CLARK HUNTER ALLEN (M.D.) – Neurological Surgery Physician, NPI 1780679126
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
41 NEUROSURGERY in ID
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Provider Addresses for CLARK HUNTER ALLEN (M.D.)
Potomac Way, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 83404
Phone: (208) 552-6210
Fax: (208) 552-2027
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $2,102.
Total Amount is formed as General ($2,102) + Research ($0) + Ownership ($0) = $2,102.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Stryker Corporation ($1,981).
Total Amount
$2,102
General + Research + Ownership
Payments
10
Total payment records
General Amount
$2,102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,981 |
| SpineGuard, Inc. | $103 |
| ABBVIE INC. | $19 |
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: 2008-08-22
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 |
|---|---|---|---|---|
| I20080822000321 | I | Neurosurgery | ID | 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 |
|---|---|---|---|---|
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 39 | 21 | $0 |
| 22612 | Fusion of spine in lower back | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | MO | |
| Physician Assistant | ID | |
| - | ID | |
| Emergency Medicine | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | ID | |
| Family Practice | OK | |
| - | WA |
Reviews
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