DR. GRANT MICHAEL CLARK (M.D.) – Radiation Oncology Physician, NPI 1700029626

DR. GRANT MICHAEL CLARK (M.D.) is a healthcare provider. based in Knoxville, Tennessee. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 51020 (TN). The NPI Number for DR. GRANT MICHAEL CLARK (M.D.) is 1700029626

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRANT MICHAEL CLARK (M.D.)
NPI
1700029626
Phone
(658) 331-1155
Address
1915 WHITE AVE
Enumeration Date
7 April 2009
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8655411155
Graduation Year
2009 (17 years ago)
PAC ID
1052557725
Group Practice PAC ID
6103917729
Professional Enrollment ID
I20140624002493
Address ID
TN379162300KN1915XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

130 RADIATION ONCOLOGY in TN

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Provider Addresses for DR. GRANT MICHAEL CLARK (M.D.)

  • 1915, White Avenue, Fort Sanders, Knoxville, Knox County, East Tennessee, Tennessee, 37916, United States

    KNOXVILLE, TN 379162300

    Phone: (658) 331-1155

    Type: Location

  • 9711, Sherrill Boulevard, Cedar Bluff, Knoxville, Knox County, East Tennessee, Tennessee, 37923, United States

    KNOXVILLE, TN 379323330

    Phone: (658) 331-1155

    Type: Mailing

  • P.O. BOX 24120

    KNOXVILLE, TN 379332120

    Phone: (865) 803-4321

    Fax: (865) 988-5658

    Type: Mailing

  • 1915 WHITE AVENUE

    KNOXVILLE, TN 379162399

    Phone: (865) 331-1155

    Fax: (865) 331-3165

    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: 2014-06-24

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
I20140624002493IRadiation OncologyTNTBD

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
77014Ct guidance for insertion of radiation therapy fields1,04952$0
77300Calculation of radiation therapy dose381120$0
77334Design and construction of complex radiation treatment device352125$0
77427Radiation treatment management, 5 treatment sessions28578$0
99213Established patient office or other outpatient visit, 20-29 minutes252198$0
View full utilization report →

Insurance plans in this area (ZIP 37916)

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Provider's Procedures

DR. GRANT MICHAEL CLARK (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYWV77300Calculation of radiation therapy dose35389
RADIATION ONCOLOGYWV77427Radiation treatment management, 5 treatments28274

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: 6103917729View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Radiation OncologyFL
Radiation OncologyTN
Radiation OncologyTN
-TN
Nurse PractitionerTN
Radiation OncologyTN
Radiation OncologyOK

Reviews

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Frequently asked questions

How do I look up DR. GRANT MICHAEL CLARK (M.D.) by NPI?
Use NPI 1700029626 when you need to reference DR. GRANT MICHAEL CLARK (M.D.) in forms, claims, or directories.
Is DR. GRANT MICHAEL CLARK (M.D.) currently active in the NPI registry?
CMS-published data lists DR. GRANT MICHAEL CLARK (M.D.) as an active registrant.
What does DR. GRANT MICHAEL CLARK (M.D.) treat or focus on?
Patients typically see DR. GRANT MICHAEL CLARK (M.D.) under the specialty Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. GRANT MICHAEL CLARK (M.D.)?
We surface Knoxville, Tennessee for DR. GRANT MICHAEL CLARK (M.D.) based on available NPPES addresses.
How can I contact DR. GRANT MICHAEL CLARK (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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