DR. CLARK HARRISON (MD) – Gastroenterology Physician, NPI 1679559496

DR. CLARK HARRISON (MD) is a healthcare provider. based in Reno, Nevada. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 6505 (NV). The NPI Number for DR. CLARK HARRISON (MD) is 1679559496

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARK HARRISON (MD)
NPI
1679559496
Phone
(775) 329-4600
Address
880 RYLAND ST
Enumeration Date
22 December 2005
Last Update Date
7 May 2010

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7753294600
Graduation Year
1992 (34 years ago)
PAC ID
4486551926
Group Practice PAC ID
0941107478
Professional Enrollment ID
I20100621000794
Address ID
NV895021603RE880XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

143 GASTROENTEROLOGY in NV

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Provider Addresses for DR. CLARK HARRISON (MD)

  • 880, Ryland Street, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895021603

    Phone: (775) 329-4600

    Fax: (775) 333-2969

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-01

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
I20100621000794IGastroenterologyNVTBD
I20220801000070IGastroenterologyCATBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7372$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2222$0
43248Insertion of guide wire with dilation of esophagus using a flexible endoscope1515$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1111$0
View full utilization report →

Insurance plans in this area (ZIP 89502)

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Provider's Procedures

DR. CLARK HARRISON (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYNV43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2323

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: 0941107478View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyNV
G A S T R O E N T E R O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
-NV
-UT

Reviews

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Frequently asked questions

How do payers reference DR. CLARK HARRISON (MD)?
For DR. CLARK HARRISON (MD), use NPI 1679559496 as the unique 10-digit identifier.
Is DR. CLARK HARRISON (MD) still an active registrant?
DR. CLARK HARRISON (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. CLARK HARRISON (MD)?
DR. CLARK HARRISON (MD)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CLARK HARRISON (MD)?
Travel planning: use Reno, Nevada as the reference point for DR. CLARK HARRISON (MD), then confirm.
When was this NPI issued?
Enumeration for DR. CLARK HARRISON (MD) is noted as December 22, 2005 where the registry provides it.

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