JONATHAN CLARK (M.D.) – Family Medicine Physician, NPI 1154415156
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for JONATHAN CLARK (M.D.)
PO BOX 990
DANVILLE, KY 404230990
Phone: (859) 236-3361
Fax: (859) 239-9484
Type: Mailing
Daniel Drive, Danville, Boyle County, Kentucky, 40422, United States
DANVILLE, KY 404222527
Phone: (859) 236-3361
Fax: (859) 239-9484
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($90).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $90 |
| UCB, Inc. | $22 |
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: 2009-12-22
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 |
|---|---|---|---|---|
| I20091222000209 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 126 | 106 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 99 | 88 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 31 | 28 | $0 |
| 83036 | Hemoglobin a1c level | 19 | 16 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 14 | 14 | $0 |
Insurance plans in this area (ZIP 40423)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | KY | |
| Nephrology, Internal Medicine | KY | |
| Family Practice | KY | |
| Family Practice | KY | |
| Diagnostic Radiology | KY | |
| Cardiovascular Disease (Cardiology) | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | KY | |
| Hematology/Oncology, Medical Oncology, Hematology | KY |
Reviews
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