DR. KHALILAH Q CLARKE (MD) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1093977449
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 PHYSICAL MEDICINE AND REHABILITATION in TX
Provider Addresses for DR. KHALILAH Q CLARKE (MD)
1307 8TH AVE STE 603
FORT WORTH, TX 761044142
Phone: (817) 662-7044
Fax: (817) 438-1969
Type: Mailing
3012 S Highway 174 Lot C
Cleburne, TX 760336985
Phone: (817) 662-7044
Fax: (817) 438-1969
Type: Location
3600 W 7TH ST STE A
FORT WORTH, TX 761072569
Phone: (817) 662-7044
Fax: (817) 438-1969
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,042.
Total Amount is formed as General ($1,042) + Research ($0) + Ownership ($0) = $1,042.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($758).
Total Amount
$1,042
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,042
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $758 |
| SCILEX PHARMACEUTICALS INC. | $139 |
| Valinor Pharma, LLC | $42 |
| ABBVIE INC. | $37 |
| Lundbeck LLC | $33 |
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: 2013-08-28
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 |
|---|---|---|---|---|
| I20130828000534 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 326 | 46 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 111 | 18 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | TX | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 14 | 12 |
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