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CASSIDY LEIGH CLARK DO
NPI 1023802725
Surgery in Grand Rapids, MI

Active since April 07, 2025PECOS Enrolled
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Apr 7, 2025 (2 updates tracked since 2025).

About Cassidy Leigh Clark Do NPPES

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

CASSIDY LEIGH CLARK DO (NPI 1023802725) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (5151017360) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023802725
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCASSIDY LEIGH CLARKCredential: DO
Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560
Phone(616) 391-6243
Sole ProprietorNo
Enumeration DateApril 7, 2025
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1023802725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5151017360
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Leigh Clark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

ERIN LOUISE MUELLER MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
JOEL WALKER DEJONGE MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CHRISTOPHER VISSER DO
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CLAIRE MARIETTA MCNARY MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
VICTOR MAGANA CASTRO MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
SAMAH ABDALLA MBBS
Radiology (Diagnostic Radiology)
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3777
KARISSA LIBSON
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3570
DR. NORMAN JOSEPH BEAUCHAMP III MD
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3570

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 Cassidy Clark's NPI number?

The NPI number for Cassidy Clark is 1023802725. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Cassidy Clark located?

Cassidy Clark practices at 100 Michigan St NE Ste A601, Grand Rapids, MI 49503. The listed phone number is (616) 391-6243.

What is Cassidy Clark's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cassidy Clark enrolled in Medicare?

Yes. Cassidy Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cassidy Clark was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.