DR. GARY WAYNE CLARK (D.O.) – Family Medicine Physician, NPI 1013987759
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for DR. GARY WAYNE CLARK (D.O.)
82, 5th Street Northeast, Carrollton, Carroll County, Ohio, 44615, United States
CARROLLTON, OH 446151214
Phone: (330) 627-3494
Fax: (330) 627-3494
Type: Mailing
125, Canton Road Northwest, Bon Air Estates, Carrollton, Brown Township, Carroll County, Ohio, 44615, United States
CARROLLTON, OH 446151009
Phone: (330) 627-7641
Fax: (330) 627-5796
Type: Location
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: 2015-08-27
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 |
|---|---|---|---|---|
| I20150827000323 | I | Family Practice | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| N E U R O L O G Y | SD | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| - | OH | |
| Family Practice, Sports Medicine | OH |
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