DR. CLARK C CHEN (MD PHD) – Neurological Surgery Physician, NPI 1437149523

DR. CLARK C CHEN (MD PHD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NEUROSURGERY. They hold the professional credentials MD PHD. They hold a License No. 216069 (MA). The NPI Number for DR. CLARK C CHEN (MD PHD) is 1437149523

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARK C CHEN (MD PHD)
NPI
1437149523
Phone
(612) 672-7422
Address
909 Fulton St SE
Enumeration Date
28 October 2005
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
4014445435
Graduation Year
2001 (25 years ago)
PAC ID
5395825632
Group Practice PAC ID
8921900044
Professional Enrollment ID
I20240123003014
Address ID
RI029034923PR593XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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

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: 2024-01-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123003014INeurosurgeryRITBD

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.

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

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: 8921900044View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YRI
E N D O C R I N O L O G YRI
-RI
Pain ManagementRI
Hematology/Oncology, Internal MedicineRI
Gastroenterology, Pediatric MedicineRI
N E U R O L O G YRI
Internal MedicineRI
-RI
N E U R O L O G YRI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CLARK C CHEN (MD PHD)?
NPI 1437149523 is assigned to DR. CLARK C CHEN (MD PHD) under the national enumeration system.
Is DR. CLARK C CHEN (MD PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. CLARK C CHEN (MD PHD) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for DR. CLARK C CHEN (MD PHD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CLARK C CHEN (MD PHD)?
The snapshot lists Minneapolis, Minnesota for DR. CLARK C CHEN (MD PHD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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