DR. STEPHANIE DONOSO CLARK (MD) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1487276614
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. STEPHANIE DONOSO CLARK (MD)
1414 E MAIN ST STE 2
LEESBURG, FL 347485399
Phone: (352) 775-2055
Fax: (352) 901-6954
Type: Mailing
2400 S AVENUE A
YUMA, AZ 853647170
Phone: (928) 336-1290
Type: Location
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 $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Organogenesis Inc. ($57).
Total Amount
$57
General + Research + Ownership
Payments
1
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $57 |
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: 2023-11-22
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 |
|---|---|---|---|---|
| I20231122000039 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 34748)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MO | |
| Family Practice | FL |
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