GARRY ANDREW CLARK (D.O.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1952380750

GARRY ANDREW CLARK (D.O.) is a healthcare provider. based in Sioux city, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 01361 (IA). The NPI Number for GARRY ANDREW CLARK (D.O.) is 1952380750

Main info

Male
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
GARRY ANDREW CLARK (D.O.)
NPI
1952380750
Phone
(712) 276-4325
Address
3930 STADIUM DR
Enumeration Date
11 January 2006
Last Update Date
26 January 2012

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
7122764325
Graduation Year
1968 (58 years ago)
PAC ID
4082644927
Group Practice PAC ID
1153390745
Professional Enrollment ID
I20050819000421
Address ID
IA511065166SI3930XDRXX300
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

1,659 FAMILY PRACTICE in IA

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Provider Addresses for GARRY ANDREW CLARK (D.O.)

  • 3930, Stadium Drive, Sioux City, Woodbury County, Iowa, 51106, United States

    SIOUX CITY, IA 511065166

    Phone: (712) 276-4325

    Fax: (712) 276-6033

    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 22 Open Payments records for all available years, with a total value of $52,236.

Total Amount is formed as General ($52,236) + Research ($0) + Ownership ($0) = $52,236.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($52,236).

Total Amount

$52,236

General + Research + Ownership

Payments

22

Total payment records

General Amount

$52,236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2005-08-19

PECOS data refreshed: 2026-06-15

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
I20050819000421IFamily PracticeIATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes10174$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
72100X-ray of lower and sacral spine, 2-3 views4444$0
72040X-ray of upper spine, 2-3 views2222$0
View full utilization report →

Insurance plans in this area (ZIP 51106)

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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: 1153390745View full group profile
NameSpecialtyState
C H I R O P R A C T I CIA
Physical Therapist In Private PracticeIA
C H I R O P R A C T I CIA
-IA
C H I R O P R A C T I CIA

Reviews

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Frequently asked questions

What is the registry number for GARRY ANDREW CLARK (D.O.)?
The registry entry for GARRY ANDREW CLARK (D.O.) shows NPI 1952380750.
Quick check: is GARRY ANDREW CLARK (D.O.) active?
Public NPPES data shows GARRY ANDREW CLARK (D.O.) with an active NPI status right now.
Which specialty label fits GARRY ANDREW CLARK (D.O.)?
NPPES ties GARRY ANDREW CLARK (D.O.) to Pain Medicine (Physical Medicine & Rehabilitation) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GARRY ANDREW CLARK (D.O.)?
GARRY ANDREW CLARK (D.O.) is associated with Sioux City, Iowa in the same public data insurers reference.
Why is information missing for GARRY ANDREW CLARK (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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