DR. GARY DAVID CLARK MD
NPI 1013097450
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Houston, TX

Q: What is Gary Clark's NPI number?

The NPI number for Gary Clark is 1013097450. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Gary Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Gary Clark was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment

6701 FANNIN ST, HOUSTON, TX 77030(832) 822-5046(832) 825-3504 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gary David Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY DAVID CLARK MD (NPI 1013097450) is an individual neurology with special qualifications in child neurology provider in Houston, Texas, licensed in Texas (J7451) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1982).

NPPES Registry Identity

NPI1013097450

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameDR. GARY DAVID CLARKCredential: MD

Location Address6701 FANNIN STHouston, TX 77030-2316

Mailing Address6701 Fannin StHouston, TX 77030-2316 · (832) 822-5046 · Fax (832) 825-3504

Phone(832) 822-5046

Fax(832) 825-3504

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1982

Enumeration DateOctober 17, 2006

Last NPPES UpdateMay 26, 2021

NPPES CertifiedMay 26, 2021

✔ NPI 1013097450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in TX · J7451

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License J7451 (TX)

6701 FANNIN ST, Houston, TX 77030

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Other Identifiers 1

Medicaid133132401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Community Health Choice, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary David Clark Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153656541

PECOS Enrollment IDI20190708000984

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONIA ANN MONTEIRO MD

Pediatrics (Developmental - Behavioral Pediatrics)