JONATHAN SCOTT CLARK (D.O.) – Family Medicine Physician, NPI 1184682866
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for JONATHAN SCOTT CLARK (D.O.)
Le Poteau, D 18, La Tuilière, Présilly, Saint-Julien-en-Genevois, Upper Savoy, Auvergne-Rhône-Alpes, Metropolitan France, 74160, France
POTEAU, OK 749531236
Phone: (918) 649-3777
Fax: (918) 649-3891
Type: Mailing
1103, Dewey Avenue, Poteau, Le Flore County, Oklahoma, 74953, United States
POTEAU, OK 749534411
Phone: (918) 649-3777
Fax: (918) 649-3891
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($61).
Total Amount
$151
General + Research + Ownership
Payments
9
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $61 |
| GlaxoSmithKline, LLC. | $44 |
| Exact Sciences Corporation | $28 |
| Novartis Pharmaceuticals Corporation | $18 |
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: 2004-01-19
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 |
|---|---|---|---|---|
| I20040119000702 | I | Family Practice | 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.
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 | 930 | 235 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 590 | 226 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 471 | 79 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 336 | 51 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 193 | 49 | $0 |
Insurance plans in this area (ZIP 74953)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 20610 | Aspiration and/or injection of large joint or joint capsule | 57 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Family Practice | OK | |
| General Practice | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK |
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