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Active NPI 1205241577 Individual Practitioner Male Practitioner

Dr. Chad Clark , OD

Optometrist • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chad Clark, OD is a certified Optometrist practicing in Boise, ID. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Clark delivers high-quality medical care to the local community at 1205 S FIVE MILE RD.

Dr. Clark accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1205 S Five Mile Rd

Boise, ID 837091304

Telephone 2083228381
Associated Practice Facility / Clinic
🏢 David M. Ward, Jr., Od, Pa Facility NPI 1598825416

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boise, ID

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -5.1 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
87 Specialists

Practicing in Boise, ID (385 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (12 Years) 12 Yrs
Boise Specialty Average (17.1 Years) 17.1 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
92014 Established patient complete exam of visual system
116 115 $119.00 $116.01
99213 Established patient office or other outpatient visit, typically 15 minutes
61 39 $117.00 $83.67
92134 Imaging of retina
22 18 $87.00 $36.67
92004 New patient complete exam of visual system
19 19 $149.00 $137.34

Medical Specialties & State Licenses

CMS Verified: 2022-11-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP-100308

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1245300276

Doctor of Optometry

NPI 1639331069

Doctor of Optometry

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 17, 2021

Registered at 1205 S FIVE MILE RD, BOISE, ID 837091304 (Tel: 2083228381)

📍
Updated Business Mailing Address June 17, 2021

Registered at 1205 S FIVE MILE RD, BOISE, ID 837091304 (Tel: 2083228381)

📍
Updated Practice Location September 14, 2018

Registered at 5201 HAMILTON BLVD, ALLENTOWN, PA 181069113 (Tel: 6105304444)

📍
Updated Business Mailing Address September 14, 2018

Registered at 201 E LAUREL BLVD, POTTSVILLE, PA 179012534 (Tel: 5706284444)

NPI Profile Active June 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2014

Registered at 4191 POLELINE RD, SUITE C, POCATELLO, ID 832022402 (Tel: 2082397927)

📍
Updated Business Mailing Address June 25, 2014

Registered at 4191 POLELINE RD, SUITE C, POCATELLO, ID 832022402 (Tel: 2082397927)

👤
Provider Name / Credentials Updated June 25, 2014

Recorded as CHAD CLARK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2014

Optometrist (License #ODP-100308 in ID)

🟢
Initial NPI Registration & Enumeration June 25, 2014

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: 1205241577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2014
Last Update: November 14, 2022
Sole Proprietor: Yes

Mailing Address

1205 S Five Mile Rd

Boise, ID 837091304

Phone: 2083228381

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.