ANDREW CLARK (MD, PHD) – Ophthalmology Physician, NPI 1447745336
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for ANDREW CLARK (MD, PHD)
100 W California Blvd
Pasadena, CA 911053010
Phone: (626) 421-7733
Type: Location
San Pablo Street, Lincoln Heights, Los Angeles, Los Angeles County, California, 90031, United States
LOS ANGELES, CA 900335331
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 $1,599.
Total Amount is formed as General ($1,599) + Research ($0) + Ownership ($0) = $1,599.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($425).
Total Amount
$1,599
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,599
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $425 |
| ABBVIE INC. | $423 |
| Alimera Sciences, Inc. | $263 |
| Apellis Pharmaceuticals, Inc. | $219 |
| Regeneron Healthcare Solutions, Inc. | $161 |
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: 2022-06-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220614003181 | I | Ophthalmology | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| - | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | MA |
Reviews
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