DR. KIRBY DWIGHT CLARK M.D.
NPI 1447288311
Family Medicine in Saint Paul, MN

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST, SAINT PAUL, MN 55106(651) 772-3461(651) 772-2605 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kirby Dwight Clark M.d. NPPES

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

DR. KIRBY DWIGHT CLARK M.D. (NPI 1447288311) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (45690) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1447288311
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIRBY DWIGHT CLARKCredential: M.D.
Location AddressUFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EASTSaint Paul, MN 55106
Mailing AddressUfp Phalen Village Clinic, 1414 Maryland Avenue EastSaint Paul, MN 55106 · (651) 772-3461 · Fax (651) 772-2605
Fax(651) 772-2605
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1447288311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 45690
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.
UFP PHALEN VILLAGE CLINIC, Saint Paul, MN 55106

Other Identifiers 13

OtherA024MN · Champus
Medicare ID-Type Unspecified34411800WI · Wi Ma
OtherHP54853MN · Healthpartners
Medicare UPINH92410MN
Medicare ID-Type Unspecified080012679MN · Mn Medicare
Other135432MN · Ucare
Other676T8CLMN · Bcbs
Medicaid128460600MN
Other01-21349MN · Medica Choice & Primary
Other2374581MN · Araz
Medicare ID-Type UnspecifiedP00055775MN · Rail Road Medicare
Medicaid0567727IA
Other1044612MN · Preferred One

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. Kirby Dwight Clark M.d. 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 ID8426172719
PECOS Enrollment IDI20100823000979
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 4

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 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.
75 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services27 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
29 services18 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55106 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.

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier20 claims20 services$178.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Family Medicine
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST
SAINT PAUL, MN 55106
Family Medicine
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST
SAINT PAUL, MN 55106
Internal Medicine
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST
SAINT PAUL, MN 55106
Family Medicine
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVE EAST
SAINT PAUL, MN 55106
Family Medicine
UFP PHALEN VILLAGE CLINIC, 1414 MARYLAND AVENUE EAST
SAINT PAUL, MN 55106

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 Kirby Clark's NPI number?

The NPI number for Kirby Clark is 1447288311. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Kirby Clark located?

Kirby Clark practices at Ufp Phalen Village Clinic 1414 Maryland Avenue East, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

What is Kirby Clark's specialty?

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

Is Kirby Clark enrolled in Medicare?

Yes. Kirby 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 Kirby Clark accept?

Health plans from Medica and Sanford Health Plan list Kirby 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 Kirby Clark affiliated with any hospitals?

According to CMS data, Kirby Clark is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Kirby Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.