DR. PRISCILLA DANIELLE CLARK (M.D.) – Anesthesiology Physician, NPI 1073871901
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,268 ANESTHESIOLOGY in OH
Provider Addresses for DR. PRISCILLA DANIELLE CLARK (M.D.)
9500 EUCLID AVE
CLEVELAND, OH 441950001
Phone: (216) 444-2200
Type: Mailing
906 W MCDERMOTT DR # 116-371
ALLEN, TX 750136510
Phone: (469) 541-1601
Fax: (469) 541-1612
Type: Mailing
4510 MEDICAL CENTER DR STE 211
MCKINNEY, TX 750691602
Phone: (469) 541-1601
Fax: (469) 541-1612
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($118).
Total Amount
$288
General + Research + Ownership
Payments
3
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $118 |
| PFIZER INC. | $98 |
| Sage Therapeutics, Inc. | $72 |
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: 2025-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170622001576 | I | Anesthesiology | TX | TBD |
| I20250408002656 | I | Anesthesiology | IA | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 27 | 27 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 18 | 16 | $0 |
| 01844 | Anesthesia for placement or revision of blood flow shunt | 14 | 13 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $0 |
| 01214 | Anesthesia for total hip replacement | 13 | 13 | $0 |
Insurance plans in this area (ZIP 44195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| General Surgery, Colorectal Surgery (Proctology) | IL | |
| Internal Medicine, Infectious Disease | PA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Clinical Social Worker | IA |
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