REECE EVAN CLARK – Student in an Organized Health Care Education/Training Program, NPI 1528622123
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
Provider Addresses for REECE EVAN CLARK
7703 FLOYD CURL DR # 7836
SAN ANTONIO, TX 782293900
Phone:
Type: Mailing
4502 MEDICAL DR
SAN ANTONIO, TX 782294492
Phone: (912) 381-7001
Type: Location
1205 Hadley Rd Ste 120
Mooresville, IN 461581934
Phone: (317) 834-8950
Fax: (317) 834-8951
Type: Location
500 E 22ND ST STE A
LOMBARD, IL 601486102
Phone: (630) 932-2055
Fax: (630) 932-2059
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $2,807.
Total Amount is formed as General ($2,807) + Research ($0) + Ownership ($0) = $2,807.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,500).
Total Amount
$2,807
General + Research + Ownership
Payments
61
Total payment records
General Amount
$2,807
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,500 |
| PFIZER INC. | $315 |
| Exeltis, USA Inc. | $235 |
| Novo Nordisk Inc | $233 |
| Amgen Inc. | $78 |
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: 2025-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20241018000486 | I | Obstetrics/Gynecology | IL | TBD |
| I20250905002854 | I | Obstetrics/Gynecology | UT | TBD |
| I20251021002595 | I | Obstetrics/Gynecology | IN | 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 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
Reviews
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