DR. GARY WAYNE CLARK D.O.
NPI 1013987759
Family Medicine in Carrollton, OH

Q: What is Gary Clark's NPI number?

The NPI number for Gary Clark is 1013987759. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Gary Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Clark was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 25, 2006PECOS EnrolledAccepts Medicare Assignment

125 CANTON RD NW, CARROLLTON, OH 44615(330) 627-7641(330) 627-5796 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gary Wayne Clark D.o. NPPES

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

DR. GARY WAYNE CLARK D.O. (NPI 1013987759) is an individual family medicine provider in Carrollton, Ohio, licensed in Ohio (011418) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1013987759

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GARY WAYNE CLARKCredential: D.O.

Location Address125 CANTON RD NWCarrollton, OH 44615-1009

Mailing Address82 5th St NeCarrollton, OH 44615-1214 · (330) 627-3494 · Fax (330) 627-3494

Phone(330) 627-7641

Fax(330) 627-5796

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateJanuary 25, 2006

Last NPPES UpdateApril 24, 2015

✔ NPI 1013987759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 011418✔ Licensed in TN · DO785

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

125 CANTON RD NW, Carrollton, OH 44615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Wayne Clark D.o. 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 ID9436237898

PECOS Enrollment IDI20150827000323

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

111 services100 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services47 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Canton, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360070

Location1320 Mercy Drive NWCanton, OH 44708 · Stark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44615 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 15

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

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