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DONALD LESTER CLARK MD
NPI 1154313369
Family Medicine in Dayton, OH

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
725 UNIVERSITY BLVD, DAYTON, OH 45435(937) 245-7200(937) 245-7922 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Lester Clark Md NPPES

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

DONALD LESTER CLARK MD (NPI 1154313369) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35-120123) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Michigan State University College Of Human Medicine (1998).

NPPES Registry Identity

NPI1154313369
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD LESTER CLARKCredential: MD
Location Address725 UNIVERSITY BLVDDayton, OH 45435-0001
Mailing Address725 University BlvdDayton, OH 45435-0001 · (937) 245-7100 · Fax (937) 245-7999
Phone(937) 245-7200
Fax(937) 245-7922
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1998
Enumeration DateAugust 16, 2005
Last NPPES UpdateApril 1, 2013
✔ NPI 1154313369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35-120123✔ Licensed in IL · 036-114287
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.
725 UNIVERSITY BLVD, Dayton, OH 45435
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Other Identifiers 5

Medicaid036114287IL
Medicare UPING99339IL
Medicare PINIL3374045IL
Medicaid0073290OH
Medicare PINH159830OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

Donald Lester 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 ID6103859202
PECOS Enrollment IDI20121110000093
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
511 services225 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services83 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
26 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45435 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers36 claims70 services$6.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$1.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$205.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. TERESA ZRYD MD
Family Medicine
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7200
KELSEY SCUDERI
Nurse Practitioner (Gerontology)
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7200
GORDANA GATARIC MD
Internal Medicine (Geriatric Medicine)
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7200
ROBERT L. BRANDT JR. MD
Family Medicine
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7200
CARLIE CLARK ATC, LAT, CES
Specialist/Technologist (Athletic Trainer)
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7559
WRIGHT STATE PHYSICIANS INC
Family Medicine
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7100
WRIGHT HEALTH INC
Pharmacy (Community/Retail Pharmacy)
725 UNIVERSITY BLVD, 2ND FLOOR
DAYTON, OH 45435
Montgomery County (937) 245-7800
AMBER ELIZABETH SMITH AT, PTA
Physical Therapy Assistant
725 UNIVERSITY BLVD
DAYTON, OH 45435
Montgomery County (937) 245-7333

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 1154313369. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Donald Clark located?

Donald Clark practices at 725 University Blvd, Dayton, OH 45435. The listed phone number is (937) 245-7200.

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.

What insurance does Donald Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Donald 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 Donald Clark affiliated with any hospitals?

According to CMS data, Donald Clark is affiliated with Good Samaritan Hospital, Christ Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Donald Clark was last updated on April 1, 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.