DR. ROBERT EDWARD CLARK (MD) – Gastroenterology Physician, NPI 1033372727

DR. ROBERT EDWARD CLARK (MD) is a healthcare provider. based in Normal, Illinois. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MT190170 (PA). The NPI Number for DR. ROBERT EDWARD CLARK (MD) is 1033372727

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT EDWARD CLARK (MD)
NPI
1033372727
Phone
(309) 454-5900
Address
1302 FRANKLIN AVE
Enumeration Date
3 July 2008
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094545900
Graduation Year
2007 (19 years ago)
PAC ID
9537309711
Group Practice PAC ID
5193857423
Professional Enrollment ID
I20130711000493
Address ID
IL617613595NO1302XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

978 GASTROENTEROLOGY in IL

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Provider Addresses for DR. ROBERT EDWARD CLARK (MD)

  • 1302, Franklin Avenue, Normal, McLean County, Illinois, 61701, United States

    SUITE 4800

    NORMAL, IL 617613551

    Phone: (309) 454-5900

    Fax: (309) 454-2820

    Type: Location

  • 1228 TOWANDA AVE STE 1

    BLOOMINGTON, IL 617013469

    Phone: (309) 454-5900

    Fax: (309) 454-2820

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 268 Open Payments records for all available years, with a total value of $5,318.

Total Amount is formed as General ($5,318) + Research ($0) + Ownership ($0) = $5,318.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,723).

Total Amount

$5,318

General + Research + Ownership

Payments

268

Total payment records

General Amount

$5,318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-23

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: 2013-07-11

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
I20130711000493IGastroenterologyILTBD

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
J3380Injection, vedolizumab, 1 mg6,60711$0
45380Biopsy of large bowel using a flexible endoscope245243$0
99213Established patient office or other outpatient visit, 20-29 minutes229162$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare141140$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope10499$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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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: 5193857423View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Physician AssistantIL
Nurse PractitionerIL
Gastroenterology, Internal MedicineIL
G A S T R O E N T E R O L O G YIL
P A T H O L O G YWI
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YIL
-IL
G A S T R O E N T E R O L O G YIL

Reviews

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Frequently asked questions

What is DR. ROBERT EDWARD CLARK (MD)'s NPI number?
DR. ROBERT EDWARD CLARK (MD)'s NPI is 1033372727 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. ROBERT EDWARD CLARK (MD)?
For scheduling context, DR. ROBERT EDWARD CLARK (MD) is shown as active in the registry.
What kind of doctor is DR. ROBERT EDWARD CLARK (MD)?
DR. ROBERT EDWARD CLARK (MD) is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROBERT EDWARD CLARK (MD)?
Directory geography for DR. ROBERT EDWARD CLARK (MD) centers on Normal, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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