MICHAEL J CLARK DO
NPI 1215967898
Family Medicine in Thief River Falls, MN

Q: What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1215967898. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Michael Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2006PECOS Enrolled

78.86/100

CMS Quality Rating

1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701(218) 681-4747(218) 683-2595 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael J Clark Do NPPES

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

MICHAEL J CLARK DO (NPI 1215967898) is an individual family medicine provider in Thief River Falls, Minnesota, licensed in Minnesota (27254) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215967898

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL J CLARKCredential: DO

Location Address1720 HIGHWAY 59 SThief River Falls, MN 56701-4331

Mailing Address1720 Highway 59 SThief River Falls, MN 56701-4331 · (218) 681-4747 · Fax (218) 683-2595

Phone(218) 681-4747

Fax(218) 683-2595

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateMarch 25, 2022

NPPES CertifiedMarch 25, 2022

✔ NPI 1215967898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 27254✔ Licensed in ND · 5746

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.

1720 HIGHWAY 59 S, Thief River Falls, MN 56701

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Other Identifiers 3

Medicaid564508500MN

Other2441653FM · America's Ppo/araz #

Other507S2CLMN · Mnbs #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Clark Do 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 56701 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

78.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.45

Promoting Interoperability

Improvement Activities

Cost

29.78

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers18 claims32 services$1.35 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

1 supplier11 claims11 services$185.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DAKOTA CLINIC, LTD.

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