DR. RICHARD GARY CLARK (MD) – Internal Medicine Physician, NPI 1962406793
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
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Provider Addresses for DR. RICHARD GARY CLARK (MD)
100, South Duncan Street, Jamestown, Fentress County, Tennessee, 38556, United States
JAMESTOWN, TN 385563009
Phone: (931) 879-5864
Fax: (931) 879-3903
Type: Location
281 UNDERPASS DR
ONEIDA, TN 378415885
Phone: (423) 569-5454
Fax: (423) 569-5858
Type: Mailing
PO BOX 2861
CROSSVILLE, TN 385572861
Phone: (931) 879-5864
Fax: (931) 879-3903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $873.
Total Amount is formed as General ($873) + Research ($0) + Ownership ($0) = $873.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($231).
Total Amount
$873
General + Research + Ownership
Payments
52
Total payment records
General Amount
$873
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $231 |
| Novo Nordisk Inc | $219 |
| Lilly USA, LLC | $78 |
| Bayer Healthcare Pharmaceuticals Inc. | $63 |
| AstraZeneca Pharmaceuticals LP | $36 |
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: 2010-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100603000658 | I | Internal Medicine | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,195 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 61 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 51 | 50 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 42 | 42 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 38556)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | ID | |
| - | TN |
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