Dr. John Clarke, MD
300 Pasteur DR, Palo Alto, CA 94304 • +1-607-555-5839
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Palo Alto Percentiles
NPI #1467539643 • CBSA Regional • Gastroenterology
Anchored in Palo Alto, CA 94304, Dr. John Clarke, MD (NPI 1467539643) logged 1,476 annual procedures (upper-quartile active clinical volume (72.73th Palo Alto percentile), 64.96th CA percentile, -0.15σ) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1467539643 highlights 546 annual claims for 99214 (72.73th Palo Alto percentile; $184–$252 self-pay corridor) plus 369 encounters under 45380 and 310 under 43239.
Self-pay new patient consultations with Dr. Clarke (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.57/5 modern protocol openness score across 12 patient logs.
Clinical background for Dr. Clarke (MD, NPI #1467539643) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 300 Pasteur DR.
Compared against Palo Alto, CA Gastroenterology peers
1,476 annual services across 593 beneficiaries
Standard deviations from CA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 546 | 72.73th | $184 – $252 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 369 | 67.73th | $443 – $607 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 310 | 67.73th | $368 – $504 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 148 | 72.73th | $493 – $676 |
| 99204 | New Patient Digestive & Hepatology Consultation | 103 | 71.73th | $259 – $355 |
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Dr. John Clarke, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Clarke National Provider Identifier | NPI #1467539643 (MD) | CMS NPPES Registry (94304) |
| Dr. Clarke Palo Alto CMS Volume Rank | 72.73th Pct (1,476 CMS svcs; Z -0.148σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Palo Alto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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