DR. STEPHEN E. CLARK (M.D.) – Ophthalmology Physician, NPI 1134122948

DR. STEPHEN E. CLARK (M.D.) is a healthcare provider. based in Perrysburg, Ohio. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 35063695 (OH). The NPI Number for DR. STEPHEN E. CLARK (M.D.) is 1134122948

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN E. CLARK (M.D.)
NPI
1134122948
Phone
(419) 874-3125
Address
28370 KENSINGTON LN
Enumeration Date
24 May 2005
Last Update Date
10 May 2012

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4198743125
Graduation Year
1991 (35 years ago)
PAC ID
7911928445
Group Practice PAC ID
2567483092
Professional Enrollment ID
I20100820000035
Address ID
OH435514180PE28370LNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:21State licenses:3Digital endpointsOther names

841 OPHTHALMOLOGY in OH

Provider Addresses for DR. STEPHEN E. CLARK (M.D.)

  • 28370 KENSINGTON LN

    SUITE A

    PERRYSBURG, OH 435514163

    Phone: (419) 874-3125

    Fax: (419) 874-8606

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,188.

Total Amount is formed as General ($1,188) + Research ($0) + Ownership ($0) = $1,188.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($623).

Total Amount

$1,188

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100820000035IOphthalmologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1,5601,442$0
92133Imaging of optic nerve510502$0
92083Exam of visual field with extended testing352331$0
66984Removal of cataract with insertion of prosthetic lens340123$0
99212Established patient office or other outpatient visit, 10-19 minutes317231$0
View full utilization report →

Insurance plans in this area (ZIP 43551)

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Provider's Procedures

DR. STEPHEN E. CLARK (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYOH92083Measurement of field of vision during daylight conditions294256
OPHTHALMOLOGYOH92134Diagnostic imaging of retina10298

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567483092View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

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Frequently asked questions

What is the standard ID for DR. STEPHEN E. CLARK (M.D.) in the U.S.?
In the U.S., DR. STEPHEN E. CLARK (M.D.) is identified by NPI 1134122948.
Is DR. STEPHEN E. CLARK (M.D.)'s NPI status active today?
Active status means DR. STEPHEN E. CLARK (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. STEPHEN E. CLARK (M.D.)?
NPPES ties DR. STEPHEN E. CLARK (M.D.) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. STEPHEN E. CLARK (M.D.)?
DR. STEPHEN E. CLARK (M.D.) is associated with Perrysburg, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.