CLARK WHEELER DEEM (M.D.) – Ophthalmology Physician, NPI 1770528721

CLARK WHEELER DEEM (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. MD00012765 (WA). The NPI Number for CLARK WHEELER DEEM (M.D.) is 1770528721

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
CLARK WHEELER DEEM (M.D.)
NPI
1770528721
Phone
Not provided
Address
PO BOX 5299
Enumeration Date
16 June 2006
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2532482020
Graduation Year
1968 (58 years ago)
PAC ID
0042202012
Group Practice PAC ID
4981696952
Professional Enrollment ID
I20041111001114
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CLARK WHEELER DEEM (M.D.)

  • PO BOX 5299

    MS: 820-5-PCO

    TACOMA, WA 984150299

    Phone:

    Type: Mailing

  • 4707, South 19th Street, Central Tacoma, Tacoma, Pierce County, Washington, 98405, United States

    SUITE 210

    TACOMA, WA 984051151

    Phone: (253) 272-4600

    Fax: (253) 272-6289

    Type: Mailing

  • 316 MARTIN LUTHER KING JR WAY STE 402

    TACOMA, WA 984054261

    Phone: (253) 792-6630

    Fax: (253) 403-7205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($91).

Total Amount

$308

General + Research + Ownership

Payments

11

Total payment records

General Amount

$308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-11

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
I20041111001114IOphthalmologyWATBD

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
92014Established patient complete exam of visual system744714$0
99213Established patient office or other outpatient visit, 20-29 minutes475264$0
92134Imaging of retina409354$0
92133Imaging of optic nerve154127$0
92083Exam of visual field with extended testing117113$0
View full utilization report →

Insurance plans in this area (ZIP 98415)

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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: 4981696952View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

Is CLARK WHEELER DEEM (M.D.) listed with a National Provider Identifier?
Yes — CLARK WHEELER DEEM (M.D.) has NPI 1770528721 on file in the registry.
Is CLARK WHEELER DEEM (M.D.) still an active registrant?
CLARK WHEELER DEEM (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to CLARK WHEELER DEEM (M.D.)?
CLARK WHEELER DEEM (M.D.)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CLARK WHEELER DEEM (M.D.)?
Directory geography for CLARK WHEELER DEEM (M.D.) centers on Tacoma, Washington.
When was this NPI issued?
Enumeration for CLARK WHEELER DEEM (M.D.) is noted as June 16, 2006 where the registry provides it.

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