DR. DAVID W CLARK (M.D.) – Emergency Medicine Physician, NPI 1265433940

DR. DAVID W CLARK (M.D.) is a healthcare provider. based in Overland park, Kansas. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 04-27540 (KS). The NPI Number for DR. DAVID W CLARK (M.D.) is 1265433940

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID W CLARK (M.D.)
NPI
1265433940
Phone
(913) 317-7485
Address
12300 METCALF AVE
Enumeration Date
3 August 2005
Last Update Date
14 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9136762214
Graduation Year
1995 (31 years ago)
PAC ID
6608832142
Group Practice PAC ID
1153452644
Professional Enrollment ID
I20100629000168
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. DAVID W CLARK (M.D.)

  • Saint Luke's South Hospital, 12300, Metcalf Avenue, Overland Park, Johnson County, Kansas, 66213, United States

    OVERLAND PARK, KS 662131324

    Phone: (913) 317-7485

    Type: Location

  • PO BOX 411039

    KANSAS CITY, MO 641411039

    Phone: (913) 234-1350

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Stryker Corporation ($120).

Total Amount

$385

General + Research + Ownership

Payments

15

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2023-01-23

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
I20230123002321IEmergency MedicineAZTBD

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
99285Emergency department visit with high level of medical decision making103102$0
99284Emergency department visit with moderate level of medical decision making9897$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5653$0
99291Critical care, first 30-74 minutes1717$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 66213)

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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: 1153452644View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. DAVID W CLARK (M.D.) in U.S. healthcare records?
The official identifier for DR. DAVID W CLARK (M.D.) is NPI 1265433940.
Active or inactive — what applies to DR. DAVID W CLARK (M.D.)?
You should see DR. DAVID W CLARK (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. DAVID W CLARK (M.D.)?
DR. DAVID W CLARK (M.D.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DAVID W CLARK (M.D.)?
Travel planning: use Overland Park, Kansas as the reference point for DR. DAVID W CLARK (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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