DR. CLARENCE E. CLARK (MD) – Colon & Rectal Surgery Physician, NPI 1952582397
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
65 COLORECTAL SURGERY (PROCTOLOGY) in AZ
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Provider Addresses for DR. CLARENCE E. CLARK (MD)
Morehouse School of Medicine, 720, Westview Drive Southwest, Joel Chandler Harris Homes, Atlanta, Georgia, 30310, United States
HARRIS BUILDING, SUITE 100-A
ATLANTA, GA 30310
Phone: (404) 756-1400
Type: Mailing
Chandler Regional Medical Center, 1955, West Frye Road, Chandler, Maricopa County, Arizona, 85224, United States
CHANDLER, AZ 852246282
Phone: (480) 728-3000
Fax: (480) 728-4747
Type: Location
PO BOX 33269
PHOENIX, AZ 850673269
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
485 S DOBSON RD STE 201
CHANDLER, AZ 852245604
Phone: (480) 728-4700
Fax: (480) 728-4747
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Medtronic, Inc. ($180).
Total Amount
$382
General + Research + Ownership
Payments
7
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $180 |
| Intuitive Surgical, Inc. | $99 |
| Ethicon US, LLC | $42 |
| Baxter Healthcare | $37 |
| Olympus America Inc. | $23 |
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: 2020-09-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130102000483 | I | Colorectal Surgery (Proctology) | GA | TBD |
| I20200904000835 | I | Colorectal Surgery (Proctology) | AZ | 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 | 30 | 23 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | 30 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 16 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 30310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | IL | |
| - | AZ | |
| Infectious Disease, Internal Medicine | WA | |
| - | AZ | |
| Pulmonary Disease, Critical Care (Intensivists) | AZ | |
| Diagnostic Radiology | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Colorectal Surgery (Proctology) | AZ |
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