DOUGLAS A CLARK MD
NPI 1396892907
Orthopaedic Surgery in Tempe, AZ

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
2055 E SOUTHERN AVE, SUITE G, TEMPE, AZ 85282(480) 839-0008(480) 838-3333 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Douglas A Clark Md NPPES

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

DOUGLAS A CLARK MD (NPI 1396892907) is an individual orthopaedic surgery provider in Tempe, Arizona, licensed in Arizona (14762) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1977).

NPPES Registry Identity

NPI1396892907
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDOUGLAS A CLARKCredential: MD
Location Address2055 E SOUTHERN AVE, SUITE GTempe, AZ 85282-7507
Mailing Address2055 E Southern Ave, Suite GTempe, AZ 85282-7507 · (480) 839-0008 · Fax (480) 838-3333
Fax(480) 838-3333
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1977
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1396892907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AZ · 14762
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.

2055 E SOUTHERN AVE, Tempe, AZ 85282

Other Identifiers 1

Medicare UPIND43782AZ

Accepted 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

Douglas A 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.

PECOS PAC ID8426211616
PECOS Enrollment IDI20120526000025
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 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.
51 services23 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85282 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
2055 E SOUTHERN AVE, SUITE A
TEMPE, AZ 85282
Specialist
2055 E SOUTHERN AVE, SUITE F
TEMPE, AZ 85282
Internal Medicine
2055 E SOUTHERN AVE, SUITE D
TEMPE, AZ 85282
Specialist
2055 E SOUTHERN AVE, SUITE F
TEMPE, AZ 85282
Family Medicine (Adult Medicine)
2055 E SOUTHERN AVE, SUITE H
TEMPE, AZ 85282
Orthopaedic Surgery
2055 E SOUTHERN AVE, SUITE G
TEMPE, AZ 85282
Internal Medicine (Pulmonary Disease)
2055 E SOUTHERN AVE, SUITE C
TEMPE, AZ 85282
Internal Medicine
2055 E SOUTHERN AVE, SUITE D
TEMPE, AZ 85282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396892907, enumerated as an "individual" on January 04, 2007.

The provider is located at 2055 E SOUTHERN AVE SUITE G TEMPE, AZ 85282 and the phone number is (480) 839-0008.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.