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BRETT CLARK D.D.S.
NPI 1073699856
Dentist - General Practice in Madison, WI

Active since October 27, 2006PECOS Enrolled
6317 ODANA RD, MADISON, WI 53719(608) 274-1911(608) 274-1858 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brett Clark D.d.s. NPPES

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

BRETT CLARK D.D.S. (NPI 1073699856) is an individual general practice provider in Madison, Wisconsin, licensed in Wisconsin (5014-015) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073699856
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRETT CLARKCredential: D.D.S.
Location Address6317 ODANA RDMadison, WI 53719-1107
Mailing Address6317 Odana RdMadison, WI 53719-1107 · (608) 274-1911 · Fax (608) 274-1858
Phone(608) 274-1911
Fax(608) 274-1858
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateFebruary 11, 2013
✔ NPI 1073699856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5014-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6317 ODANA RD, Madison, WI 53719
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett Clark D.d.s. 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 53719 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 4

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

DR. TAMMY L KALSOW DMD
Dentist (General Practice)
6317 ODANA RD
MADISON, WI 53719
Dane County (608) 274-1911
ROBERT D SALZMANN
Dentist (General Practice)
6317 ODANA RD
MADISON, WI 53719
Dane County (608) 274-1911
TOTAL CARE DENTAL, S.C.
Dentist (General Practice)
6317 ODANA RD
MADISON, WI 53719
Dane County (608) 274-1911
DR. JASON PAUL VANDEHAAR DDS
Dentist (General Practice)
6317 ODANA RD
MADISON, WI 53719
Dane County (608) 274-1911

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 Brett Clark's NPI number?

The NPI number for Brett Clark is 1073699856. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Brett Clark located?

Brett Clark practices at 6317 Odana Rd, Madison, WI 53719. The listed phone number is (608) 274-1911.

What is Brett Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brett Clark enrolled in Medicare?

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

What insurance does Brett Clark accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Brett 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.

When was this NPI record last updated?

The NPPES record for Brett Clark was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.