ANDREA MAY CLARK (MD) – Family Medicine Physician, NPI 1063775427
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for ANDREA MAY CLARK (MD)
155 FEDERAL ST, STE 700
BOSTON, MA 021101727
Phone: (617) 426-0600
Type: Mailing
1201 E 36TH AVE
ANCHORAGE, AK 995084372
Phone: (907) 562-9229
Fax: (907) 561-4806
Type: Location
1201 E 36th Ave
Anchorage, AK 995084372
Phone: (907) 562-9229
Fax: (907) 561-4806
Type: Location
4951 BUSINESS PARK BLVD
ANCHORAGE, AK 995037174
Phone: (907) 743-7200
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 $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($103).
Total Amount
$103
General + Research + Ownership
Payments
2
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $103 |
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: 2015-10-06
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 |
|---|---|---|---|---|
| I20151006001352 | I | Family Practice | AK | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 200 | 134 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 150 | 119 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 128 | 109 | $0 |
| 83036 | Hemoglobin a1c level | 116 | 91 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 95 | 84 | $0 |
Insurance plans in this area (ZIP 02110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| - | AK | |
| Clinical Psychologist | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| - | AK | |
| Clinical Psychologist | AK | |
| Internal Medicine | AK | |
| Nurse Practitioner | AK | |
| Family Practice | ID |
Reviews
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