JONATHAN CLARK (M.D.) – Orthopaedic Surgery Physician, NPI 1033437330
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
737 ORTHOPEDIC SURGERY in TN
Provider Addresses for JONATHAN CLARK (M.D.)
1 MEDICAL PARK BLVD STE 300E
BRISTOL, TN 376207497
Phone: (423) 844-6450
Fax: (423) 844-6499
Type: Mailing
1 MEDICAL PARK BLVD
STE 300E
BRISTOL, TN 376207497
Phone: (423) 844-6450
Fax: (423) 844-6499
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $3,002.
Total Amount is formed as General ($3,002) + Research ($0) + Ownership ($0) = $3,002.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: SMOKY MOUNTAIN SURGICAL LLC ($2,781).
Total Amount
$3,002
General + Research + Ownership
Payments
17
Total payment records
General Amount
$3,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SMOKY MOUNTAIN SURGICAL LLC | $2,781 |
| Alpha Orthopedic Systems | $63 |
| Smoky Mountain Surgical Llc | $40 |
| Linvatec Corporation | $31 |
| Stryker Corporation | $29 |
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: 2021-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160817002939 | I | Orthopedic Surgery | TN | TBD |
| I20210303003495 | I | Orthopedic Surgery | VA | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 554 | 158 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 521 | 287 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 478 | 119 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 298 | 141 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 273 | 133 | $0 |
Insurance plans in this area (ZIP 37620)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TN | 20610 | Aspiration and/or injection of large joint or joint capsule | 75 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Family Practice | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Anesthesiology, Pain Management | KY | |
| Orthopedic Surgery | TN | |
| Family Practice | TN |
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