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Active NPI 1770517260 Individual Practitioner Male Practitioner

Dr. Peter L Clark , DO

Emergency Medicine • Lewiston, ME

✓ Accepts Medicare Assignment
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. Peter Clark, DO is a registered Emergency Medicine practitioner in Lewiston, ME. With approximately 29 years of clinical practice since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 1997, Dr. Clark provides healthcare services at the registered practice location at 300 MAIN ST.

Dr. Clark maintains professional affiliations with Bluewater Emergency Partners Of Brunswick, Llc, Mercy Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Main St

Lewiston, ME 042407027

Telephone 2077950111
Associated Practice Facility / Clinic
🏢 Great Falls Pathology, P.a. Facility NPI 1427034461

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Lewiston, ME

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +12.9 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Lewiston, ME (481 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (29 Years) 29 Yrs
Lewiston Specialty Average (16.1 Years) 16.1 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
99284 Emergency department visit with moderate level of medical decision making
98 98 $396.08 $113.30
99285 Emergency department visit for life threatening or functioning severity
63 63 $691.40 $163.96
99283 Emergency department visit with low level of medical decision making
48 47 $279.07 $67.05

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License ME DO1775

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License ME 1775

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Mercy Hospital

40 Park Rd, Westbrook, ME 040923188

Phone: 2078578174

Mercy Hospital

155 Rover River Pkwy, Portland, ME 041022779

Phone: 2078793000

Mercy Hospital

175 Fore River Pkwy, Portland, ME 041022779

Phone: 2078793000

Bluewater Emergency Partners Of Brunswick, Llc

300 Main St, Lewiston, ME 042407027

Phone: 2077955646

Secondary Practice Locations

10 Goodall Dr, Suite 900

East Waterboro, ME 040305214

Phone: 2074907760

Practice Associates & Co-Workers

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

40 Associated Practitioners
Angela Wood , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003145053

Certified Registered Nurse Anesthetist

Dana Mccoy , PT

Physical Therapist

NPI 1003273806

Physical Therapist

Dr. Asha Mohamud , MD

Internal Medicine

NPI 1003493081

Doctor of Medicine (M.D.)

Glenda Kribel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003920802

Certified Registered Nurse Anesthetist

Dr. Nancy Asamoa , MD

Internal Medicine

NPI 1023135639

Doctor of Medicine (M.D.)

Dr. Stephanie Boggs , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1023148509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2018

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

📍
Updated Business Mailing Address February 05, 2018

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

👤
Provider Name / Credentials Updated February 05, 2018

Recorded as PETER CLARK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Emergency Medicine (License #DO1775 in ME)

NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2008

Registered at 10 GOODALL DR, SUITE 900, EAST WATERBORO, ME 040305214 (Tel: 2074907760)

📍
Updated Business Mailing Address May 21, 2008

Registered at 10 GOODALL DR, SUITE 900, EAST WATERBORO, ME 040305214 (Tel: 2074907760)

👤
Provider Name / Credentials Updated May 21, 2008

Recorded as PETER CLARK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Family Medicine (License #1775 in ME)

🟢
Initial NPI Registration & Enumeration July 10, 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: 1770517260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: February 05, 2018
Sole Proprietor: No

Mailing Address

300 Main St

Lewiston, ME 042407027

Phone: 2077950111

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.