Jeffrey Clark, CRNA
NPI 1811103138 · Certified Registered Nurse Anesthetist · Johnson City, TN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Clark, CRNA is a Certified Registered Nurse Anesthetist provider in Johnson City, TN (NPI 1811103138).
Provider details
- NPI number
- 1811103138
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 14744 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
55 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Procedure for Total Knee Joint Replacement01402 | 32 | $210 |
| Anesthesia for Open Or Endoscopic Total Shoulder Joint Replacement01638 | 12 | $220 |
| Anesthesia for Total Hip Replacement01214 | 11 | $201 |
Typical Medicare-allowed amounts for these services range $201–$220 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,339 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 300 Med Tech PkwyJohnson City, TN 37604-2277Phone: (423) 302-1020
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Frequently asked questions
- What is Jeffrey Clark's NPI number?
- Jeffrey Clark's National Provider Identifier (NPI) is 1811103138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Clark's specialty?
- Jeffrey Clark is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeffrey Clark located?
- Jeffrey Clark's practice location on file with NPPES is 400 N State of Franklin Rd, Johnson City, TN 37604-6035.
- What is Jeffrey Clark's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Clark is (423) 431-6111.
- Does Jeffrey Clark accept Medicare?
- Jeffrey Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Clark's NPI active?
- Yes — Jeffrey Clark's NPI (1811103138) is active in the NPPES registry as of the last update on 2023-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.