ALLEN RICHARD CLARK (MD) – Gynecology Physician, NPI 1891013967
Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OBSTETRICS/GYNECOLOGY in ME
Provider Addresses for ALLEN RICHARD CLARK (MD)
121 MEDICAL CENTER DR STE 2700
BRUNSWICK, ME 040112669
Phone: (207) 721-8700
Fax: (207) 536-6719
Type: Mailing
515 N LAFAYETTE BLVD
SOUTH BEND, IN 466011003
Phone: (574) 232-2037
Fax: (574) 232-1420
Type: Mailing
515 N Lafayette Blvd
South Bend, IN 466011003
Phone: (574) 232-2037
Fax: (574) 232-1420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $271.
Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($74).
Total Amount
$271
General + Research + Ownership
Payments
12
Total payment records
General Amount
$271
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $74 |
| Exeltis, USA Inc. | $60 |
| Gynesonics, Inc. | $43 |
| Medtronic, Inc. | $30 |
| Avion Pharmaceuticals | $28 |
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: 2025-09-17
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 |
|---|---|---|---|---|
| I20140714000373 | I | Obstetrics/Gynecology | IN | TBD |
| I20250917002706 | I | Obstetrics/Gynecology | ME | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 12 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 11 | 11 | $0 |
Insurance plans in this area (ZIP 04011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
Reviews
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