DR. CARLOS STANFORD II CLARK (MD) – Family Medicine Physician, NPI 1063851277
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,756 FAMILY PRACTICE in AL
Provider Addresses for DR. CARLOS STANFORD II CLARK (MD)
201 DOCTORS DRIVE
DOTHAN, AL 36301
Phone: (334) 794-6612
Fax: (334) 794-6614
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 42 Open Payments records for all available years, with a total value of $753.
Total Amount is formed as General ($753) + Research ($0) + Ownership ($0) = $753.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($294).
Total Amount
$753
General + Research + Ownership
Payments
42
Total payment records
General Amount
$753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130827000105 | I | Family Practice | AL | TBD |
| I20150406000624 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,130 | 164 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,396 | 540 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 657 | 124 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 488 | 229 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 379 | 189 | $0 |
Insurance plans in this area (ZIP 36301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 83036 | Hemoglobin A1C level | 295 | 218 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL | |
| Internal Medicine | AL |
Reviews
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