CLAYTON KIRK (MD) – Ophthalmology Physician, NPI 1174011761

CLAYTON KIRK (MD) is a healthcare provider. based in Maywood, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 125.073543 (IL). The NPI Number for CLAYTON KIRK (MD) is 1174011761

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CLAYTON KIRK (MD)
NPI
1174011761
Phone
(708) 216-6262
Address
2160 S 1ST AVE
Enumeration Date
29 April 2018
Last Update Date
18 June 2019

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3097932020
Graduation Year
2018 (8 years ago)
PAC ID
8729460779
Group Practice PAC ID
4183521206
Professional Enrollment ID
I20240827001255
Address ID
IL612017102RO4731XCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Loading map...

Provider Addresses for CLAYTON KIRK (MD)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601533328

    Phone: (708) 216-6262

    Fax: (708) 216-3557

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $3,125.

Total Amount is formed as General ($3,125) + Research ($0) + Ownership ($0) = $3,125.

Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,649).

Total Amount

$3,125

General + Research + Ownership

Payments

60

Total payment records

General Amount

$3,125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-20

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220808001081IOphthalmologyAZTBD
I20240827001255IOphthalmologyILTBD
I20240911000092IOphthalmologyIATBD

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
67042Removal of membrane of retina with removal of internal limiting membrane of retina6161$0
67113Complex repair of detached retina and drainage of eye fluid between lens and retina2825$0
67041Removal of membrane of retina1818$0
92014Established patient complete exam of visual system1414$0
92134Imaging of retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

Loading plans...

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: 4183521206View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YIL
O P T O M E T R YIA
O P T O M E T R YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to CLAYTON KIRK (MD)?
The federal identifier for CLAYTON KIRK (MD) is NPI 1174011761.
Is CLAYTON KIRK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CLAYTON KIRK (MD) treat or focus on?
Patients typically see CLAYTON KIRK (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for CLAYTON KIRK (MD)?
We surface Maywood, Illinois for CLAYTON KIRK (MD) based on available NPPES addresses.
Is CLAYTON KIRK (MD) a real provider?
This page reflects official NPPES data for NPI 1174011761. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

777, Tanglefoot Lane, Bettendorf, Scott County, Iowa, 52722, United States
NPI: 1942289996

WALTER M JAY (MD)

Ophthalmology Physician
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1609840735

SUSANNE TIDOW-KEBRITCHI (MD)

Ophthalmology Physician
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1023082153

ANURADHA KHANNA (MD)

Ophthalmology Physician
2160 S FIRST AVE
NPI: 1881668770

ROBERT TRACY WILLIAMS (OD)

Ophthalmology Physician
2160 S FIRST AVE
NPI: 1528032430

FELIPE DE ALBA (MD)

Ophthalmology Physician
2160 S FIRST AVE
NPI: 1558335687

CHARLES BOUCHARD (MD)

Cornea and External Diseases Specialist Physician
2160 S FIRST AVE
NPI: 1902872393

JAMES FORD MCDONNELL (MD)

Pediatric Ophthalmology and Strabismus Specialist Physician
2160 S FIRST AVE
NPI: 1093782831

CATHLEEN M CRONIN (MD)

Pediatric Ophthalmology and Strabismus Specialist Physician
2160 S FIRST AVE
NPI: 1114986296