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MICHAEL L CLARK MD
NPI 1114988540
Obstetrics & Gynecology in Wilmington, OH

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
596 W MAIN ST, WILMINGTON, OH 45177(937) 283-2588(937) 283-2594 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2024, May 1, 2023, Dec 7, 2022 and 2 more (5 updates tracked since 2020).

About Michael L Clark Md NPPES

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

MICHAEL L CLARK MD (NPI 1114988540) is an individual obstetrics & gynecology provider in Wilmington, Ohio, licensed in Ohio (35062520C) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114988540
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL L CLARKCredential: MD
Location Address596 W MAIN STWilmington, OH 45177-2123
Mailing Address610 W Main StWilmington, OH 45177-2125 · (937) 283-9815 · Fax (937) 283-9839
Phone(937) 283-2588
Fax(937) 283-2594
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1990
Enumeration DateMarch 28, 2006
Last NPPES UpdateNovember 12, 20245 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1114988540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35062520C
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
596 W MAIN ST, Wilmington, OH 45177
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 N Pickaway StCircleville, OH 43113-1447 · Phone (740) 474-5024 · Fax (740) 477-2558
Location 2272 Hospital Rd Ste 120Chillicothe, OH 45601-9031 · Phone (740) 779-7201

Other Identifiers 1

Medicaid0969420OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Michael L 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 ID5092749721
PECOS Enrollment IDI20090224000633
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

10

Medicare enrollment records show Michael Clark reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wilmington Physicians Group LLC
0.1 mi
Family Medicine
610 W MAIN ST
Wilmington, OH 45177
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
NPI 1932401411 (937) 382-5438
Highland Health Providers Corp
19 mi
Federally Qualified Health Center (FQHC)
1487 N HIGH ST
Hillsboro, OH 45133
  • Reassigned Medicare billing, Ohio enrollment
  • 30 clinicians in this Medicare group
NPI 1396702445 (937) 393-3406
Pediatrix Medical Group Of Ohio Corp
28 mi
Neonatal-Perinatal Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 47 clinicians in this Medicare group
NPI 1467559179 (937) 208-8000
Trihealth H LLC
30 mi
Pulmonary Disease
10496 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1548695638 (513) 793-2654
University Of Cincinnati Physicians Company, LLC
41 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Adena Medical Group LLC
47 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Mount Carmel Health System
49 mi
Urgent Care
3000 MEADOW POND CT, STE 200
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 258 clinicians in this Medicare group
NPI 1811975279 (614) 871-7130
Ohiohealth Corporation
58 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808
Obhg Ohio Corp
160 mi
Obstetrics & Gynecology
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 76 clinicians in this Medicare group
NPI 1043596257 (864) 908-3530
Oklahoma State University
703 mi
Medical Specialty
2345 SOUTHWEST BLVD
Tulsa, OK 74107
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1306882261 (918) 561-5701

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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 3

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

CARRIE COOPER-FENSKE SANAN M.D.
Obstetrics & Gynecology
596 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 283-2588
DENNIS RUSSELL HOLDERMAN MD
Family Medicine
596 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 382-9453
MRS. ANNA MARIE SCHUBERT
Nurse Practitioner (Family)
596 W MAIN ST
WILMINGTON, OH 45177
Clinton County (937) 382-9453

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1114988540. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Michael Clark located?

Michael Clark practices at 596 W Main St, Wilmington, OH 45177. The listed phone number is (937) 283-2588.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Clark enrolled in Medicare?

Yes. Michael 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 Michael Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clark reassigns Medicare benefits to 10 organizations: Wilmington Physicians Group LLC (Wilmington, OH), Highland Health Providers Corp (Hillsboro, OH), Pediatrix Medical Group Of Ohio Corp (Dayton, OH), Trihealth H LLC (Cincinnati, OH), University Of Cincinnati Physicians Company, LLC (Cincinnati, OH) and 5 more organizations, listed in the Medicare section above. 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 Michael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers list Michael 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 Michael Clark affiliated with any hospitals?

According to CMS data, Michael Clark is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.