DR. STEVEN MICHAEL CLARK MD
NPI 1164582383
Preventive Medicine - Public Health & General Preventive Medicine in Dallas, TX

Q: What is Steven Clark's NPI number?

The NPI number for Steven Clark is 1164582383. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Steven Clark's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: Is Steven Clark enrolled in Medicare?

No. Steven Clark has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Steven Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 11, 2006Opted out of Medicare · through Jan 1, 2027

12200 PRESTON RD, DALLAS, TX 75230(972) 560-2667 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Steven Michael Clark Md NPPES

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

DR. STEVEN MICHAEL CLARK MD (NPI 1164582383) is an individual public health & general preventive medicine provider in Dallas, Texas, licensed in Texas (G8047) and active in the NPI registry since December 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164582383

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameDR. STEVEN MICHAEL CLARKCredential: MD

Location Address12200 PRESTON RDDallas, TX 75230-2223

Mailing Address12200 Preston RdDallas, TX 75230-2223 · (972) 560-2667

Phone(972) 560-2667

Sole ProprietorNo

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164582383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in TX · G8047

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

12200 PRESTON RD, Dallas, TX 75230

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Other Identifiers 3

Medicare ID-Type Unspecified8173K0TX

Other85401YTX · Blue Cross

Medicare UPIND98409TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Steven Michael Clark Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

TYLER C COOPER M.D.

Preventive Medicine (Public Health & General Preventive Medicine)