Doctor profile · Federal record
Dr. Nicholas Clark
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · South Charleston, WV
- NPI 1316430564
- Accepts Medicare
- MIPS 78.9 / 100 · 2023
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4605 Maccorkle Ave Sw
South Charleston, WV 253091311
(304) 766-3600 - Mailing address
-
110 Roane St
Charleston, WV 253022334
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- West Virginia #118087
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316430564. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
42
Distinct HCPCS
3
Medicare allowed
$2,589
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 16 | 16 | $60 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $64 | |
00142 |
Anesthesia for lens surgery | 12 | 11 | $61 |
In context: peer comparison
Among 8 peers in South Charleston Certified Registered Nurse Anesthetist, average services per provider: 25. This provider delivers 1.7× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Nicholas Clark's medical specialty?
Dr. Nicholas Clark practices Certified Registered Nurse Anesthetist in South Charleston, WV.
Where does Dr. Nicholas Clark practice?
Dr. Nicholas Clark practices at 4605 Maccorkle Ave Sw, South Charleston, WV 253091311. Office phone: 3047663600.
What is Dr. Nicholas Clark's NPI?
Dr. Nicholas Clark's National Provider Identifier (NPI) is 1316430564, issued by NPPES.
Does Dr. Nicholas Clark accept Medicare assignment?
Yes. Dr. Nicholas Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicholas Clark commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for lens surgery (HCPCS 00142). Source: CMS Medicare Physician & Other Practitioners file.