SCOTT A CLARK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1700865748

SCOTT A CLARK (DPM) is a healthcare provider. based in Salt lake city, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 106339-0501 (UT). The NPI Number for SCOTT A CLARK (DPM) is 1700865748

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT A CLARK (DPM)
NPI
1700865748
Phone
(801) 466-1333
Address
2159 S 700 E Ste 150
Enumeration Date
10 January 2006
Last Update Date
19 February 2020

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8015055277
Graduation Year
1991 (35 years ago)
PAC ID
6204812779
Group Practice PAC ID
2163592379
Professional Enrollment ID
I20040625000373
Address ID
UT841021580SA24XXX1100302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for SCOTT A CLARK (DPM)

  • 2159 S 700 E Ste 150

    Salt Lake City, UT 841062279

    Phone: (801) 466-1333

    Fax: (801) 466-6601

    Type: Location

  • 3435 E Pony Express Pkwy Ste 140

    Eagle Mountain, UT 840055548

    Phone: (801) 692-3868

    Fax: (801) 789-2406

    Type: Location

  • 24 S 1100 E STE 210

    SALT LAKE CITY, UT 84102

    Phone: (801) 505-5277

    Fax: (801) 505-5280

    Type: Location

  • 8822 S Redwood Rd Ste E121

    West Jordan, UT 840885763

    Phone: (801) 285-7060

    Fax: (801) 285-7061

    Type: Location

  • PO BOX 540610

    N SALT LAKE, UT 840540610

    Phone: (801) 451-6060

    Fax: (801) 296-0218

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $38,880.

Total Amount is formed as General ($38,880) + Research ($0) + Ownership ($0) = $38,880.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Orthofix Medical, Inc. ($38,847).

Total Amount

$38,880

General + Research + Ownership

Payments

81

Total payment records

General Amount

$38,880

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-06-25

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
I20040625000373IPodiatryUTTBD

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
11721Removal of fingernails or toenails, 6 or more nails17567$0
99213Established patient office or other outpatient visit, 20-29 minutes17187$0
11042Removal of skin and tissue, 20.0 sq cm or less12620$0
11055Removal of noncancer thickened skin growth, 1 growth10240$0
11056Removal of noncancer thickened skin growth, 2-4 growths7729$0
View full utilization report →

Insurance plans in this area (ZIP 84106)

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Provider's Procedures

SCOTT A CLARK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYUT11720Removal of tissue from 1 to 5 finger or toe nails25097

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: 2163592379View full group profile
NameSpecialtyState
P O D I A T R YUT
P O D I A T R YUT
-FL
P O D I A T R YUT
P O D I A T R YUT
P O D I A T R YUT
P O D I A T R YUT
P O D I A T R YUT

Reviews

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Frequently asked questions

Can I use this page to confirm SCOTT A CLARK (DPM)'s NPI?
Yes. SCOTT A CLARK (DPM) is listed with NPI 1700865748 in the public NPI dataset.
Does the file indicate SCOTT A CLARK (DPM) is practicing under active NPI?
Directory data currently reports SCOTT A CLARK (DPM) as active.
What is SCOTT A CLARK (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for SCOTT A CLARK (DPM) here. Clinical services aligned with this taxonomy classification.
Does SCOTT A CLARK (DPM) list a practice location?
Patients near Salt Lake City, Utah may find SCOTT A CLARK (DPM) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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