Cody Clark
NPI 1720442866 · Certified Registered Nurse Anesthetist · Lebanon, PA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cody Clark is a Certified Registered Nurse Anesthetist provider in Lebanon, PA (NPI 1720442866).
Provider details
- NPI number
- 1720442866
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN626823 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
45 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) |
|---|---|---|
| Anesthesia for Exam of Colon Using an Endoscope00812 | 24 | $49 |
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 21 | $65 |
Typical Medicare-allowed amounts for these services range $49–$65 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (4)
- 169 Martin AveEphrata, PA 17522-1734Phone: (717) 733-0311Fax: (717) 721-5861
- 1001 S George StYork, PA 17403-3676Phone: (717) 812-7687Fax: (717) 851-5250
- 55 Monument RdYork, PA 17403-5023Phone: (717) 812-6425Fax: (717) 851-5250
- 25 Monument Rd Ste 270York, PA 17403-5073Phone: (717) 741-8250Fax: (717) 741-8289
Registry dates
- Enumerated
- 2016-04-05
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Cody Clark's NPI number?
- Cody Clark's National Provider Identifier (NPI) is 1720442866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cody Clark's specialty?
- Cody Clark is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cody Clark located?
- Cody Clark's practice location on file with NPPES is 252 S 4th St, Lebanon, PA 17042-6111.
- What is Cody Clark's phone number?
- The practice phone number listed in the NPPES registry for Cody Clark is (717) 270-7500.
- Does Cody Clark accept Medicare?
- Cody Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cody Clark's NPI active?
- Yes — Cody Clark's NPI (1720442866) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.