DR. EILIS CLARK (MD) – Psychiatry Physician, NPI 1073621215
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. EILIS CLARK (MD)
210 S Salisbury Ter
Lecanto, FL 344615104
Phone: (352) 631-7460
Fax: (863) 210-2927
Type: Location
2066 NC-125
ROANOKE RAPIDS, NC 27870
Phone: (252) 536-2000
Type: Location
210, South Salisbury Terrace, Lecanto, Citrus County, Florida, 34461, United States
LECANTO, FL 344615104
Phone: (352) 631-7460
Fax: (352) 600-0549
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: 2023-06-27
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 |
|---|---|---|---|---|
| I20181107000200 | I | Psychiatry | FL | TBD |
| I20230627001945 | I | Psychiatry | NC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 16 | $0 |
Insurance plans in this area (ZIP 34461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | NC | |
| Family Practice | NC | |
| - | NC | |
| Clinical Social Worker | NC | |
| Clinical Social Worker | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | FL |
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