BEVERLY MARIE CLARK (MD) – Family Medicine Physician, NPI 1649404625
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
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Provider Addresses for BEVERLY MARIE CLARK (MD)
1004, East Madison Street, Yates Center, Woodson County, Kansas, 66783, United States
YATES CENTER, KS 667831314
Phone: (620) 625-2312
Fax: (620) 625-3560
Type: Location
309, Sanders Street, Burlington, Coffey County, Kansas, 66839, United States
BURLINGTON, KS 668392616
Phone: (620) 364-5395
Fax: (620) 364-8719
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $214.
Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Novo Nordisk Inc ($59).
Total Amount
$214
General + Research + Ownership
Payments
14
Total payment records
General Amount
$214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130111000395 | I | Family Practice | KS | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | 29 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | 12 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 18 | 15 | $0 |
Insurance plans in this area (ZIP 66783)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Family Practice | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS |
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