DR. CLARK C CHEN (MD PHD) – Neurological Surgery Physician, NPI 1437149523
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
181 NEUROSURGERY in MN
Provider Addresses for DR. CLARK C CHEN (MD PHD)
909 Fulton St SE
Minneapolis, MN 554554800
Phone: (612) 672-7422
Type: Location
University of Minnesota Health Clinics and Surgery Center, 909, Fulton Street Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55455, United States
MINNEAPOLIS, MN 554554800
Phone: (612) 672-7422
Type: Location
593 EDDY ST
PROVIDENCE, RI 029034923
Phone: (401) 793-9166
Type: Location
PO BOX 232410
SAN DIEGO, CA 921932410
Phone: (858) 822-4048
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $12,896.
Total Amount is formed as General ($12,896) + Research ($0) + Ownership ($0) = $12,896.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Medtronic, Inc. ($8,888).
Total Amount
$12,896
General + Research + Ownership
Payments
9
Total payment records
General Amount
$12,896
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $8,888 |
| ClearPoint Neuro, Inc. | $3,871 |
| GT Medical Technologies, Inc | $112 |
| Globus Medical, Inc. | $25 |
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: 2024-01-23
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 |
|---|---|---|---|---|
| I20240123003014 | I | Neurosurgery | RI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55455)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | RI | |
| E N D O C R I N O L O G Y | RI | |
| - | RI | |
| Pain Management | RI | |
| Hematology/Oncology, Internal Medicine | RI | |
| Gastroenterology, Pediatric Medicine | RI | |
| N E U R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| N E U R O L O G Y | RI |
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