BENJAMIN REED CLARK (O.D.) – Optometrist, NPI 1063612497
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BENJAMIN REED CLARK (O.D.)
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 221822442
Phone: (703) 847-8899
Fax: (571) 223-6780
Type: Mailing
1220 PARKWOOD DR
WISCONSIN RAPIDS, WI 544945488
Phone: (715) 421-2111
Fax: (715) 421-2123
Type: Location
800, 1st Street, Riverlife, Wausau, Marathon County, Wisconsin, 54403, United States
WAUSAU, WI 544034754
Phone: (715) 261-8500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($45).
Total Amount
$60
General + Research + Ownership
Payments
3
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tarsus Pharmaceuticals, Inc. | $45 |
| Alcon Vision LLC | $15 |
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: 2007-09-21
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070921000348 | I | Optometry | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
| 92250 | Photography of the retina | 16 | 16 | $0 |
| 92014 | Established patient complete exam of visual system | 14 | 14 | $0 |
| 92083 | Exam of visual field with extended testing | 13 | 13 | $0 |
Insurance plans in this area (ZIP 22182)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WI | |
| - | WI | |
| O P H T H A L M O L O G Y | WI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | WI | |
| O P H T H A L M O L O G Y | MD | |
| Qualified Audiologist | WI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | WI | |
| O P T O M E T R Y | OH |
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