DR. SPENCER A. CLARKE (M.D.) – Family Medicine Physician, NPI 1801873591

DR. SPENCER A. CLARKE (M.D.) is a healthcare provider. based in Lakeview, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD21779 (OR). The NPI Number for DR. SPENCER A. CLARKE (M.D.) is 1801873591

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SPENCER A. CLARKE (M.D.)
NPI
1801873591
Phone
(541) 947-3366
Address
624 S J ST
Enumeration Date
23 December 2005
Last Update Date
21 July 2010

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5419472114
Graduation Year
1996 (30 years ago)
PAC ID
2567455785
Group Practice PAC ID
4284629221
Professional Enrollment ID
I20230517000357
Address ID
OR976301623LA700XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for DR. SPENCER A. CLARKE (M.D.)

  • South J Street, Lakeview, Lake County, Oregon, 97630, United States

    LAKEVIEW, OR 976301680

    Phone: (541) 947-3366

    Fax: (541) 947-4404

    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)

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: 2010-11-11

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
I20101111001393IFamily PracticeORTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4831$0
99238Hospital discharge day management, 30 minutes or less4235$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2623$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2612$0
View full utilization report →

Insurance plans in this area (ZIP 97630)

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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: 4284629221View full group profile
NameSpecialtyState
-IL
Diagnostic RadiologyOR
General Surgery, Thoracic SurgeryOR
Nurse PractitionerOR
-OR
O B S T E T R I C S/ G Y N E C O L O G YCO
C H I R O P R A C T I COR
Nurse PractitionerOR
-CA
-OR

Reviews

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Frequently asked questions

Can I cross-check DR. SPENCER A. CLARKE (M.D.) using NPI 1801873591?
NPI 1801873591 belongs to DR. SPENCER A. CLARKE (M.D.); compare other details if you need extra assurance.
Would DR. SPENCER A. CLARKE (M.D.) appear as active to a payer?
You can treat DR. SPENCER A. CLARKE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. SPENCER A. CLARKE (M.D.)?
DR. SPENCER A. CLARKE (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. SPENCER A. CLARKE (M.D.) located near Lakeview?
DR. SPENCER A. CLARKE (M.D.) currently maps to Lakeview, Oregon in this extract.
When was this NPI issued?
Enumeration for DR. SPENCER A. CLARKE (M.D.) is noted as December 23, 2005 where the registry provides it.

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