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DONALD WAYNE CLARK MD
NPI 1083773931
Family Medicine in Albuquerque, NM

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
801 VASSAR NE, ALBUQUERQUE INDIAN HEALTH CENTER, ALBUQUERQUE, NM 87106(505) 248-4065(505) 248-4093 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald Wayne Clark Md NPPES

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

DONALD WAYNE CLARK MD (NPI 1083773931) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (96216) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Alta Vista Regional Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1984).

NPPES Registry Identity

NPI1083773931
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD WAYNE CLARKCredential: MD
Location Address801 VASSAR NE, ALBUQUERQUE INDIAN HEALTH CENTERAlbuquerque, NM 87106
Mailing Address801 Vassar Ne, Albuquerque Indian Health ClinicAlbuquerque, NM 87106 · (505) 248-4065 · Fax (505) 248-4093
Phone(505) 248-4065
Fax(505) 248-4093
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1984
Enumeration DateDecember 6, 2006
Last NPPES UpdateDecember 9, 2010
✔ NPI 1083773931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 96216
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.
801 VASSAR NE, Albuquerque, NM 87106
Open in Google Maps ↗

Other Identifiers 12

Medicaid723553AZ
Other2618Lovelace Salud
Medicare ID-Type UnspecifiedB8HZ191W
Other8HZ91WNM · Medicare Ptan
OtherHSZ196NM · Medicare Part B
Medicare UPIND79850
MedicaidS5748NM
MedicaidK3526NM
Medicaid05679079NM
Medicare OSCAR/certification320057NM
OtherHSZ162NM · Medicare Group Ptan
Other13026Presbyterian Health Plan

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

Donald Wayne 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 ID4688749336
PECOS Enrollment IDI20150309001574
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Donald Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albuquerque Indian Health Center
Same address
Clinic/Center
801 VASSAR DR NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, Texas enrollment
  • 133 clinicians in this Medicare group
NPI 1659458917 (505) 248-4062
Santa Ana Health Center
18 mi
Health Service
02C DOVE ROAD
Bernalillo, NM 87004
  • Reassigned Medicare billing, Texas enrollment
  • 65 clinicians in this Medicare group
NPI 1649331323 (505) 867-2497
Canoncito Band Of Navajos Health Center, Inc.
28 mi
Rural Health
129 MEDICINE HORSE DRIVE
Tohajiilee, NM 87026
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group
NPI 1578010070 (505) 908-2307
State Of New Mexico
85 mi
Nursing Facility/Intermediate Care Facility
3695 HOT SPRINGS BLVD
Las Vegas, NM 87701
  • Reassigned Medicare billing, New Mexico enrollment
  • 31 clinicians in this Medicare group
NPI 1992867998 (505) 454-2100

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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
46 services33 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
39 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services13 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Alta Vista Regional Hospital

Critical Access Hospitals · Las Vegas, NM
OwnershipProprietary
CMS Certification Number321312
Location104 Legion DriveLas Vegas, NM 87701 · San Miguel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Donald Clark's NPI number?

The NPI number for Donald Clark is 1083773931. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Donald Clark located?

Donald Clark practices at 801 Vassar NE Albuquerque Indian Health Center, Albuquerque, NM 87106. The listed phone number is (505) 248-4065.

What is Donald Clark's specialty?

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

Is Donald Clark enrolled in Medicare?

Yes. Donald 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 Donald Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Clark reassigns Medicare benefits to 4 organizations: Albuquerque Indian Health Center (Albuquerque, NM), Santa Ana Health Center (Bernalillo, NM), Canoncito Band Of Navajos Health Center, Inc. (Tohajiilee, NM) and State Of New Mexico (Las Vegas, NM). 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 Donald Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Donald Clark affiliated with any hospitals?

According to CMS data, Donald Clark is affiliated with Alta Vista Regional Hospital.

When was this NPI record last updated?

The NPPES record for Donald Clark was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.