CLARK J WILKEY (DO) – Family Medicine Physician, NPI 1154941904

CLARK J WILKEY (DO) is a healthcare provider. based in Camarillo, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 20A20550 (CA). The NPI Number for CLARK J WILKEY (DO) is 1154941904

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CLARK J WILKEY (DO)
NPI
1154941904
Phone
Not provided
Address
5051 VERDUGO WAY STE 110
Enumeration Date
22 April 2020
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8056412000
Graduation Year
2020 (6 years ago)
PAC ID
9436511367
Group Practice PAC ID
7810800661
Professional Enrollment ID
I20230809003075
Address ID
CA930032840VE168XXSTXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for CLARK J WILKEY (DO)

  • 5051 VERDUGO WAY STE 110

    CAMARILLO, CA 930128679

    Phone:

    Type: Mailing

  • 168 N BRENT ST STE 502

    VENTURA, CA 930032840

    Phone: (805) 641-2000

    Fax: (805) 653-1644

    Type: Location

  • 147 N BRENT ST

    VENTURA, CA 930032809

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $617.

Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($238).

Total Amount

$617

General + Research + Ownership

Payments

32

Total payment records

General Amount

$617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2023-08-09

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
I20230809003075IFamily PracticeCATBD

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 minutes2925$0
99214Established patient office or other outpatient visit, 30-39 minutes1813$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 93012)

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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: 7810800661View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify CLARK J WILKEY (DO) with an NPI only?
You can start verification with NPI 1154941904 for CLARK J WILKEY (DO), then check state licensing separately.
Can I rely on CLARK J WILKEY (DO) being an active provider?
As of the registry snapshot, CLARK J WILKEY (DO) is marked active.
What is CLARK J WILKEY (DO)'s specialty?
The listing groups CLARK J WILKEY (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is CLARK J WILKEY (DO) based?
CLARK J WILKEY (DO) is tied to Camarillo, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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