CHARLES LEROY III CLARK (M.D.) – Ophthalmology Physician, NPI 1912158627

CHARLES LEROY III CLARK (M.D.) is a healthcare provider. based in Abilene, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. ME119554 (FL). The NPI Number for CHARLES LEROY III CLARK (M.D.) is 1912158627

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES LEROY III CLARK (M.D.)
NPI
1912158627
Phone
(325) 673-9806
Address
5441 HEALTH CENTER DR
Enumeration Date
1 October 2008
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3256739806
Graduation Year
2008 (18 years ago)
PAC ID
0244494581
Group Practice PAC ID
4587648407
Professional Enrollment ID
I20170516001884
Address ID
TX797072743MI4900XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for CHARLES LEROY III CLARK (M.D.)

  • 5441, Health Center Drive, Abilene, Taylor County, Texas, 79606, United States

    ABILENE, TX 796061224

    Phone: (325) 673-9806

    Fax: (325) 673-9809

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $231.

Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Coherus Biosciences Inc. ($82).

Total Amount

$231

General + Research + Ownership

Payments

11

Total payment records

General Amount

$231

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-05-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170516001884IOphthalmologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg7,80021$0
Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg3,570188$0
92134Imaging of retina3,004935$0
99214Established patient office or other outpatient visit, 30-39 minutes2,222791$0
67028Injection of drug into eye1,548287$0
View full utilization report →

Insurance plans in this area (ZIP 79606)

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Provider's Procedures

CHARLES LEROY III CLARK (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTX92134Diagnostic imaging of retina3241973

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587648407View full group profile
NameSpecialtyState
-TX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Where can patients find CHARLES LEROY III CLARK (M.D.)'s NPI?
You can confirm CHARLES LEROY III CLARK (M.D.) with NPI 1912158627; it appears in the national provider directory.
Is CHARLES LEROY III CLARK (M.D.) active in the national directory?
CHARLES LEROY III CLARK (M.D.)'s public NPI profile is in an active state.
What field does CHARLES LEROY III CLARK (M.D.) work in?
You can think of CHARLES LEROY III CLARK (M.D.) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for CHARLES LEROY III CLARK (M.D.)?
We surface Abilene, Texas for CHARLES LEROY III CLARK (M.D.) based on available NPPES addresses.
Is CHARLES LEROY III CLARK (M.D.) a real provider?
This page reflects official NPPES data for NPI 1912158627. Always confirm identity and privileges with the practice and licensing boards.

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