Doctor profile · Federal record
Dr. Jerry Clark, MD
Anesthesiology Physician (CMS: Anesthesiology) · Pain Medicine (Anesthesiology) Physician · Winston Salem, NC
- NPI 1992780860
- Accepts Medicare
- 29 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
Medical Center Blvd
Winston Salem, NC 271570001
(336) 716-2255 - Mailing address
-
Po Box 344
Winston Salem, NC 271020344
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- August 23, 2017
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- North Carolina #200200013
- Medicaid (3)
- NC #891302E · SC #Q00012 · VA #1840960000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992780860. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
30
Distinct HCPCS
2
Medicare allowed
$1,615
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36620 |
Insertion of artery tube for blood sampling or infusion through skin | 16 | 16 | $42 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $67 |
In context: peer comparison
Among 64 peers in Winston Salem Anesthesiology Physician, average services per provider: 40. This provider delivers 0.8× the peer median.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abiomed | 1 | $26.45 |
By nature of payment
Frequently asked questions
What is Dr. Jerry Clark's medical specialty?
Dr. Jerry Clark practices Anesthesiology Physician in Winston Salem, NC.
Where does Dr. Jerry Clark practice?
Dr. Jerry Clark practices at Medical Center Blvd, Winston Salem, NC 271570001. Office phone: 3367162255.
What is Dr. Jerry Clark's NPI?
Dr. Jerry Clark's National Provider Identifier (NPI) is 1992780860, issued by NPPES.
Does Dr. Jerry Clark accept Medicare assignment?
Yes. Dr. Jerry Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jerry Clark commonly perform?
Top Medicare-reported procedures in 2023: Insertion of artery tube for blood sampling or infusion through skin (HCPCS 36620); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.