DR. GARY WAYNE CLARK D.O.
NPI 1013987759
Family Medicine in Carrollton, OH
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Gary Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, OH 44705
- Reassigned Medicare billing, Ohio enrollment
- 235 clinicians in this Medicare group
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, OHPhysician 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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Gary Clark located?
Gary Clark practices at 125 Canton Rd NW, Carrollton, OH 44615. The listed phone number is (330) 627-7641.
What is Gary Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gary Clark enrolled in Medicare?
Yes. Gary Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gary Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Clark reassigns Medicare benefits to 2 organizations: Cleveland Clinic Mercy Hospital (Canton, OH) and The Cleveland Clinic Foundation (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Clark accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gary Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Gary Clark affiliated with any hospitals?
According to CMS data, Gary Clark is affiliated with Mercy Medical Center.
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.
# Dr. Gary Wayne Clark, D.O. · NPI 1013987759
Family Medicine physician in Carrollton, Ohio. Individual provider, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1013987759 (Entity type: Individual)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 011418 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 125 CANTON RD NW, Carrollton, OH 44615-1009
- **Phone:** (330) 627-7641 · **Fax:** (330) 627-5796
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cleveland Clinic Mercy Hospital (NPI 1023362100, Canton, OH); The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** April 24, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1013987759) · Data from the CMS NPPES public registry.