ROBERT EDWARD CLARK (M.D.) – Diagnostic Radiology Physician, NPI 1265480602

ROBERT EDWARD CLARK (M.D.) is a healthcare provider. based in Hanford, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. C29418 (CA). The NPI Number for ROBERT EDWARD CLARK (M.D.) is 1265480602

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT EDWARD CLARK (M.D.)
NPI
1265480602
Phone
(415) 272-3517
Address
PO BOX 780
Enumeration Date
5 May 2006
Last Update Date
10 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3106893100
Graduation Year
1966 (60 years ago)
PAC ID
4880684117
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20040517001386
Address ID
CA902112708BE8750XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,812 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for ROBERT EDWARD CLARK (M.D.)

  • PO BOX 780

    HANFORD, CA 932320780

    Phone: (415) 272-3517

    Type: Mailing

  • Adventist Health Selma, 1141, Rose Avenue, Selma, Fresno County, California, 93662, United States

    SELMA, CA 936623241

    Phone: (559) 891-6337

    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: 2004-05-17

PECOS data refreshed: 2026-06-15

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
I20040517001386IDiagnostic RadiologyCATBD

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
71046X-ray of chest, 2 views198197$0
73562X-ray of knee, 3 views156111$0
73630X-ray of foot, minimum of 3 views10883$0
73030X-ray of shoulder, minimum of 2 views7968$0
73721Mri scan of leg joint without contrast6656$0
View full utilization report →

Insurance plans in this area (ZIP 93232)

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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: 0941106645View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCA
P A T H O L O G YNY
-CA
-CA
P A T H O L O G YMO
A N E S T H E S I O L O G YNY
Physician AssistantCA
Diagnostic RadiologyMA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do payers reference ROBERT EDWARD CLARK (M.D.)?
For ROBERT EDWARD CLARK (M.D.), use NPI 1265480602 as the unique 10-digit identifier.
Active or inactive — what applies to ROBERT EDWARD CLARK (M.D.)?
You should see ROBERT EDWARD CLARK (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is ROBERT EDWARD CLARK (M.D.)?
ROBERT EDWARD CLARK (M.D.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERT EDWARD CLARK (M.D.)?
Directory geography for ROBERT EDWARD CLARK (M.D.) centers on Hanford, California.
When was this NPI issued?
Enumeration for ROBERT EDWARD CLARK (M.D.) is noted as May 5, 2006 where the registry provides it.

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