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DEXTER D CLARK DO
NPI 1265967665
Family Medicine in Marquette, MI

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
1414 W FAIR AVE, SUITE 36, MARQUETTE, MI 49855(906) 225-3867 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2020, Apr 24, 2017 (2 updates tracked since 2017).

About Dexter D Clark Do NPPES

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

DEXTER D CLARK DO (NPI 1265967665) is an individual family medicine provider in Marquette, Michigan, licensed in Michigan (5101023137) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1265967665
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEXTER D CLARKCredential: DO
Location Address1414 W FAIR AVE, SUITE 36Marquette, MI 49855-2675
Mailing AddressPo Box 13811Belfast, ME 04915-4029 · (906) 225-3630 · Fax (906) 225-4537
Phone(906) 225-3867
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1265967665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101023137
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.
1414 W FAIR AVE, Marquette, MI 49855
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Dexter D 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 ID547536641
PECOS Enrollment IDI20200604000942
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services39 patients
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.
37 services28 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.
33 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

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 Dexter Clark's NPI number?

The NPI number for Dexter Clark is 1265967665. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Dexter Clark located?

Dexter Clark practices at 1414 W Fair Ave Suite 36, Marquette, MI 49855. The listed phone number is (906) 225-3867.

What is Dexter Clark's specialty?

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

Is Dexter Clark enrolled in Medicare?

Yes. Dexter 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 Dexter Clark accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dexter 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 Dexter Clark affiliated with any hospitals?

According to CMS data, Dexter Clark is affiliated with Uphs Marquette Dlp Hospital.

When was this NPI record last updated?

The NPPES record for Dexter Clark was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.