DR. PAUL RICHARD CLARK (M.D.) – Neurological Surgery Physician, NPI 1619388659
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
98 NEUROSURGERY in AL
Provider Addresses for DR. PAUL RICHARD CLARK (M.D.)
800 SAINT VINCENTS DR STE 700
BIRMINGHAM, AL 352051630
Phone: (205) 933-8981
Fax: (205) 930-0746
Type: Mailing
2500 N State St
Department of Neurosurgery
Jackson, MS 392164500
Phone: (601) 984-5705
Fax: (601) 984-6986
Type: Location
2500 N STATE ST
DEPARTMENT OF NEUROSURGERY
JACKSON, MS 392164500
Phone: (601) 984-5705
Fax: (601) 984-6986
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,001.
Total Amount is formed as General ($2,001) + Research ($0) + Ownership ($0) = $2,001.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Medtronic, Inc. ($1,165).
Total Amount
$2,001
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,001
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,165 |
| Providence Medical Technology, Inc. | $384 |
| Spineology Inc. | $172 |
| DePuy Synthes Sales Inc. | $52 |
| Cerapedics Inc. | $45 |
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: 2021-06-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210616001815 | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 121 | 121 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 34 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 33 | 20 | $0 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| N E U R O S U R G E R Y | NC | |
| Physical Medicine And Rehabilitation | AL | |
| Physician Assistant | 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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