AUSTRALIA D CLARK (M.D.) – Family Medicine Physician, NPI 1528329562
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for AUSTRALIA D CLARK (M.D.)
6318 FM 1488 RD STE 100
MAGNOLIA, TX 773542763
Phone: (936) 321-3110
Fax: (936) 321-3125
Type: Mailing
605 S Conroe Medical Dr
Conroe, TX 773044722
Phone: (936) 539-4004
Fax: (936) 521-3964
Type: Location
605 S CONROE MEDICAL DR
CONROE, TX 773044722
Phone: (936) 539-4004
Fax: (936) 521-3964
Type: Location
227 STATE HIGHWAY 75 N STE 130
HUNTSVILLE, TX 77320
Phone: (936) 539-4004
Fax: (936) 291-0746
Type: Location
4015 INTERSTATE 45 N STE 100
CONROE, TX 773045076
Phone: (936) 270-4600
Fax: (936) 856-8429
Type: Mailing
8271 STATE HIGHWAY 75 S
HUNTSVILLE, TX 773402464
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2023-08-15 • Largest payer in this snapshot: ABBVIE INC. ($27).
Total Amount
$91
General + Research + Ownership
Payments
6
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $27 |
| Exact Sciences Corporation | $17 |
| Novo Nordisk Inc | $16 |
| Amgen Inc. | $15 |
| Lilly USA, LLC | $15 |
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: 2015-10-19
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 |
|---|---|---|---|---|
| I20151019000181 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77354)
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