DR. JUSTIN JAMES CLARK (M.D.) – Surgery Physician, NPI 1215132410
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 GENERAL SURGERY in AK
Provider Addresses for DR. JUSTIN JAMES CLARK (M.D.)
5757, Greece Drive, Anchorage, Alaska, 99516, United States
ANCHORAGE, AK 995166216
Phone: (808) 387-4441
Type: Mailing
5955 ZEAMER AVE
JBER, AK 995063702
Phone: (907) 580-1243
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $2,252.
Total Amount is formed as General ($2,252) + Research ($0) + Ownership ($0) = $2,252.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,507).
Total Amount
$2,252
General + Research + Ownership
Payments
22
Total payment records
General Amount
$2,252
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,507 |
| W. L. Gore & Associates, Inc. | $710 |
| Lilly USA, LLC | $18 |
| Novo Nordisk Inc | $16 |
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: 2015-07-23
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 |
|---|---|---|---|---|
| I20140812001310 | I | General Surgery | AK | TBD |
| I20150723007159 | I | General Surgery | TX | 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 | 14 | 14 | $0 |
Insurance plans in this area (ZIP 99516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Registered Dietitian Or Nutrition Professional | AK | |
| Registered Dietitian Or Nutrition Professional | AK | |
| Physician Assistant | AK | |
| Clinical Psychologist | AK | |
| Clinical Social Worker | AK | |
| General Surgery | GA | |
| Clinical Psychologist | OR | |
| Registered Dietitian Or Nutrition Professional | AK | |
| Physician Assistant | AK |
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