DR. RYAN STEWART CLARK (D.O.) – Cardiovascular Disease Physician, NPI 1396049011
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,201 INTERNAL MEDICINE in OH
Provider Addresses for DR. RYAN STEWART CLARK (D.O.)
1380 E STROOP RD
KETTERING, OH 454294926
Phone: (937) 293-3486
Fax: (937) 293-3605
Type: Mailing
1103 FAIRINGTON DR
SIDNEY, OH 453658130
Phone: (937) 980-7400
Fax: (937) 980-7441
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $4.
Total Amount is formed as General ($4) + Research ($0) + Ownership ($0) = $4.
Last reported payment date: 2023-03-06 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($4).
Total Amount
$4
General + Research + Ownership
Payments
1
Total payment records
General Amount
$4
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $4 |
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: 2013-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (956 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20131015000780 | I | Internal Medicine | OH | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 743 | 449 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 333 | 330 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 317 | 248 | $0 |
| 93356 | Heart muscle strain imaging | 138 | 138 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 105 | 57 | $0 |
Insurance plans in this area (ZIP 45429)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Radiation Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | OH | |
| Physician Assistant | OH | |
| Hospitalist, Emergency Medicine | OH |
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