CHARLES H III CLARK (MD) – Neurological Surgery Physician, NPI 1033206065
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHARLES H III CLARK (MD)
800 ST VINCENTS DRIVE
#700
BIRMINGHAM, AL 35205
Phone: (205) 933-8981
Fax: (205) 930-0746
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $455.
Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Baxter Healthcare ($144).
Total Amount
$455
General + Research + Ownership
Payments
11
Total payment records
General Amount
$455
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $144 |
| Medtronic, Inc. | $141 |
| Spine Wave, Inc. | $69 |
| DePuy Synthes Sales Inc. | $52 |
| Arteriocyte Medical Systems, Inc. | $19 |
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: 2011-07-06
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 |
|---|---|---|---|---|
| I20110706000468 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | 12 | 12 | $0 |
| 22630 | Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| N E U R O S U R G E R Y | NC | |
| Physical Medicine And Rehabilitation | AL | |
| Physician Assistant | AL | |
| N E U R O S U R G E R Y | AL | |
| Physician Assistant | AL | |
| N E U R O S U R G E R Y | AL | |
| N E U R O S U R G E R Y | AL | |
| N E U R O S U R G E R Y | FL |
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