EDITH CLARK (DPM) – Podiatrist, NPI 1770559528
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
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Provider Addresses for EDITH CLARK (DPM)
4310, Leonard Street Northwest, Walker, Kent County, Michigan, 49534, United States
SUITE 103
WALKER, MI 495348447
Phone: (616) 453-6329
Fax: (616) 453-1725
Type: Mailing
Dwyer Avenue, Clare, Clare County, Michigan, 48617, United States
CLARE, MI 486171002
Phone: (989) 386-9721
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $758.
Total Amount is formed as General ($758) + Research ($0) + Ownership ($0) = $758.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Organogenesis Inc. ($644).
Total Amount
$758
General + Research + Ownership
Payments
11
Total payment records
General Amount
$758
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $644 |
| ABBVIE INC. | $74 |
| Horizon Therapeutics plc | $23 |
| Smith+Nephew, Inc. | $18 |
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (103 days ago).
Enrollment records
2
Earliest due date
2026-02-28
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 |
|---|---|---|---|---|
| I20040630000296 | I | Podiatry | MI | TBD |
| O20100930023092 | O | Physician - Podiatry | MI | 2026-02-28 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 627 | 207 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 474 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 349 | 207 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 104 | 88 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 79 | 79 | $0 |
Insurance plans in this area (ZIP 49534)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MI |
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