DR. CULLEN J CLARK – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1114314267
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for DR. CULLEN J CLARK
444 Butterfly Gardens Drive
Columbus, OH 432157508
Phone: (614) 722-2000
Type: Location
100 Colemans Xing
Marysville, OH 430407080
Phone: (937) 578-7600
Type: Location
433 N Cleveland Ave
Westerville, OH 430828095
Phone: (614) 355-8300
Type: Location
7853 Pacer Dr
Delaware, OH 430157571
Phone: (614) 355-7900
Type: Location
7901 Diley Rd Ste 150
Canal Winchester, OH 431109613
Phone: (614) 355-9050
Type: Location
7450 Hospital Dr Ste 100
Dublin, OH 430168364
Phone: (614) 355-7000
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Fax: (614) 722-4380
Type: Mailing
6435 E Broad St
Columbus, OH 432131507
Phone: (614) 355-8100
Type: Location
4363 All Seasons Dr Ste 100
Hilliard, OH 430262050
Phone: (614) 355-5900
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: 2020-05-26
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 |
|---|---|---|---|---|
| I20200526003137 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 38 | 37 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 20 | 20 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | 15 | $0 |
Insurance plans in this area (ZIP 43215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Internal Medicine, Emergency Medicine, Addiction Medicine, Internal Medicine, Hospitalist | OH | |
| Sports Medicine, Internal Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH |
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