DENNIS DEWAYNE CLARK (M.D.) – Specialist, NPI 1356313969

DENNIS DEWAYNE CLARK (M.D.) is a healthcare provider. based in Anniston, Alabama. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 23397 (AL). The NPI Number for DENNIS DEWAYNE CLARK (M.D.) is 1356313969

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS DEWAYNE CLARK (M.D.)
NPI
1356313969
Phone
(256) 237-1624
Address
PO BOX 5430
Enumeration Date
7 February 2006
Last Update Date
28 July 2011

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2562411624
Graduation Year
1995 (31 years ago)
PAC ID
6608914437
Group Practice PAC ID
2365337128
Professional Enrollment ID
I20091116000027
Address ID
AL362054101AN111XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

523 GENERAL SURGERY in AL

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Provider Addresses for DENNIS DEWAYNE CLARK (M.D.)

  • US Post Office Anniston MO, 1st Street, Anniston, Mississippi County, Missouri, 63820, United States

    ANNISTON, AL 362050430

    Phone: (256) 237-1624

    Fax: (256) 238-0555

    Type: Mailing

  • Town Center Dr, Anniston, Calhoun County, Alabama, 36205, United States

    ANNISTON, AL 362054101

    Phone: (256) 237-1624

    Fax: (256) 238-0555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Integra LifeSciences Corporation ($116).

Total Amount

$226

General + Research + Ownership

Payments

7

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-11-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091116000027IGeneral SurgeryALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes242189$0
99214Established patient office or other outpatient visit, 30-39 minutes237194$0
99204New patient office or other outpatient visit, 45-59 minutes155155$0
76536Ultrasound scan of head and neck soft tissue8877$0
45380Biopsy of large bowel using a flexible endoscope7777$0
View full utilization report →

Insurance plans in this area (ZIP 36205)

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Provider's Procedures

DENNIS DEWAYNE CLARK (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYAL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle110104

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365337128View full group profile
NameSpecialtyState
General SurgeryAL
-AL
Plastic And Reconstructive SurgeryAL
General SurgeryAL
General Surgery, Plastic And Reconstructive SurgeryOK

Reviews

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Frequently asked questions

Does DENNIS DEWAYNE CLARK (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DENNIS DEWAYNE CLARK (M.D.) uses 1356313969.
Does the file indicate DENNIS DEWAYNE CLARK (M.D.) is practicing under active NPI?
Directory data currently reports DENNIS DEWAYNE CLARK (M.D.) as active.
What is DENNIS DEWAYNE CLARK (M.D.)'s primary classification?
Other Service Providers is the headline specialty for DENNIS DEWAYNE CLARK (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DENNIS DEWAYNE CLARK (M.D.) serve?
DENNIS DEWAYNE CLARK (M.D.)'s listing highlights Anniston, Alabama; more addresses can appear in NPPES.
Why does DENNIS DEWAYNE CLARK (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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