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BRANDON CLARK DO
NPI 1174844138
Orthopaedic Surgery in Flagstaff, AZ

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
107 E OAK AVE, FLAGSTAFF, AZ 86001(928) 779-7880 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Jun 17, 2019, Apr 17, 2019 and 1 more (4 updates tracked since 2016).

About Brandon Clark Do NPPES

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

BRANDON CLARK DO (NPI 1174844138) is an individual orthopaedic surgery provider in Flagstaff, Arizona, licensed in Arizona (6862) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1174844138
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRANDON CLARKCredential: DO
Location Address107 E OAK AVEFlagstaff, AZ 86001
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 213-6235 · Fax (928) 213-6292
Phone(928) 779-7880
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2010
Enumeration DateJune 14, 2010
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1174844138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AZ · 6862
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 ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 6862 (AZ)
107 E OAK AVE, Flagstaff, AZ 86001
Open in Google Maps ↗

Secondary Practice Location 1

Location 11485 N Turquoise Dr, Suite 200Flagstaff, AZ 86001-1398 · Phone (928) 774-7757 · Fax (928) 774-7767

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Brandon Clark Do 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 ID7517186463
PECOS Enrollment IDI20160510001004
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

2

Medicare enrollment records show Brandon Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Arizona Healthcare Corporation
0.2 mi
Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group
NPI 1669914552 (928) 773-2546
Tuba City Regional Health Care Corporation
4.5 mi
Family Medicine
6300 N HIGHWAY 89
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1376773341 (928) 863-7333

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

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
100 services81 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.
63 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services40 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
36 services36 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
25 services17 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

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.

ZACHARY SCOTT HINGER PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
ERIN H ENGEL PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
RYAN INTERNAL MEDICINE PC
Internal Medicine
107 E OAK AVE, SUITE 202
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2560
MS. JULIE MARIE POLZIN RN, NP-C
Nurse Practitioner (Family)
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
KIMBERLY SARGENT PA
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
CHARLES SMITH MD
Family Medicine
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
MR. RAYMOND WOLFGANG LIEBER PA-C
Physician Assistant
107 E OAK AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 779-7880
KENT A DIEHL MD
Family Medicine
107 E OAK AVE, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800

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 Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1174844138. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Brandon Clark located?

Brandon Clark practices at 107 E Oak Ave, Flagstaff, AZ 86001. The listed phone number is (928) 779-7880.

What is Brandon Clark's specialty?

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

Is Brandon Clark enrolled in Medicare?

Yes. Brandon 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 Brandon Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Clark reassigns Medicare benefits to 2 organizations: Northern Arizona Healthcare Corporation (Flagstaff, AZ) and Tuba City Regional Health Care Corporation (Flagstaff, AZ). 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 Brandon Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Clark accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Brandon 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.

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.