DR. ANNA MARIA LIZAMA CLARK (M.D.) – Obstetrics & Gynecology Physician, NPI 1346337888
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ANNA MARIA LIZAMA CLARK (M.D.)
232, North Orange Blossom Trail, Orlando, Orange County, Florida, 32805, United States
ORLANDO, FL 328051612
Phone: (407) 428-5751
Fax: (407) 428-6204
Type: Mailing
3740 S LAKE ORLANDO PKWY
ORLANDO, FL 328083014
Phone: (407) 435-2339
Fax: (000) 000-0000
Type: Mailing
4055 VALLEY VIEW LN
DALLAS, TX 752445074
Phone: (877) 570-9359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $22,013.
Total Amount is formed as General ($170) + Research ($21,843) + Ownership ($0) = $22,013.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: PFIZER INC. ($21,843).
Total Amount
$22,013
General + Research + Ownership
Payments
11
Total payment records
General Amount
$170
General payments
Research Amount
$21,843
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $21,843 |
| Integra LifeSciences Corporation | $144 |
| Exact Sciences Corporation | $26 |
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: 2005-01-26
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 |
|---|---|---|---|---|
| I20050126000090 | I | Obstetrics/Gynecology | FL | 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 32805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Infectious Disease | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL |
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