DR. JAMES G CLARK (MD) – Emergency Medicine Physician, NPI 1093712556

DR. JAMES G CLARK (MD) is a healthcare provider. based in Fort lauderdale, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD2006-0077 (NM). The NPI Number for DR. JAMES G CLARK (MD) is 1093712556

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES G CLARK (MD)
NPI
1093712556
Phone
(954) 319-0225
Address
315 ISLE OF CAPRI DR
Enumeration Date
30 June 2005
Last Update Date
15 May 2015

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9549395000
Graduation Year
1999 (27 years ago)
PAC ID
2466344882
Group Practice PAC ID
9234464124
Professional Enrollment ID
I20210727001275
Address ID
NV890480884PA360XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for DR. JAMES G CLARK (MD)

  • Isle of Capri Drive, Rio Vista Isles, Fort Lauderdale, Broward County, Florida, 33301, United States

    FORT LAUDERDALE, FL 333012409

    Phone: (954) 319-0225

    Type: Location

  • 315, Isle of Capri Drive, Rio Vista Isles, Fort Lauderdale, Broward County, Florida, 33301, United States

    FORT LAUDERDALE, FL 333012409

    Phone: (954) 319-0225

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-03-24 • Largest payer in this snapshot: Medtronic, Inc. ($188).

Total Amount

$188

General + Research + Ownership

Payments

1

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$188
View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130627000650IEmergency MedicineALTBD
I20210727001275IEmergency MedicineNVTBD

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
99285Emergency department visit with high level of medical decision making172167$0
99284Emergency department visit with moderate level of medical decision making7474$0
99291Critical care, first 30-74 minutes3939$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 33301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234464124View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineNV
Emergency Medicine, HospitalistFL
Emergency MedicineMO
-OH
Emergency MedicineHI
Emergency MedicineCA

Reviews

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Frequently asked questions

What identifier follows DR. JAMES G CLARK (MD) across health systems?
The NPI 1093712556 uniquely identifies DR. JAMES G CLARK (MD) in U.S. healthcare data.
Does the public listing show DR. JAMES G CLARK (MD) as active?
DR. JAMES G CLARK (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. JAMES G CLARK (MD)?
NPPES ties DR. JAMES G CLARK (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JAMES G CLARK (MD) tied to Fort Lauderdale, Florida?
If you are local to Fort Lauderdale, Florida, DR. JAMES G CLARK (MD) may be relevant to your search.
Can I export DR. JAMES G CLARK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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