CLARK A GUNDERSON MD
NPI 1083831887
Orthopaedic Surgery in Lake Charles, LA

Active since April 20, 2007PECOS Enrolled
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601(337) 439-0385(337) 433-5448 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2023, Dec 6, 2022, Jul 27, 2022 and 1 more (4 updates tracked since 2021).

About Clark A Gunderson Md NPPES

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

CLARK A GUNDERSON MD (NPI 1083831887) is an individual orthopaedic surgery provider in Lake Charles, Louisiana, licensed in Louisiana (012489) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083831887
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCLARK A GUNDERSONCredential: MD
Location Address1717 OAK PARK BLVD FL 3Lake Charles, LA 70601-8990
Mailing AddressPo Box 2146Lake Charles, LA 70602-2146 · (337) 439-0385 · Fax (337) 433-5448
Fax(337) 433-5448
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateFebruary 20, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
NPI 1083831887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in LA · 012489 Licensed in LA · 12489
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedClinic/CenterTaxonomy 261Q00000X
1717 OAK PARK BLVD FL 3, Lake Charles, LA 70601

Other Identifiers 3

Other1861766321LA · Nppes
Medicaid1141305LA
Medicaid3073307LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Clark A Gunderson Md 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 70601 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Dietitian, Registered
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Adult Health)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Physician Assistant
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601

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 Clark Gunderson's NPI number?

The NPI number for Clark Gunderson is 1083831887. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Clark Gunderson located?

Clark Gunderson practices at 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601. The listed phone number is (337) 439-0385.

What is Clark Gunderson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Clark Gunderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Clark Gunderson was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.