Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164534624 Individual Practitioner Female Practitioner

Dr. Marilyn R. Clark , MD

Internal Medicine • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Marilyn Clark, MD is a registered healthcare professional specializing in Internal Medicine in Boston, MA. Practice services are available at 30 NORTHAMPTON STREET under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

30 Northampton Street

Boston, MA 021184010

Telephone 6174339601
Fax 6174456538
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
2379 Specialists

Practicing in Boston, MA (7127 Statewide)

Telehealth Adoption Rate
24.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.0% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
12 12 $177.08 $115.18

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 44535

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

Medicaid State Provider ID
6168213 (MA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Stacie Selfridge , OT

Occupational Therapist

NPI 1023438801

Occupational Therapist

Dr. Marc Emmerich , MD

Internal Medicine

NPI 1033292636

Doctor of Medicine (M.D.)

Deanna Sumner , NP

Nurse Practitioner - Adult Health

NPI 1053389486

Nurse Practitioner

Ashley Gilliam , RN

Registered Nurse

NPI 1063974723

Registered Nurse

Ann Castle , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1083644256

Registered Nurse

Anne Kearns , PT

Physical Therapist

NPI 1164547311

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2015

Registered at 30 NORTHAMPTON STREET, BOSTON, MA 021184010 (Tel: 6174339601)

📍
Updated Business Mailing Address October 22, 2015

Registered at 30 NORTHAMPTON STREET, BOSTON, MA 021184010 (Tel: 6174339601)

👤
Provider Name / Credentials Updated October 22, 2015

Recorded as MARILYN CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Internal Medicine (License #44535 in MA)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1164534624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: October 22, 2015
Sole Proprietor: No

Mailing Address

30 Northampton Street

Boston, MA 021184010

Phone: 6174339601

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.