DR. RONALD FREDERICK CLARK – Chiropractor, NPI 1588762801

DR. RONALD FREDERICK CLARK is a healthcare provider. based in West hartford, Connecticut. specializing in CHIROPRACTIC. They hold a License No. 000210 (CT). The NPI Number for DR. RONALD FREDERICK CLARK is 1588762801

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD FREDERICK CLARK
NPI
1588762801
Phone
(860) 236-3364
Address
5 NEWINGTON ROAD
Enumeration Date
20 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
4082809058
Professional Enrollment ID
I20101116000857
Address ID
CT061102310We5XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

444 CHIROPRACTIC in CT

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Provider Addresses for DR. RONALD FREDERICK CLARK

  • 5, Newington Road, Elmwood, West Hartford, Capitol Planning Region, Connecticut, 06110, United States

    WEST HARTFORD, CT 061102310

    Phone: (860) 236-3364

    Fax: (860) 236-3364

    Mailing address matches the actual address.

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: 2010-11-16

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
I20101116000857IChiropracticCTTBD

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
98940Chiropractic manipulative treatment, 1-2 spinal regions4318$0
View full utilization report →

Insurance plans in this area (ZIP 06110)

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Provider's Procedures

DR. RONALD FREDERICK CLARK performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICCT98940Chiropractic manipulative treatment, 1-2 spinal regions26356

Reviews

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Frequently asked questions

Does DR. RONALD FREDERICK CLARK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RONALD FREDERICK CLARK uses 1588762801.
Can I rely on DR. RONALD FREDERICK CLARK being an active provider?
As of the registry snapshot, DR. RONALD FREDERICK CLARK is marked active.
What taxonomy line describes DR. RONALD FREDERICK CLARK?
For research purposes, treat DR. RONALD FREDERICK CLARK as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RONALD FREDERICK CLARK?
DR. RONALD FREDERICK CLARK's geographic hint is West Hartford, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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