NANCY S CLARK (M.D.) – Vascular Surgery Physician, NPI 1114986023
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
105 VASCULAR SURGERY in KY
Provider Addresses for NANCY S CLARK (M.D.)
909, Fountain Avenue, Louisville, Jefferson County, Kentucky, 40222, United States
LOUISVILLE, KY 402010909
Phone: (502) 588-0325
Type: Mailing
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Phone: (502) 583-8303
Type: Location
South Bypass Road, Pikeville, Pike County, Kentucky, 41501, United States
PIKEVILLE, KY 415011689
Phone: (606) 218-6402
Fax: (606) 218-7502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $8,175.
Total Amount is formed as General ($8,175) + Research ($0) + Ownership ($0) = $8,175.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($2,257).
Total Amount
$8,175
General + Research + Ownership
Payments
104
Total payment records
General Amount
$8,175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,257 |
| Boston Scientific Corporation | $1,981 |
| Silk Road Medical, Inc. | $1,392 |
| Abbott Laboratories | $812 |
| Penumbra, Inc. | $324 |
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: 2024-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080324000109 | I | General Surgery | MD | TBD |
| I20170808001754 | I | Vascular Surgery | KY | TBD |
| I20240405001988 | I | Vascular Surgery | DC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 97 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 88 | 74 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 51 | 51 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 43 | 38 | $0 |
Insurance plans in this area (ZIP 40201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | KY | 11042 | Removal of skin and tissue first 20 sq cm or less | 43 | 33 |
| VASCULAR SURGERY | KY | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 35 | 28 |
| VASCULAR SURGERY | KY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 39 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| Physician Assistant | MD | |
| Vascular Surgery, General Surgery | MD | |
| - | MD | |
| - | MD | |
| - | ME | |
| Internal Medicine | ME | |
| Endocrinology, Internal Medicine | ME | |
| - | ME | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MD |
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