DR. ZACHARY EUGENE CLARK (M.D.) – Diagnostic Radiology Physician, NPI 1023429495
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
579 DIAGNOSTIC RADIOLOGY in AL
Provider Addresses for DR. ZACHARY EUGENE CLARK (M.D.)
619 19TH ST S
BIRMINGHAM, AL 35249
Phone: (205) 934-4011
Type: Location
1701 1st Ave S
Birmingham, AL 352334001
Phone: (256) 503-2444
Fax: (256) 781-0357
Type: Location
840 Montclair Rd
Suite 317
Birmingham, AL 352131920
Phone: (205) 599-4822
Type: Location
619 19th St S
Birmingham, AL 352491900
Phone: (256) 503-2444
Type: Location
PO BOX 55310
BIRMINGHAM, AL 352555310
Phone: (205) 731-9701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190619001816 | I | Diagnostic Radiology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 337 | 318 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 135 | 133 | $0 |
| 70450 | Ct scan head or brain without contrast | 133 | 127 | $0 |
| 71046 | X-ray of chest, 2 views | 94 | 89 | $0 |
| 72125 | Ct scan of upper spine without contrast | 66 | 66 | $0 |
Insurance plans in this area (ZIP 35249)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Physician Assistant | MS | |
| Diagnostic Radiology | MS | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology, Interventional Radiology | AL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology, Interventional Radiology | GA |
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