DR. MATTHEW TIMOTHY CLARK (M.D.) – Gastroenterology Physician, NPI 1497072227
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,498 GASTROENTEROLOGY in TX
Provider Addresses for DR. MATTHEW TIMOTHY CLARK (M.D.)
129 VISION PARK BLVD STE 307
SHENANDOAH, TX 773843024
Phone: (936) 321-5440
Fax: (369) 271-3705
Type: Location
PO BOX 44008
UFJP-PROVIDER ENROLLMENT
JACKSONVILLE, FL 322314008
Phone: (904) 244-3357
Fax: (904) 244-4685
Type: Mailing
2510 S LOOP 336 W
STE 336
CONROE, TX 77304
Phone: (713) 955-2889
Fax: (254) 780-0332
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 236 Open Payments records for all available years, with a total value of $4,622.
Total Amount is formed as General ($4,622) + Research ($0) + Ownership ($0) = $4,622.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,587).
Total Amount
$4,622
General + Research + Ownership
Payments
236
Total payment records
General Amount
$4,622
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
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: 2017-05-17
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 |
|---|---|---|---|---|
| I20170517001820 | I | Gastroenterology | 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 | 280 | 203 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 226 | 226 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 193 | 187 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 122 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 63 | $0 |
Insurance plans in this area (ZIP 77384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | TX | |
| Gastroenterology, Internal Medicine | TX | |
| - | MO | |
| G A S T R O E N T E R O L O G Y | TX | |
| P A T H O L O G Y | TX | |
| Physician Assistant | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Nurse Practitioner | TX |
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