DR. CHAD LEROY CLARK (M.D.) – Emergency Medicine Physician, NPI 1023052545

DR. CHAD LEROY CLARK (M.D.) is a healthcare provider. based in Arcadia, California. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A70662 (CA). The NPI Number for DR. CHAD LEROY CLARK (M.D.) is 1023052545

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD LEROY CLARK (M.D.)
NPI
1023052545
Phone
(626) 447-0296
Address
PO BOX 661987
Enumeration Date
15 June 2006
Last Update Date
13 June 2008

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
3102024745
Graduation Year
1997 (29 years ago)
PAC ID
6901884592
Group Practice PAC ID
0244378677
Professional Enrollment ID
I20040709001264
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHAD LEROY CLARK (M.D.)

  • PO BOX 661987

    ARCADIA, CA 910661987

    Phone: (626) 447-0296

    Fax: (626) 447-6057

    Type: Mailing

  • Parkview Community Hospital, 3865, Jackson Street, Arlington, Riverside, Riverside County, California, 92503, United States

    RIVERSIDE, CA 925033919

    Phone: (951) 352-5666

    Fax: (951) 352-5445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-09

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
I20040709001264IEmergency MedicineCATBD

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
99285Emergency department visit with high level of medical decision making2020$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1313$0
View full utilization report →

Insurance plans in this area (ZIP 91066)

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Provider's Procedures

DR. CHAD LEROY CLARK (M.D.) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report5151

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: 0244378677View full group profile
NameSpecialtyState
Emergency MedicineCA
Nurse PractitionerCA
General Practice, Preventive Medicine, Sports MedicineCA
Nurse PractitionerCA
Emergency MedicineCA
Emergency MedicineOK
-CA
-PA
Nurse PractitionerCA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHAD LEROY CLARK (M.D.)'s NPI?
Yes. DR. CHAD LEROY CLARK (M.D.) is listed with NPI 1023052545 in the public NPI dataset.
Can I rely on DR. CHAD LEROY CLARK (M.D.) being an active provider?
As of the registry snapshot, DR. CHAD LEROY CLARK (M.D.) is marked active.
What taxonomy line describes DR. CHAD LEROY CLARK (M.D.)?
For research purposes, treat DR. CHAD LEROY CLARK (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CHAD LEROY CLARK (M.D.) on a map?
Expect Arcadia, California as a primary anchor for DR. CHAD LEROY CLARK (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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