ROBERT T JR. CLARK (M.D.) – Family Medicine Physician, NPI 1811903560
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for ROBERT T JR. CLARK (M.D.)
PO BOX 310
JETMORE, KS 678540310
Phone: (620) 357-8354
Fax: (620) 357-6460
Type: Mailing
842 N Main St
Lansing, KS 660431305
Phone: (913) 250-5155
Fax: (913) 250-5515
Type: Location
705 1st Ave Ste A
Dodge City, KS 678014437
Phone: (620) 471-3140
Fax: (620) 471-3141
Type: Location
3905 Vanesta Dr
Manhattan, KS 665032001
Phone: (785) 775-1867
Fax: (785) 775-1700
Type: Location
6510 S Academy Blvd Ste 110
Colorado Springs, CO 809068691
Phone: (719) 698-7933
Fax: (719) 698-7929
Type: Location
445 HILLTOP
JUNCTION CITY, KS 67950
Phone: (620) 697-2141
Fax: (620) 741-8203
Type: Mailing
715 SOUTHWIND DR
JUNCTION CITY, KS 664419021
Phone: (785) 209-3779
Fax: (785) 209-3780
Type: Mailing
810, Bramley Street, Jetmore, Hodgeman County, Kansas, 67854, United States
JETMORE, KS 678549320
Phone: (620) 357-8354
Fax: (620) 357-6460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($143).
Total Amount
$216
General + Research + Ownership
Payments
9
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $143 |
| Axsome Therapeutics, Inc. | $58 |
| ABBVIE INC. | $14 |
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: 2010-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070221000474 | I | Family Practice | TX | TBD |
| I20100610001087 | 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 | 66 | 58 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 67854)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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