ANDREW N CLARK (MD) – Family Medicine Physician, NPI 1932164266
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
Provider Addresses for ANDREW N CLARK (MD)
700 W US Highway 24
Woodland Park, CO 808638975
Phone: (719) 522-1133
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone:
Type: Mailing
600 S 21ST ST
COLORADO SPRINGS, CO 809043762
Phone: (719) 522-1133
Type: Location
405, Whittecar Avenue, Gregory, Gregory County, South Dakota, 57533, United States
GREGORY, SD 575331340
Phone: (605) 835-9611
Fax: (605) 835-8033
Type: Mailing
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: 2019-06-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060825000261 | I | Family Practice | SD | TBD |
| I20190606001748 | I | Family Practice | CO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 176 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 94 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 92 | 92 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 46 | 43 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 46 | 43 | $0 |
Insurance plans in this area (ZIP 80863)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | CO | |
| - | CO | |
| Internal Medicine | CO | |
| Family Practice | FL | |
| Physician Assistant | CO | |
| N E U R O S U R G E R Y | CO | |
| - | OR | |
| Internal Medicine | CO | |
| Physical Therapist In Private Practice | CO |
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