Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174942353 Individual Practitioner Male Practitioner

Dr. Jeffrey Clark , MD

Pediatrics • Minocqua, WI

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. Jeffrey Clark, MD is a registered healthcare professional specializing in Pediatrics in Minocqua, WI. Official NPI practice address is registered at 9576 HWY 70.

Frequently performed procedures and clinical services include infusion of chemotherapy into a vein up to 1 hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9576 Hwy 70
Department Of Pediatrics

Minocqua, WI 54548

Telephone 7153581000
Associated Practice Facility / Clinic
🏢 Marshfield Clinic, Inc. Facility NPI 1871679431

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Minocqua, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Minocqua, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.7% 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 (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96413 Infusion of chemotherapy into a vein up to 1 hour
16 15 $646.00 $131.41

Medical Specialties & State Licenses

CMS Verified: 2020-10-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 1174942353

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

600 Highland Ave, H4/831

Madison, WI 537920001

Phone: 6082638557

Practice Associates & Co-Workers

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

40 Associated Practitioners
Colleen Mueller , APNP

Nurse Practitioner

NPI 1003313230

Advanced Practice Nurse Prescriber

Dr. Lloyd Bakken , MD

Obstetrics & Gynecology

NPI 1003847336

Doctor of Medicine (M.D.)

NPI 1043221385

Doctor of Medicine (M.D.)

Anna Rosen , APNP

Nurse Practitioner - Adult Health

NPI 1053741207

Advanced Practice Nurse Prescriber

Megan Simmons , PA

Physician Assistant

NPI 1063047637

Physician Assistant

Dr. Mark Rassier , MD

Internal Medicine - Nephrology

NPI 1063514164

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 20, 2020

Registered at 9576 HWY 70, DEPARTMENT OF PEDIATRICS, MINOCQUA, WI 54548 (Tel: 7153581000)

📍
Updated Business Mailing Address October 20, 2020

Registered at 9576 HWY 70, DEPARTMENT OF PEDIATRICS, MINOCQUA, WI 54548 (Tel: 7153581000)

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082638557)

📍
Updated Business Mailing Address February 15, 2017

Registered at 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082638557)

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as JEFFREY CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Pediatrics (License #1174942353 in WI)

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2014

Registered at 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082638557)

📍
Updated Business Mailing Address April 15, 2014

Registered at 600 HIGHLAND AVE, H4/831, MADISON, WI 537920001 (Tel: 6082638557)

👤
Provider Name / Credentials Updated April 15, 2014

Recorded as JEFFREY CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 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: 1174942353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2014
Last Update: October 20, 2020
Sole Proprietor: No

Mailing Address

9576 Hwy 70, Department Of Pediatrics

Minocqua, WI 54548

Phone: 7153581000

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.