ROY R CLARK (MD) – Obstetrics Physician, NPI 1215938907

ROY R CLARK (MD) is a healthcare provider. based in Irwin, Pennsylvania. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD055102L (PA). The NPI Number for ROY R CLARK (MD) is 1215938907

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
ROY R CLARK (MD)
NPI
1215938907
Phone
(724) 832-9190
Address
8800 BARNES LAKE RD
Enumeration Date
3 August 2005
Last Update Date
3 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
8325147283
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20120508000126
Address ID
PA156681954MU4262XHWYX500

Contacts

Secure Messaging
rclark73007@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,146 OBSTETRICS/GYNECOLOGY in PA

Provider Addresses for ROY R CLARK (MD)

  • 8800 BARNES LAKE RD

    IRWIN, PA 156423177

    Phone: (724) 832-9190

    Fax: (724) 978-0544

    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 6 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($26).

Total Amount

$80

General + Research + Ownership

Payments

6

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2012-05-08

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
I20120508000126IObstetrics/GynecologyPATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3232$0
View full utilization report →

Insurance plans in this area (ZIP 15642)

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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: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

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Frequently asked questions

Where can patients find ROY R CLARK (MD)'s NPI?
You can confirm ROY R CLARK (MD) with NPI 1215938907; it appears in the national provider directory.
Is ROY R CLARK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ROY R CLARK (MD) treat or focus on?
Patients typically see ROY R CLARK (MD) under the specialty Obstetrics Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ROY R CLARK (MD)?
The page summarizes Irwin, Pennsylvania for ROY R CLARK (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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