TRAVIS M CLARK (MD) – Urology Physician, NPI 1083647838
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
317 UROLOGY in WA
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Provider Addresses for TRAVIS M CLARK (MD)
Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States
WENATCHEE, WA 988012028
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)
CMS reports 22 Open Payments records for all available years, with a total value of $607.
Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Axonics, Inc. ($436).
Total Amount
$607
General + Research + Ownership
Payments
22
Total payment records
General Amount
$607
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $436 |
| Intuitive Surgical, Inc. | $43 |
| 180 Medical, Inc. | $30 |
| ABBVIE INC. | $29 |
| COLOPLAST CORP | $28 |
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: 2004-07-27
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 |
|---|---|---|---|---|
| I20040727001205 | I | Urology | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 277 | 235 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 188 | 165 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 127 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 114 | 114 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 104 | 97 | $0 |
Insurance plans in this area (ZIP 98801)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | WA | |
| Internal Medicine | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| Internal Medicine, Nephrology | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MT | |
| Nurse Practitioner | WA | |
| Emergency Medicine | WA | |
| Family Practice | WA | |
| - | WA |
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