DR. BRENT A CLARK D.P.M.
NPI 1407820418
Podiatrist - Foot & Ankle Surgery in St George, UT

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
1062 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790(509) 301-1565(509) 414-6455 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Apr 29, 2022, Apr 11, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Brent A Clark D.p.m. NPPES

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

DR. BRENT A CLARK D.P.M. (NPI 1407820418) is an individual foot & ankle surgery provider in St George, Utah, licensed in Utah (135349530501) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mesa View Regional Hospital, and maintains a secondary practice location in Liberty Lake.

NPPES Registry Identity

NPI1407820418
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. BRENT A CLARKCredential: D.P.M.
Location Address1062 E RIVERSIDE DR STE 102St George, UT 84790-4454
Mailing Address2918 W Lesina Heights DrSt George, UT 84770-1474 · (509) 301-1565 · Fax (509) 414-6455
Fax(509) 414-6455
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1999
Enumeration DateFebruary 15, 2006
Last NPPES UpdateDecember 12, 20246 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
NPI 1407820418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in UT · 135349530501 Licensed in WA · PO00000693 Licensed in NV · 02101
Also ListedPodiatristTaxonomy 213E00000X · License PO00000693 (WA)
1062 E RIVERSIDE DR STE 102, St George, UT 84790

Secondary Practice Location 1

Location 12207 N Molter Rd Ste 250Liberty Lake, WA 99019-7582 · Phone (208) 964-6466 · Fax (208) 765-1041

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

Dr. Brent A Clark D.p.m. 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 ID5890757363
PECOS Enrollment IDI20231025003869, I20231227000598
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 18

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
243 services170 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
190 services132 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.
147 services112 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
128 services128 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
98 services67 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
68 services59 patients

Hospital Affiliations CMS Care Compare 3

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

Mesa View Regional Hospital

Critical Access Hospitals · Mesquite, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number291307
Location1299 Bertha Howe AvenueMesquite, NV 89027 · Clark County
Emergency services

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Kane County Hospital

Critical Access Hospitals · Kanab, UT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number461309
Location355 North Main StreetKanab, UT 84741 · Kane County
Emergency services

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%217 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%475 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Podiatrist
1062 E RIVERSIDE DR STE 102
ST GEORGE, UT 84790
Podiatrist
1062 E RIVERSIDE DR STE 102
ST GEORGE, UT 84790
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1062 E RIVERSIDE DR STE 102
ST GEORGE, UT 84790

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 Brent Clark's NPI number?

The NPI number for Brent Clark is 1407820418. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Brent Clark located?

Brent Clark practices at 1062 E Riverside Dr Ste 102, St George, UT 84790. The listed phone number is (509) 301-1565.

What is Brent Clark's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brent Clark enrolled in Medicare?

Yes. Brent 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 Brent Clark accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brent 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 Brent Clark affiliated with any hospitals?

According to CMS data, Brent Clark is affiliated with Mesa View Regional Hospital, St. George Regional Hospital and Kane County Hospital.

When was this NPI record last updated?

The NPPES record for Brent Clark was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.