2026 NPPES data Colon & Rectal Surgery Physician NPI 1295922052 M.D.
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Jill Clark, M.D.

Colon & Rectal Surgery Physician in Albuquerque, New Mexico. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,608 in Colon & Rectal Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
85
Medicare Part D claims · 49 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.2/100
▼ 4 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Jill Clark, M.D. reported a CMS MIPS final score of 79.2/100 - below the 83.1 national average - and filed 85 Medicare Part D claims in 2023.

79.2/100
MIPS score · -4 vs avg
85
Part D claims, 2023
55%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Jill Clark, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Jill Clark, M.D. sits

This provider among colon & rectal surgery physician peers

Across the 536 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jill Clark, M.D. writes more Part D claims than 29% of them and scores higher on MIPS quality than 28% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Jill Clark, M.D.-Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 28
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Jill Clark, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Jill Clark, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Jill Clark, M.D.?

Near national average

NPI registry status

Active

Issued 09/26/2007

NPI 1295922052

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

85 57% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

79.2/100 3.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Colon & Rectal Surgery Physician compares to other specialties among New Mexico providers

New Mexico providers

Largest specialties in New Mexico (% of in-state providers)

Behavior Technician - 9.5%Behavior Technician9.5%Case Manager/Care Coordinator - 6.3%Case Manager/Care Coordinator6.3%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Student in an Organized Health Care Education/Training Program - 3.9%Student in an Organized Health Care Education/Training Program3.9%Counselor - 3.8%Counselor3.8%Clinical Social Worker - 3.8%Clinical Social Worker3.8%Colon & Rectal Surgery Physician - 0%Colon & Rectal Surgery Physician0%
Largest specialties in New Mexico (% of in-state providers)

Medicare quality performance, MIPS

Jill Clark, M.D.'s 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

Near national average
MIPS Final Score
79.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) - 79.2/100 vs national avg 83.1

0%100%National avg83%79.2%
MIPS final score (Colon & Rectal Surgery Physician) - 79.2/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Jill Clark, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 715 DR MARTIN LUTHER KING JR AVE NE STE 301, Albuquerque, NM, 87102, with a listed phone of (505) 727-7090. NPI 1295922052 was issued on 09/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Clark most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 85 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $11K in drug spend, split 45% brand-name and 55% generic by claim count. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.2/100 for the 2023 performance year (Quality 74.5, Cost 56), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

715 DR MARTIN LUTHER KING JR AVE NE STE 301
Albuquerque, NM 87102

Provider Details

NPI 1295922052
Specialty Colon & Rectal Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 09/26/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.168
Final Score
Avg: 83.1
74.5323
Quality
56.0276
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Jill Clark, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Southwest Medical Associates, LLC
Albuquerque, NM

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

Jill Clark, M.D. - brand share 45.0%
Colon & Rectal Surgery Physician average

45% brand-name claims vs 55% generic, on 85 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

85
Total Claims
$11K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
102
Total Day Supply
1,490
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$9K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.15
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
30

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Colon & Rectal Surgery Physician Overview

How Jill Clark, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

Jill Clark, M.D.'s 85 claims are below the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Clark.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Jill Clark, M.D.'s specialty?
Jill Clark, M.D. specializes in Colon & Rectal Surgery Physician and practices in Albuquerque, New Mexico. Credentials: M.D..
How much does Jill Clark, M.D. prescribe under Medicare Part D?
In 2023, Jill Clark, M.D. wrote 85 Medicare Part D claims totaling $11K in drug costs for 49 beneficiaries.
What is Jill Clark, M.D.'s Medicare quality score?
Jill Clark, M.D. has a CMS MIPS Final Score of 79.2/100 (Quality: 74.5, Cost: 56). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jill Clark, M.D. located?
Jill Clark, M.D. is located at 715 DR MARTIN LUTHER KING JR AVE NE STE 301, Albuquerque, NM, 87102. Phone: (505) 727-7090.
What is Jill Clark, M.D.'s NPI number?
Jill Clark, M.D.'s National Provider Identifier (NPI) is 1295922052, issued on 09/26/2007.
Does Jill Clark, M.D. prescribe more brand-name or generic drugs?
Jill Clark, M.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $9K in brand drug costs.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Jill Clark, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Jill Clark, M.D.'s most frequently prescribed drugs include Sutab. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jill Clark, M.D. accept Medicare?
Jill Clark, M.D. appears in CMS Medicare data with 85 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jill Clark, M.D.'s credentials?
Jill Clark, M.D.'s NPI is 1295922052 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.