ABDUL-GHAFFAAR CLARK (MD) – Emergency Medicine Physician, NPI 1053949305
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for ABDUL-GHAFFAAR CLARK (MD)
2212 YAUPON DR
IRVING, TX 750633483
Phone: (414) 708-9427
Type: Mailing
6800 N MACARTHUR BLVD
IRVING, TX 750392422
Phone: (414) 708-9427
Type: Location
8701 W Watertown Plank Rd
Wauwatosa, WI 532263548
Phone: (414) 955-8296
Type: Location
4100 State Highway 66
Stevens Point, WI 54482
Phone: (715) 236-8100
Type: Location
706 S 90TH ST
WEST ALLIS, WI 532142828
Phone: (414) 708-9427
Type: Mailing
8701 W WATERTOWN PLANK RD
WAUWATOSA, WI 532263548
Phone: (414) 955-8296
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: 2023-10-25
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 |
|---|---|---|---|---|
| I20230913003384 | I | Emergency Medicine | WI | TBD |
| I20231025003394 | I | Emergency Medicine | TX | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 78 | 76 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 35 | 35 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | 31 | $0 |
Insurance plans in this area (ZIP 75063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Emergency Medicine | PA | |
| - | TX | |
| Family Practice, Emergency Medicine, Pain Management | TX | |
| Emergency Medicine, General Surgery, Hand Surgery | TX | |
| Emergency Medicine, Internal Medicine | TX |
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