MICHAEL L CLARK (MD) – Obstetrics & Gynecology Physician, NPI 1114988540
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,818 OBSTETRICS/GYNECOLOGY in OH
Provider Addresses for MICHAEL L CLARK (MD)
600 N Pickaway St
Circleville, OH 431131447
Phone: (740) 474-5024
Fax: (740) 477-2558
Type: Location
272 Hospital Rd Ste 120
Chillicothe, OH 456019031
Phone: (740) 779-7201
Type: Location
596 W MAIN ST
WILMINGTON, OH 451772123
Phone: (937) 283-2588
Fax: (937) 283-2594
Type: Location
610 W MAIN ST
WILMINGTON, OH 451772125
Phone: (937) 283-9815
Fax: (937) 283-9839
Type: Mailing
Soin Medical Center, 3535, Pentagon Boulevard, New Germany, Beavercreek, Greene County, Ohio, 45431, United States
SUITE 220
BEAVERCREEK, OH 454311705
Phone: (937) 429-7350
Fax: (937) 439-7400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($152).
Total Amount
$391
General + Research + Ownership
Payments
19
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-03
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 |
|---|---|---|---|---|
| I20090224000633 | I | Obstetrics/Gynecology | OH | TBD |
| I20250903003665 | I | Obstetrics/Gynecology | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Radiation Oncology | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| P O D I A T R Y | OH | |
| Physician Assistant | OH | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | CO | |
| H O S P I T A L I S T | IL | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH |
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