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Dr. Clark Jon Knutson , MD

Pediatrics β€’ Plattsburgh, NY

Active NPI 1730276247 Individual Practitioner Male Practitioner
Practice location in NPPES

151 Bridge Street
Plattsburgh, NY 12901

Call 5185617337 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

151 Bridge Street

Plattsburgh, NY 12901

Telephone 5185617337
Fax 5185611335
Organization at the Same NPPES Address or Phone
Plattsburgh Pediatrics Pc Facility NPI 1962566406

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

NPPES lists 1 additional practice-address record in Mansfield, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

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. Knutson 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. Knutson 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 Plattsburgh and New York

17 active clinicians are listed under Pediatrics with a practice address in Plattsburgh, NY (5,805 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Plattsburgh

0% of these 17 clinicians have the CMS telehealth indicator.

11.8% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 2128611

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35C001716

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES OH 35C001716

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: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0054654 (OH)
Medicaid ID
01908429 (NY)
Other Identifier Bsnny
000490822003 (NY)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20190516002272

Enrollment State Jurisdiction

VI

PECOS Control ID

3971787755

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.

Secondary Practice Locations

335 Glessner Ave

Mansfield, OH 449032269

Phone: 4195268581

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Pediatrics (license number reported to NPPES: OH 35C001716)

βœ…
NPI Profile Active December 02, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 02, 2011

Registered at 151 BRIDGE STREET, PLATTSBURGH, NY 12901 (Tel: 5185617337)

πŸ“
Business Mailing Address (Initial Record) December 02, 2011

Registered at 151 BRIDGE STREET, PLATTSBURGH, NY 12901 (Tel: 5185617337)

πŸ‘€
Provider Name / Credentials (Initial Record) December 02, 2011

Recorded as CLARK KNUTSON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2011

Pediatrics (license number reported to NPPES: NY 2128611)

🟒
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730276247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: August 01, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Plattsburgh

Healthcare providers in Plattsburgh

Mailing Address

151 Bridge Street

Plattsburgh, NY 12901

Phone: 5185617337

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.