DR. MICHAEL DEAN CLARK (M.D.) – Vascular Surgery Physician, NPI 1528028925
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
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Provider Addresses for DR. MICHAEL DEAN CLARK (M.D.)
1838 AMERICAN WAY
LAWRENCEVILLE, GA 300436611
Phone: (770) 995-7622
Fax: (770) 995-7854
Type: Mailing
Peachtree Dunwoody Road, Atlanta, Georgia, 30328, United States
SUITE 100
ATLANTA, GA 303421786
Phone: (404) 256-0404
Fax: (404) 847-0423
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $396.
Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($200).
Total Amount
$396
General + Research + Ownership
Payments
4
Total payment records
General Amount
$396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $200 |
| Trilliant Surgical LLC. | $165 |
| ABBVIE INC. | $31 |
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: 2004-11-04
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 |
|---|---|---|---|---|
| I20041104000503 | I | Vascular Surgery | GA | 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 | 286 | 237 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 168 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 214 | 213 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 198 | 192 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 176 | 170 | $0 |
Insurance plans in this area (ZIP 30043)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | GA | 93922 | Ultrasound study of arteries of both arms and legs | 122 | 120 |
| VASCULAR SURGERY | GA | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 46 | 45 |
| VASCULAR SURGERY | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 154 | 144 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Internal Medicine | GA | |
| Physician Assistant | FL | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Anesthesiology Assistant | GA | |
| - | CA | |
| D E R M A T O L O G Y | GA | |
| Interventional Radiology, Diagnostic Radiology | NC | |
| Physician Assistant | GA | |
| - | GA |
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