DR. GARY W. CLARK (MD) – Family Medicine Physician, NPI 1205816543

Family Medicine Physician

DR. GARY W. CLARK (MD) is a healthcare provider. based in Tacoma, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 181373-1205 (UT). The NPI Number for DR. GARY W. CLARK (MD) is 1205816543

Main info

Male

Name

DR. GARY W. CLARK (MD)

NPI

1205816543

Phone

(253) 968-2601

Address

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE

Enumeration Date

20 January 2006

Last Update Date

1 June 2020

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. GARY W. CLARK (MD)

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 984310001
Phone: (253) 968-2601
Type: Location
3605, Arbor Drive Southeast, Lacey, Thurston County, Washington, 98503, United States
LACEY, WA 985034801
Phone: (360) 455-0443
Type: Mailing

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: 2014-11-24

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98431)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GARY W. CLARK (MD)?

DR. GARY W. CLARK (MD) — NPI 1205816543 — is the standard way to identify this listing.

Is DR. GARY W. CLARK (MD) listed as active for patients and plans?

The listing shows DR. GARY W. CLARK (MD) as active in the NPI system.

What taxonomy line describes DR. GARY W. CLARK (MD)?

For research purposes, treat DR. GARY W. CLARK (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

What area does DR. GARY W. CLARK (MD) serve?

DR. GARY W. CLARK (MD)'s listing highlights Tacoma, Washington; more addresses can appear in NPPES.

Is the information about DR. GARY W. CLARK (MD) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."