DR. RICHARD CLARK CLINE (M.D.) – Nephrology Physician, NPI 1245237080

DR. RICHARD CLARK CLINE (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 173525-1205 (UT). The NPI Number for DR. RICHARD CLARK CLINE (M.D.) is 1245237080

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD CLARK CLINE (M.D.)
NPI
1245237080
Phone
(801) 903-8956
Address
PO BOX 71506
Enumeration Date
7 July 2005
Last Update Date
28 October 2016

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
6154658684
Graduation Year
1984 (42 years ago)
PAC ID
0143369033
Group Practice PAC ID
4880004183
Professional Enrollment ID
I20251120002509
Address ID
IL606044393CH332XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

903 INTERNAL MEDICINE in UT

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Provider Addresses for DR. RICHARD CLARK CLINE (M.D.)

  • PO BOX 71506

    SUITE 204

    SALT LAKE CITY, UT 841710506

    Phone: (801) 903-8956

    Fax: (801) 288-8987

    Type: Mailing

  • Myrtle Avenue, Murray Bridge East, The Rural City of Murray Bridge, South Australia, 5253, Australia

    SUITE 204

    MURRAY, UT 841074850

    Phone: (801) 288-9002

    Fax: (801) 288-8987

    Type: Location

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 $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($38).

Total Amount

$123

General + Research + Ownership

Payments

6

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

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: 2025-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 11 Medicare enrollment records; no due dates published yet.

Enrollment records

11

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
I20100928001741INephrologyUTTBD
I20181009002506INephrologyIDTBD
I20221220002779INephrologyAZTBD
I20230124003482INephrologyWATBD
I20230829004467INephrologyARTBD
I20240319002474INephrologyKYTBD
I20241210001584INephrologyMTTBD
I20250214001577INephrologyTXTBD
I20250219003239INephrologyIATBD
I20251112002109INephrologyCOTBD
I20251120002509INephrologyILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes410112$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13367$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8679$0
90935Hemodialysis procedure with physician evaluation4125$0
99215Established patient office or other outpatient visit, 40-54 minutes2618$0
View full utilization report →

Insurance plans in this area (ZIP 84171)

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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: 4880004183View full group profile
NameSpecialtyState
Nurse PractitionerHI
Internal Medicine, NephrologyLA
Nurse PractitionerMA
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerAZ
Nurse PractitionerAZ
Physician AssistantPA
Nephrology, Internal MedicineLA
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to DR. RICHARD CLARK CLINE (M.D.)?
The federal identifier for DR. RICHARD CLARK CLINE (M.D.) is NPI 1245237080.
Does this profile mean DR. RICHARD CLARK CLINE (M.D.) is currently active?
Yes — DR. RICHARD CLARK CLINE (M.D.) appears active in the national provider directory.
What does DR. RICHARD CLARK CLINE (M.D.) treat or focus on?
Patients typically see DR. RICHARD CLARK CLINE (M.D.) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. RICHARD CLARK CLINE (M.D.)?
The page summarizes Salt Lake City, Utah for DR. RICHARD CLARK CLINE (M.D.); expand the address list for detail.
Is DR. RICHARD CLARK CLINE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1245237080. Always confirm identity and privileges with the practice and licensing boards.

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