CHRISTOPHER D CLARK MD
NPI 1336436054
Emergency Medicine in Grand Rapids, MI
About Christopher D Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTOPHER D CLARK MD (NPI 1336436054) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301098458) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Toledo Medical College (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Christopher D Clark Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Christopher Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 265 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 192 clinicians in this Medicare group
Owosso, MI 48867
- Reassigned Medicare billing, Michigan enrollment
- 328 clinicians in this Medicare group
- Reassigned Medicare billing, Michigan enrollment
- 163 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Corewell Health Zeeland Hospital
Acute Care Hospitals · Zeeland, MISpectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
GRAND RAPIDS, MI 49503
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 Christopher Clark's NPI number?
The NPI number for Christopher Clark is 1336436054. It was assigned to this individual provider in the NPPES registry on July 1, 2011.
Where is Christopher Clark located?
Christopher Clark practices at 1000 Monroe Ave NW, Grand Rapids, MI 49503. The listed phone number is (616) 732-6200.
What is Christopher Clark's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Christopher Clark enrolled in Medicare?
Yes. Christopher 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 Christopher Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Clark reassigns Medicare benefits to 4 organizations: Ecs Western Michigan PC (Grand Rapids, MI), Visionary Medical Services PC (Grand Rapids, MI), Memorial Hospital (Owosso, MI) and Emergency Professionals Of Michigan PC (MI). 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 Christopher Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Christopher Clark accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Christopher 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 Christopher Clark affiliated with any hospitals?
According to CMS data, Christopher Clark is affiliated with Corewell Health Zeeland Hospital, Spectrum Health United Hospital and Spectrum Health.
When was this NPI record last updated?
The NPPES record for Christopher Clark was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Christopher D Clark, MD · NPI 1336436054
Emergency Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 1, 2011.
## Identity
- **NPI:** 1336436054 (Entity type: Individual)
- **Enumerated:** July 1, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301098458 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MONROE AVE NW, Grand Rapids, MI 49503-1455
- **Phone:** (616) 732-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ecs Western Michigan PC (NPI 1992281000, Grand Rapids, MI); Visionary Medical Services PC (NPI 1538216569, Grand Rapids, MI); Memorial Hospital (NPI 1609030600, Owosso, MI); Emergency Professionals Of Michigan PC (MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Toledo Medical College, class of 2011
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336436054) · Data from the CMS NPPES public registry.