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

Q: 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.

Q: What is Michael Clark's specialty?

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

Q: 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 21 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.

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: August 16, 2026.

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

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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 is a graduate of Wright State University Boonshoft School Of Medicine (1990).

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 3 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 21 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.