DR. MICHAEL SCOTT CLARK (DC) – Chiropractor, NPI 1710059035

DR. MICHAEL SCOTT CLARK (DC) is a healthcare provider. based in Lehi, Utah. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6204897-1202 (UT). The NPI Number for DR. MICHAEL SCOTT CLARK (DC) is 1710059035

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL SCOTT CLARK (DC)
NPI
1710059035
Phone
(801) 768-2939
Address
380 E MAIN ST
Enumeration Date
14 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
2098383434
Graduation Year
1996 (30 years ago)
PAC ID
8224068127
Group Practice PAC ID
4880918192
Professional Enrollment ID
I20150708002996
Address ID
CA953552704MO1933XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

319 CHIROPRACTIC in UT

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Provider Addresses for DR. MICHAEL SCOTT CLARK (DC)

  • 380, East Main Street, Lehi, Utah County, Utah, 84043, United States

    SUITE E

    LEHI, UT 840432228

    Phone: (801) 768-2939

    Fax: (801) 768-2955

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-07-08

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
I20150708002996IChiropracticCATBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions13823$0
View full utilization report →

Insurance plans in this area (ZIP 84043)

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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: 4880918192View full group profile
NameSpecialtyState
Nurse PractitionerCA
C H I R O P R A C T I CCA

Reviews

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Frequently asked questions

Where can patients find DR. MICHAEL SCOTT CLARK (DC)'s NPI?
You can confirm DR. MICHAEL SCOTT CLARK (DC) with NPI 1710059035; it appears in the national provider directory.
Is DR. MICHAEL SCOTT CLARK (DC) currently active in the NPI registry?
CMS-published data lists DR. MICHAEL SCOTT CLARK (DC) as an active registrant.
What kind of provider is DR. MICHAEL SCOTT CLARK (DC)?
The page reflects Chiropractor for DR. MICHAEL SCOTT CLARK (DC). Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL SCOTT CLARK (DC)'s primary listing?
We display Lehi, Utah because that is what the record indicates for DR. MICHAEL SCOTT CLARK (DC).
Is DR. MICHAEL SCOTT CLARK (DC) a real provider?
This page reflects official NPPES data for NPI 1710059035. Always confirm identity and privileges with the practice and licensing boards.

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