DR. ROBERT LEON CLARK (MD) – Pulmonary Disease Physician, NPI 1508850181

DR. ROBERT LEON CLARK (MD) is a healthcare provider. based in Bellevue, Washington. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. MD 00030055 (WA). The NPI Number for DR. ROBERT LEON CLARK (MD) is 1508850181

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT LEON CLARK (MD)
NPI
1508850181
Phone
(206) 790-2397
Address
17058 SE 58TH ST
Enumeration Date
9 September 2005
Last Update Date
28 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082636876
Graduation Year
1981 (45 years ago)
PAC ID
1759381171
Group Practice PAC ID
1759366818
Professional Enrollment ID
I20150928001506
Address ID
ID838644939SA102XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

419 CRITICAL CARE (INTENSIVISTS) in WA

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Provider Addresses for DR. ROBERT LEON CLARK (MD)

  • Southeast 58th Street, Bellevue, King County, Washington, 98006, United States

    BELLEVUE, WA 980065595

    Phone: (206) 790-2397

    Fax: (425) 641-4827

    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: 2015-09-28

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
I20150928001506ICritical Care (Intensivists)IDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12273$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8233$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7371$0
99238Hospital discharge day management, 30 minutes or less5957$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3833$0
View full utilization report →

Insurance plans in this area (ZIP 98006)

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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: 1759366818View full group profile
NameSpecialtyState
Internal MedicineID
-OR

Reviews

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Frequently asked questions

Can I verify DR. ROBERT LEON CLARK (MD) with an NPI only?
You can start verification with NPI 1508850181 for DR. ROBERT LEON CLARK (MD), then check state licensing separately.
Is DR. ROBERT LEON CLARK (MD) listed as active for patients and plans?
The listing shows DR. ROBERT LEON CLARK (MD) as active in the NPI system.
What is DR. ROBERT LEON CLARK (MD)'s specialty?
The listing groups DR. ROBERT LEON CLARK (MD) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ROBERT LEON CLARK (MD) based?
DR. ROBERT LEON CLARK (MD) is tied to Bellevue, Washington in the data we show; additional addresses may exist on the full record.
Why does DR. ROBERT LEON CLARK (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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