DR. MICHAEL LEE CLARK D.O.
NPI 1457662280
Radiology - Diagnostic Radiology in Fort Myers, FL

Active since June 26, 2010PECOS EnrolledAccepts Medicare Assignment
13813 METRO PKWY, FORT MYERS, FL 33912(855) 674-4624(941) 883-8386 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2024, Sep 30, 2019, Dec 15, 2015 (3 updates tracked since 2015).

About Dr. Michael Lee Clark D.o. NPPES

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

DR. MICHAEL LEE CLARK D.O. (NPI 1457662280) is an individual diagnostic radiology provider in Fort Myers, Florida, licensed in Florida (OS13601) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1457662280
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL LEE CLARKCredential: D.O.
Location Address13813 METRO PKWYFort Myers, FL 33912-4343
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Fax(941) 883-8386
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 26, 2010
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1457662280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · OS13601 Licensed in IL · 036132955
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
13813 METRO PKWY, Fort Myers, FL 33912

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. Michael Lee Clark D.o. 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 ID143536847
PECOS Enrollment IDI20161102001846
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 85

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
70,370 services452 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
67,306 services832 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
717 services701 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
649 services632 patients
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
389 services349 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
369 services333 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%36 patients
Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%76 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%2,062 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%117 patients
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 20

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

Family Medicine
13813 METRO PKWY
FORT MYERS, FL 33912
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13813 METRO PKWY
FORT MYERS, FL 33912
Physical Therapist
13813 METRO PKWY
FORT MYERS, FL 33912
Physician Assistant
13813 METRO PKWY
FORT MYERS, FL 33912
Nurse Practitioner
13813 METRO PKWY
FORT MYERS, FL 33912
Nurse Practitioner (Family)
13813 METRO PKWY
FORT MYERS, FL 33912
Internal Medicine
13813 METRO PKWY
FORT MYERS, FL 33912
Physician Assistant (Medical)
13813 METRO PKWY
FORT MYERS, FL 33912

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1457662280. It was assigned to this individual provider in the NPPES registry on June 26, 2010.

Where is Michael Clark located?

Michael Clark practices at 13813 Metro Pkwy, Fort Myers, FL 33912. The listed phone number is (855) 674-4624.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Clark enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.