DR. MICHAEL JONATHAN CLARK (M.D.) – Otolaryngology Physician, NPI 1619134970

DR. MICHAEL JONATHAN CLARK (M.D.) is a healthcare provider. based in Sarasota, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. MT186642 (PA). The NPI Number for DR. MICHAEL JONATHAN CLARK (M.D.) is 1619134970

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JONATHAN CLARK (M.D.)
NPI
1619134970
Phone
(413) 552-7679
Address
2401 UNIVERSITY PKWY STE 102
Enumeration Date
22 May 2008
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
9417860386
Graduation Year
2005 (21 years ago)
PAC ID
6608907142
Group Practice PAC ID
9638547862
Professional Enrollment ID
I20191230001910
Address ID
FL342858052VE901XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Loading map...

Provider Addresses for DR. MICHAEL JONATHAN CLARK (M.D.)

  • University Parkway, Sarasota, Sarasota County, Florida, 34270, United States

    SARASOTA, FL 34243

    Phone: (413) 552-7679

    Fax: (941) 355-0617

    Type: Location

  • 2401 University Pkwy Ste 102

    Sarasota, FL 342432894

    Phone: (914) 355-2767

    Fax: (941) 355-0617

    Type: Location

  • 420 NOKOMIS AVE S

    VENICE, FL 342852617

    Phone: (941) 355-2767

    Fax: (941) 355-0617

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $717.

Total Amount is formed as General ($717) + Research ($0) + Ownership ($0) = $717.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Medtronic, Inc. ($319).

Total Amount

$717

General + Research + Ownership

Payments

17

Total payment records

General Amount

$717

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

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: 2019-12-30

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
I20191230001910IOtolaryngologyFLTBD

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
95004Test for allergy using allergenic extract41319$0
99213Established patient office or other outpatient visit, 20-29 minutes325167$0
99203New patient office or other outpatient visit, 30-44 minutes304304$0
69210Removal of impacted ear wax130107$0
31231Diagnostic exam of nasal passages using an endoscope12199$0
View full utilization report →

Insurance plans in this area (ZIP 34243)

Loading plans...

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: 9638547862View full group profile
NameSpecialtyState
Physician AssistantFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. MICHAEL JONATHAN CLARK (M.D.)'s NPI?
You can confirm DR. MICHAEL JONATHAN CLARK (M.D.) with NPI 1619134970; it appears in the national provider directory.
Is DR. MICHAEL JONATHAN CLARK (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. MICHAEL JONATHAN CLARK (M.D.) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for DR. MICHAEL JONATHAN CLARK (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL JONATHAN CLARK (M.D.)?
We surface Sarasota, Florida for DR. MICHAEL JONATHAN CLARK (M.D.) based on available NPPES addresses.
How can I contact DR. MICHAEL JONATHAN CLARK (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

DR. ELLEN D SILKES (M.D.)

Otolaryngology Physician
3920, Bee Ridge Road, Sarasota County, Florida, 34233, United States
NPI: 1750385431

DR. JACK WILEY DELONG (M.D.)

Otolaryngology Physician
111, West 24th Street, Holland, Ottawa County, Michigan, 49423, United States
NPI: 1356349039

DR. MOUFID-JOHN H ABDO (MD)

Otolaryngology Physician
1901, Floyd Street, Sarasota, Sarasota County, Florida, 34239, United States
NPI: 1568463347

MRS. PAULA B PYLE (MD)

Otolaryngology Physician
2401 University Pkwy Ste 102
NPI: 1043290950

INTERCOASTAL MEDICAL GROUP INC

Family Medicine Physician
943 S BENEVA RD STE 306
NPI: 1578537767

MR. ALEX SENCHENKOV (MD)

Plastic and Reconstructive Surgery Physician
2020 59th St W
NPI: 1770558454

DR. CHAD R MARRS (MD)

Otolaryngology Physician
5310 CLARK RD STE 102
NPI: 1437111382

MATTHEW D BYERS (MD)

Otolaryngology Physician
3333, Cattlemen Road, Sarasota County, Florida, 34232, United States
NPI: 1710935911