DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) – Family Medicine Physician, NPI 1093971947

DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) is a healthcare provider. based in Berlin, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5908 (NE). The NPI Number for DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) is 1093971947

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER NICHOLSON CLARKE (D.O.)
NPI
1093971947
Phone
(814) 267-4603
Address
426 MAIN ST
Enumeration Date
31 July 2008
Last Update Date
5 May 2015

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8142674603
Graduation Year
2008 (18 years ago)
PAC ID
4587823125
Group Practice PAC ID
2668434614
Professional Enrollment ID
I20150713002047
Address ID
PA155301229BE426XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for DR. CHRISTOPHER NICHOLSON CLARKE (D.O.)

  • 426, Main Street, Berlin, Coos County, New Hampshire, 03570, United States

    BERLIN, PA 155301229

    Phone: (814) 267-4603

    Fax: (814) 267-6467

    Type: Location

  • 329, South Pleasant Avenue, Somerset, Somerset County, Pennsylvania, 15501, United States

    SOMERSET, PA 155012262

    Phone: (814) 445-3575

    Fax: (814) 445-8039

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-03-14 • Largest payer in this snapshot: Novo Nordisk Inc ($29).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150713002047IFamily PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes180119$0
99213Established patient office or other outpatient visit, 20-29 minutes15498$0
90682Influenza vaccine, quadrivalent derived from recombinant dna4848$0
G0008Administration of influenza virus vaccine4848$0
99215Established patient office or other outpatient visit, 40-54 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 15530)

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Provider's Procedures

DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA81002Urinalysis, manual test2216

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668434614View full group profile
NameSpecialtyState
-PR
P S Y C H I A T R YPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Pulmonary DiseasePA
Cardiovascular Disease (Cardiology), Internal MedicineFL
-MI
Nurse PractitionerPA
Physician AssistantPA

Reviews

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Frequently asked questions

Can I verify DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) with an NPI only?
You can start verification with NPI 1093971947 for DR. CHRISTOPHER NICHOLSON CLARKE (D.O.), then check state licensing separately.
Is DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) still practicing?
DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) is currently listed as active in the public NPI registry.
What is DR. CHRISTOPHER NICHOLSON CLARKE (D.O.)'s specialty?
The listing groups DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) based?
DR. CHRISTOPHER NICHOLSON CLARKE (D.O.) is tied to Berlin, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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