MR. DONALD GODFREY CLARK (P.A.-C) – Internal Medicine Physician, NPI 1386669570

MR. DONALD GODFREY CLARK (P.A.-C) is a healthcare provider. based in Garden city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 5601001802 (MI). The NPI Number for MR. DONALD GODFREY CLARK (P.A.-C) is 1386669570

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. DONALD GODFREY CLARK (P.A.-C)
NPI
1386669570
Phone
(734) 367-1205
Address
29521 FORD RD
Enumeration Date
12 July 2006
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344674000
Graduation Year
1987 (39 years ago)
PAC ID
3476536418
Group Practice PAC ID
3173506219
Professional Enrollment ID
I20040611000849
Address ID
MI481842405WA33155STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. DONALD GODFREY CLARK (P.A.-C)

  • 29521, Ford Road, Garden City, Wayne County, Michigan, 48135, United States

    GARDEN CITY, MI 481352319

    Phone: (734) 367-1205

    Fax: (734) 367-1214

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $4,247.

Total Amount is formed as General ($4,247) + Research ($0) + Ownership ($0) = $4,247.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lumenis BE inc ($1,963).

Total Amount

$4,247

General + Research + Ownership

Payments

125

Total payment records

General Amount

$4,247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040611000849IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes34271$0
99443Telephone medical discussion with physician, 21-30 minutes29764$0
99215Established patient office or other outpatient visit, 40-54 minutes21764$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17444$0
99442Telephone medical discussion with physician, 11-20 minutes16554$0
View full utilization report →

Insurance plans in this area (ZIP 48135)

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Provider's Procedures

MR. DONALD GODFREY CLARK (P.A.-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI20610Aspiration and/or injection of large joint or joint capsule2814

Reviews

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Frequently asked questions

What NPI should I save for MR. DONALD GODFREY CLARK (P.A.-C)?
Save NPI 1386669570 if you need a stable reference for MR. DONALD GODFREY CLARK (P.A.-C).
Does this profile mean MR. DONALD GODFREY CLARK (P.A.-C) is currently active?
Yes — MR. DONALD GODFREY CLARK (P.A.-C) appears active in the national provider directory.
What kind of provider is MR. DONALD GODFREY CLARK (P.A.-C)?
The page reflects Internal Medicine Physician for MR. DONALD GODFREY CLARK (P.A.-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. DONALD GODFREY CLARK (P.A.-C)?
The page summarizes Garden City, Michigan for MR. DONALD GODFREY CLARK (P.A.-C); expand the address list for detail.
Is MR. DONALD GODFREY CLARK (P.A.-C) a real provider?
This page reflects official NPPES data for NPI 1386669570. Always confirm identity and privileges with the practice and licensing boards.

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