RICHARD DON CLARK (MD) – Family Medicine Physician, NPI 1053316364
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 RICHARD DON CLARK (MD)
449, Marietta Lane, Mayfeild Crossing, Spartanburg County, South Carolina, 29651, United States
MARIETTA, OH 457500449
Phone: (740) 374-4500
Fax: (740) 374-5887
Type: Mailing
802, Wayne Street, Norwood, Marietta, Washington County, Ohio, 45750, United States
STE 202
MARIETTA, OH 457503300
Phone: (740) 374-4950
Fax: (740) 374-4953
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Cardinal Health 110 LLC ($900).
Total Amount
$929
General + Research + Ownership
Payments
6
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cardinal Health 110 LLC | $900 |
| ABBVIE INC. | $15 |
| AstraZeneca Pharmaceuticals LP | $14 |
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: 2008-08-20
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 |
|---|---|---|---|---|
| I20080820000514 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 204 | 100 | $0 |
| G0008 | Administration of influenza virus vaccine | 144 | 143 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 134 | 133 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 124 | 70 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 100 | 100 | $0 |
Insurance plans in this area (ZIP 45750)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
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