CHARLES E IV CLARK (M.D.) – Anesthesiology Physician, NPI 1194745851
Anesthesiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,337 ANESTHESIOLOGY in VA
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Provider Addresses for CHARLES E IV CLARK (M.D.)
USPS Roanoke PO Box Area, 516, East Byron Nelson Boulevard, Roanoke, Denton County, Texas, 76262, United States
ROANOKE, VA 240383888
Phone: (540) 772-7200
Type: Mailing
LewisGale Medical Center, 1900, Electric Road, Cliffview, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241537474
Phone: (540) 772-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2021-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210831000781 | I | Anesthesiology | NC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 61 | 59 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 36 | 36 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 18 | 18 | $0 |
| 01214 | Anesthesia for total hip replacement | 15 | 15 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 24038)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | VA | 00142 | Anesthesia for lens surgery | 118 | 107 |
| ANESTHESIOLOGY | VA | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 31 | 31 |
| ANESTHESIOLOGY | VA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| - | NM | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| A N E S T H E S I O L O G Y | NC | |
| A N E S T H E S I O L O G Y | NC | |
| A N E S T H E S I O L O G Y | DE | |
| Certified Registered Nurse Anesthetist (Crna) | NC |
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