Clark Anderson, MD
NPI 1104485770 · Student in an Organized Health Care Education/Training Program · San Antonio, TX
Enrolled with Medicare as Practitioner - Radiation Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clark Anderson, MD is a Student in an Organized Health Care Education/Training Program provider in San Antonio, TX (NPI 1104485770).
Provider details
- NPI number
- 1104485770
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- NONE (NC)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
233 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Calculation of Radiation Therapy Dose77300 | 63 | $31 |
| Ct Guidance for Insertion of Radiation Therapy Fields77014 | 60 | $43 |
| Radiation Treatment Management, 5 Treatment Sessions77427 | 44 | $184 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 20 | $213 |
| Complex Radiation Therapy Planning77263 | 18 | $162 |
| Design and Construction of Radiation Treatment Device for High Precision Radiation Therapy77338 | 15 | $217 |
Practice location
Mailing address
Additional practice locations (2)
- 1 Medical Center BlvdWinston Salem, NC 27157-0001Phone: (336) 716-2011
- 210 Medical Park Blvd Ste 100Petersburg, VA 23805-9348Phone: (804) 765-5850Fax: (804) 765-5870
Registry dates
- Enumerated
- 2019-06-07
- Last updated
- 2024-06-25
- Certified
- 2023-07-18
Frequently asked questions
- What is Clark Anderson's NPI number?
- Clark Anderson's National Provider Identifier (NPI) is 1104485770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Anderson's specialty?
- Clark Anderson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Clark Anderson located?
- Clark Anderson's practice location on file with NPPES is 4502 Medical Dr, San Antonio, TX 78229.
- What is Clark Anderson's phone number?
- The practice phone number listed in the NPPES registry for Clark Anderson is (920) 460-8927.
- Does Clark Anderson accept Medicare?
- Clark Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clark Anderson's NPI active?
- Yes — Clark Anderson's NPI (1104485770) is active in the NPPES registry as of the last update on 2024-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.