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DR. GARY W. CLARK MD
NPI 1205816543
Family Medicine in Tacoma, WA

Active since January 20, 2006PECOS Enrolled
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2601 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gary W. Clark Md NPPES

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

DR. GARY W. CLARK MD (NPI 1205816543) is an individual family medicine provider in Tacoma, Washington, licensed in Utah (181373-1205) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205816543
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY W. CLARKCredential: MD
Location AddressMADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address3605 Arbor Dr SeLacey, WA 98503-4801 · (360) 455-0443
Phone(253) 968-2601
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJune 1, 2020
NPPES CertifiedJune 1, 2020
✔ NPI 1205816543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 181373-1205
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.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary W. Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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

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

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 suppliers16 claims16 services$173.33 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.

KENNETH E CLIFTON MS
Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-4631
DR. MICHAEL ANTHONY D'ANGELO JR. PSY.D.
Psychologist (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-5370
CHLOE WYEN LMHC
Counselor (Mental Health)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0002
CRYSTAL-ANN SPANN RN
Registered Nurse (Case Management)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 966-3677
DR. JONATHAN LEE CAMERON DNP, CRNA
Military Health Care Provider
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2252
MARGARET MARY FAHY PA
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0432
MICHAEL A. BORK DO
General Practice
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
DR. PETER STULL MD
Emergency Medicine
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1250

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 Gary Clark's NPI number?

The NPI number for Gary Clark is 1205816543. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Gary Clark located?

Gary Clark practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2601.

What is Gary Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Clark enrolled in Medicare?

Yes. Gary Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Clark was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.