DR. KENNETH A CLARK (MD) – Internal Medicine Physician, NPI 1902880370
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,934 INTERNAL MEDICINE in VA
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Provider Addresses for DR. KENNETH A CLARK (MD)
199, Hospital Drive, Galax, Galax City, Virginia, 24333, United States
SUITE 5
GALAX, VA 243332454
Phone:
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.
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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: 2003-12-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031210001122 | I | Internal Medicine | VA | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 137 | 137 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 130 | 126 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 80 | 80 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 48 | 45 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 36 | 36 | $0 |
Insurance plans in this area (ZIP 24333)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | VA | 45378 | Diagnostic examination of large bowel using an endoscope | 99 | 98 |
| INTERNAL MEDICINE | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 126 | 126 |
| INTERNAL MEDICINE | VA | 85610 | Blood test, clotting time | 424 | 54 |
| INTERNAL MEDICINE | VA | 90670 | Pneumococcal vaccine for injection into muscle | 32 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Family Practice | MI | |
| Nurse Practitioner | VA | |
| - | VA |
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