DR. NICHOLAS CLARK (M.D.) – Orthopaedic Surgery Physician, NPI 1407235724

DR. NICHOLAS CLARK (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. ME166354 (FL). The NPI Number for DR. NICHOLAS CLARK (M.D.) is 1407235724

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS CLARK (M.D.)
NPI
1407235724
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
19 May 2015
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
4192216717
Graduation Year
2015 (11 years ago)
PAC ID
4688985823
Group Practice PAC ID
1759290992
Professional Enrollment ID
I20240221001442
Address ID
FL339289826ES20009BLVD401
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Secure Messaging
nclark132899@direct.HSS.edu
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Other namesUpdated within 12 months

819 ORTHOPEDIC SURGERY in MN

Provider Addresses for DR. NICHOLAS CLARK (M.D.)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 1285 CREEKSIDE BLVD E UNIT 102

    NAPLES, FL 341090595

    Phone: (239) 624-1700

    Type: Mailing

  • 4011 TALBOT RD S STE 300

    RENTON, WA 980555791

    Phone: (425) 656-5060

    Fax: (425) 656-5047

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $8,517.

Total Amount is formed as General ($8,517) + Research ($0) + Ownership ($0) = $8,517.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Globus Medical, Inc. ($4,464).

Total Amount

$8,517

General + Research + Ownership

Payments

49

Total payment records

General Amount

$8,517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2024-02-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210826001620IOrthopedic SurgeryWATBD
I20240221001442IOrthopedic SurgeryFLTBD

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 minutes210143$0
72110X-ray of lower and sacral spine, minimum of 4 views128127$0
72148Mri scan of lower spinal canal without contrast8380$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
72050X-ray of upper spine, 4-5 views4545$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759290992View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Internal MedicineFL
Family PracticeFL
Physician AssistantVA
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

What federal number belongs to DR. NICHOLAS CLARK (M.D.)?
The federal identifier for DR. NICHOLAS CLARK (M.D.) is NPI 1407235724.
Is DR. NICHOLAS CLARK (M.D.) currently active in the NPI registry?
CMS-published data lists DR. NICHOLAS CLARK (M.D.) as an active registrant.
Does DR. NICHOLAS CLARK (M.D.) list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for DR. NICHOLAS CLARK (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NICHOLAS CLARK (M.D.)?
The page summarizes Rochester, Minnesota for DR. NICHOLAS CLARK (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.