CARY L CLARKE (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1922041805
Hospice and Palliative Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
176 HOSPICE/PALLIATIVE CARE in IL
Provider Addresses for CARY L CLARKE (MD)
2420 W 26TH AVE STE 400D
DENVER, CO 802115357
Phone: (303) 467-4162
Fax: (303) 318-3885
Type: Mailing
12251 S 80th Ave
Palos Heights, IL 604631290
Phone: (708) 923-4963
Fax: (708) 923-4283
Type: Location
460, Ogden Street, Capitol Hill, Denver, Denver County, Colorado, 80218, United States
DENVER, CO 802181022
Phone: (303) 318-2500
Fax: (303) 318-2575
Type: Location
901 E 104TH ST # MS 400S
KANSAS CITY, MO 641314517
Phone: (816) 502-7000
Fax: (816) 932-9670
Type: Mailing
4401 WORNALL RD
KANSAS CITY, MO 641113220
Phone: (816) 932-0340
Fax: (816) 932-3148
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: 2025-02-11
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 |
|---|---|---|---|---|
| I20250211001479 | I | Hospice/Palliative Care | IL | 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 80211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Vascular Surgery | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| C H I R O P R A C T I C | IL | |
| Family Practice | IL | |
| Physical Medicine And Rehabilitation | CO | |
| - | IL | |
| Hospitalist, Family Practice | IL |
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