DR. RICHARD ANDREW CLARK (M.D) – Cardiovascular Disease Physician, NPI 1073718052

DR. RICHARD ANDREW CLARK (M.D) is a healthcare provider. based in Travis afb, California. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D. They hold a License No. A145772 (CA). The NPI Number for DR. RICHARD ANDREW CLARK (M.D) is 1073718052

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD ANDREW CLARK (M.D)
NPI
1073718052
Phone
(707) 423-2300
Address
101 Bodin Cir
Enumeration Date
19 June 2007
Last Update Date
23 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9168302000
Graduation Year
2007 (19 years ago)
PAC ID
6204142896
Group Practice PAC ID
8628040623
Professional Enrollment ID
I20180126000280
Address ID
CA958256504SA500XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

Provider Addresses for DR. RICHARD ANDREW CLARK (M.D)

  • 101 Bodin Cir

    Travis AFB, CA 945351809

    Phone: (707) 423-2300

    Type: Location

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-2300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,364.

Total Amount is formed as General ($1,364) + Research ($0) + Ownership ($0) = $1,364.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: BIOTRONIK INC. ($392).

Total Amount

$1,364

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2023-10-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180126000280ICardiovascular Disease (Cardiology)CATBD
I20231013000227IInternal 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
J2785Injection, regadenoson, 0.1 mg1,060265$0
99214Established patient office or other outpatient visit, 30-39 minutes795389$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report580425$0
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries348174$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect296295$0
View full utilization report →

Insurance plans in this area (ZIP 94535)

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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: 8628040623View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
-CA
-CA
Cardiac ElectrophysiologyCA
Cardiovascular Disease (Cardiology)CA
Nurse PractitionerCA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology)TX
-CA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

Does DR. RICHARD ANDREW CLARK (M.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RICHARD ANDREW CLARK (M.D) uses 1073718052.
Is DR. RICHARD ANDREW CLARK (M.D) listed as active for patients and plans?
The listing shows DR. RICHARD ANDREW CLARK (M.D) as active in the NPI system.
What is DR. RICHARD ANDREW CLARK (M.D)'s specialty?
The listing groups DR. RICHARD ANDREW CLARK (M.D) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RICHARD ANDREW CLARK (M.D) based?
DR. RICHARD ANDREW CLARK (M.D) is tied to Travis Afb, California in the data we show; additional addresses may exist on the full record.
Why does DR. RICHARD ANDREW CLARK (M.D) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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