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Dr. Anna C Clarke , MD

Internal Medicine โ€ข Springfield, MA

Active NPI 1457715138 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

759 Chestnut St
Springfield, MA 011071619

Call 4137946297 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

759 Chestnut St

Springfield, MA 011071619

Telephone 4137946297
Fax 4137941767
Organization at the Same NPPES Address or Phone
Baystate Medical Center Inc Facility NPI 1497756282

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Baystate Medical Practices Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

169 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $33,112 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $25,966 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

76 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$591 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2019.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Clarke has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Clarke as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Internal Medicine in Springfield, MA (2024, 190 clinicians with data). Median for this group: 472. Middle half: 194 to 798.

Fewer Medicare Part B services than 60% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,795 clinicians with data). Median for this group: 524. Middle half: 200 to 1,073.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Internal Medicine in Springfield, MA (2024, 190 clinicians with data). Median for this group: $54,090. Middle half: $22,134 to $84,378.

A lower Medicare-allowed amount than 60% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,795 clinicians with data). Median for this group: $50,126. Middle half: $19,685 to $96,485.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Internal Medicine in Springfield, MA (2024, 190 clinicians with data). Median for this group: $42,197. Middle half: $16,040 to $66,202.

A lower Medicare payment amount than 60% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,795 clinicians with data). Median for this group: $38,152. Middle half: $14,838 to $74,912.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Clarke are from 2019.

283 active clinicians are listed under Internal Medicine with a practice address in Springfield, MA (6,830 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

17% of these 283 clinicians have the CMS telehealth indicator.

69.6% of these 283 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
175 96 $180.58 $77.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
122 68 $257.61 $116.68
99238 Hospital discharge day management, 30 minutes or less
66 65 $181.68 $80.20

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D ยท Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Lisinopril Lisinopril 27 1,104 $181.17 โ€”
Atorvastatin Calcium Atorvastatin Calcium 14 763 $223.68 โ€”
Gabapentin Gabapentin 13 384 $186.13 โ€”

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MA 280917

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES MA 280917

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20190612002708

Enrollment State Jurisdiction

MA

PECOS Control ID

7810282605

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011071619

Phone: 4137948121

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1770978843

Doctor of Medicine (M.D.)

NPI 1952785982

Doctor of Medicine (M.D.)

Dr. Deepak Acharya , MD

Internal Medicine

NPI 1578124723

Doctor of Medicine (M.D.)

Dr. Huzaifa Ahmad , MD

Internal Medicine

NPI 1215576822

Doctor of Medicine (M.D.)

NPI 1306154109

Doctor of Medicine (M.D.)

NPI 1700023827

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location June 03, 2019

Registered at 759 CHESTNUT ST, SPRINGFIELD, MA 011071619 (Tel: 4137946297)

๐Ÿ“
Updated Business Mailing Address June 03, 2019

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

๐Ÿ‘ค
Provider Name / Credentials Updated June 03, 2019

Recorded as ANNA CLARKE, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2019

Hospitalist (license number reported to NPPES: MA 280917)

โœ…
NPI Profile Active April 08, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 08, 2016

Registered at BAYSTATE MEDICAL CTR, 759 CHESTNUT ST., SPRINGFIELD, MA 011990001 (Tel: 4137940000)

๐Ÿ“
Business Mailing Address (Initial Record) April 08, 2016

Registered at BAYSTATE MEDICAL CENTER, 759 CHESTNUT ST., SPRINGFIELD, MA 01199 (Tel: 4137940000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 08, 2016

Recorded as ANNA CLARKE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2016

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 08, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457715138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2016
Last Update: June 03, 2019
Sole Proprietor: No

Other Internal Medicine Providers in Springfield

All Internal Medicine Providers in Springfield

Mailing Address

280 Chestnut St Fl 2

Springfield, MA 011991001

Phone: 4137945700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.