

Family Medicine - Geriatric Medicine

NPI 1609372309

Doctor of Medicine (M.D.)

Rachelle Petika , NP-C

Nurse Practitioner - Family

NPI 1639518962

Nurse Practitioner (Certified)

Catherine Ulrickson , FNP

Nurse Practitioner - Family

NPI 1821357427

Family Nurse Practitioner

Dr. Iris Baccam , MD

Family Medicine

NPI 1851853675

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location August 07, 2024

Registered at 5100 E BROADWAY BLVD, TUCSON, AZ 857113762 (Tel: 5206133001)

📍

Updated Business Mailing Address August 07, 2024

Registered at 102 WOODMONT BLVD STE 600, NASHVILLE, TN 372055250

📍

Updated Practice Location April 01, 2022

Registered at 7091 E SPEEDWAY BLVD, TUCSON, AZ 857101241 (Tel: 5207215777)

📍

Updated Business Mailing Address April 01, 2022

Registered at 7091 E SPEEDWAY BLVD, TUCSON, AZ 857101241 (Tel: 5207215777)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2022

Internal Medicine (License #65768 in AZ)

📍

Updated Practice Location December 10, 2021

Registered at 205 NW RD MIZE RD STE 400, BLUE SPRINGS, MO 64014 (Tel: 8162289841)

📍

Updated Business Mailing Address November 25, 2020

Registered at 205 NW R D MIZE RD STE 400, BLUE SPRINGS, MO 640142520 (Tel: 8162289841)

📍

Updated Practice Location October 24, 2018

Registered at 205 NW RD MIZE RD, SUITE 400, BLUE SPRINGS, MO 64014 (Tel: 8162289841)

📍

Updated Business Mailing Address April 27, 2018

Registered at 205 NW R D MIZE RD, STE 400, BLUE SPRINGS, MO 640142520 (Tel: 8163733006)

✅

NPI Profile Active August 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2011

Registered at 4911 S. ARROWHEAD DRIVE, SUITE 101, INDEPENDENCE, MO 64055 (Tel: 8163733006)

📍

Updated Business Mailing Address August 24, 2011

Registered at 4911 S. ARROWHEAD DRIVE, SUITE 101, INDEPENDENCE, MO 64055 (Tel: 8163733006)

👤

Provider Name / Credentials Updated August 24, 2011

Recorded as LIN CLARK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Internal Medicine (License #R5P28 in MO)

🟢

Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396830477

Entity Type:

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

Enumeration Date: October 04, 2006

Last Update: August 07, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 Woodmont Blvd Ste 600

Nashville, TN 372055250

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.