DR. CHRISTINE S. CLARKE (MD) – Surgery Physician, NPI 1942284476

DR. CHRISTINE S. CLARKE (MD) is a healthcare provider. based in Salem, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 022836 (LA). The NPI Number for DR. CHRISTINE S. CLARKE (MD) is 1942284476

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTINE S. CLARKE (MD)
NPI
1942284476
Phone
(503) 364-6843
Address
875 OAK ST SE
Enumeration Date
29 November 2005
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
5038144048
Graduation Year
1996 (30 years ago)
PAC ID
9234229832
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20071219000765
Address ID
OR973013905SA890XXSEXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

530 GENERAL SURGERY in OR

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Provider Addresses for DR. CHRISTINE S. CLARKE (MD)

  • 875, Oak Street Southeast, Salem, Marion County, Oregon, 97301, United States

    SUITE 4010

    SALEM, OR 973013975

    Phone: (503) 364-6843

    Fax: (503) 585-5273

    Type: Location

  • 890 OAK ST SE

    SALEM, OR 973013905

    Phone: (503) 364-6843

    Fax: (503) 585-5273

    Type: Location

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: 2007-12-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071219000765IGeneral SurgeryORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97301)

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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: 8628986668View full group profile
NameSpecialtyState
-OR
U R O L O G YOR
Physician AssistantOR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMT
Family PracticeOR
Plastic And Reconstructive SurgeryOR
Nurse PractitionerOR
A N E S T H E S I O L O G YWA
-OR

Reviews

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Frequently asked questions

Is DR. CHRISTINE S. CLARKE (MD) listed with a National Provider Identifier?
Yes — DR. CHRISTINE S. CLARKE (MD) has NPI 1942284476 on file in the registry.
Is DR. CHRISTINE S. CLARKE (MD) still an active registrant?
DR. CHRISTINE S. CLARKE (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. CHRISTINE S. CLARKE (MD)?
At a glance, DR. CHRISTINE S. CLARKE (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. CHRISTINE S. CLARKE (MD) registered?
Use Salem, Oregon as the headline location for DR. CHRISTINE S. CLARKE (MD) here.
When was this NPI issued?
Enumeration for DR. CHRISTINE S. CLARKE (MD) is noted as November 29, 2005 where the registry provides it.

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