DR. CLINTON H CLARK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1710924345

DR. CLINTON H CLARK (DPM) is a healthcare provider. based in Boise, Idaho. specializing in Foot & Ankle Surgery Podiatrist. They hold the professional credentials DPM. They hold a License No. P191 (ID). The NPI Number for DR. CLINTON H CLARK (DPM) is 1710924345

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLINTON H CLARK (DPM)
NPI
1710924345
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
1 June 2006
Last Update Date
21 February 2014

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
1759316672
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20071231000512
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CLINTON H CLARK (DPM)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Fax: (208) 938-4675

    Type: Mailing

  • Saint Lukes Meridian Medical Center, 520, South Eagle Road, Nampa, Ada County, Idaho, 83642, United States

    STE 1243

    MERIDIAN, ID 836426351

    Phone: (208) 938-4670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($123).

Total Amount

$177

General + Research + Ownership

Payments

3

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes12598$0
99204New patient office or other outpatient visit, 45-59 minutes100100$0
28313Reconstruction of soft tissue angular deformity of toe2515$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
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Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

Does DR. CLINTON H CLARK (DPM) have a public NPI I can cite?
Public records show DR. CLINTON H CLARK (DPM) under NPI 1710924345.
Is DR. CLINTON H CLARK (DPM) currently accepting referrals based on NPI status?
Registry metadata lists DR. CLINTON H CLARK (DPM) as active.
What services align with DR. CLINTON H CLARK (DPM)'s listing?
DR. CLINTON H CLARK (DPM)'s public classification highlights Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CLINTON H CLARK (DPM)?
The directory associates DR. CLINTON H CLARK (DPM) with Boise, Idaho. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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