Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073665964 Individual Practitioner Male Practitioner

Dr. James T. Clark , MD

Specialist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. James Clark, MD is a registered healthcare professional specializing in Specialist in Tyler, TX. Practice services are available at 1100 E LAKE ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 E Lake St
Suite 330

Tyler, TX 757013343

Telephone 9035955522
Fax 9035953834
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Tyler, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.9% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
137 95 $150.00 $100.03
17004 Destruction of precancer skin growth, 15 or more growths
94 67 $372.40 $137.09
99213 Established patient office or other outpatient visit, typically 15 minutes
29 24 $125.00 $67.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $225.00 $152.85
17000 Destruction of skin growth
20 16 $111.66 $48.50
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
18 14 $236.92 $111.85
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
17 16 $595.44 $321.80
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth
15 14 $276.80 $138.75
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
13 13 $376.18 $215.70
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
11 11 $254.56 $124.43

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX D3181

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
11235461 (TX)
Commercial Insurance / Payer ID Tax Id #
751477994 (TX)
Commercial Insurance / Payer ID Railroad Medicare
041539337 (TX)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1043206774

Doctor of Medicine (M.D.)

Mary Baker

Psychologist - Clinical

NPI 1275269037
NPI 1346345113

Doctor of Medicine (M.D.)

NPI 1649268483

Doctor of Medicine (M.D.)

Megan Francis

Nurse Practitioner - Family

NPI 1699314062
Lisa Losack , BSN, CNOR, CRNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1962580241

Bachelor of Science in Nursing, CNOR, CRNFA

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 E LAKE ST, SUITE 330, TYLER, TX 757013343 (Tel: 9035955522)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 E LAKE ST, SUITE 330, TYLER, TX 757013343 (Tel: 9035955522)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #D3181 in TX)

🟢
Initial NPI Registration & Enumeration January 18, 2007

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: 1073665964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1100 E Lake St, Suite 330

Tyler, TX 757013343

Phone: 9035955522

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.