DR. CLARK DALE GADDY M.D
NPI 1528092061
Urology in Gainesville, FL

Active since July 10, 2006PECOS Enrolled
77.19/100
CMS Quality Rating
1179 NW 64TH TER, GAINESVILLE, FL 32605(352) 333-5400(352) 333-5404 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Clark Dale Gaddy M.d NPPES

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

DR. CLARK DALE GADDY M.D (NPI 1528092061) is an individual urology provider in Gainesville, Florida, licensed in Florida (ME0048155) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528092061
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. CLARK DALE GADDYCredential: M.D
Location Address1179 NW 64TH TERGainesville, FL 32605-4218
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 373-6338 · Fax (352) 373-6144
Fax(352) 333-5404
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 9, 2009
NPI 1528092061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in FL · ME0048155
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1179 NW 64TH TER, Gainesville, FL 32605

Other Identifiers 3

Medicare ID-Type Unspecified01422YFL
Medicaid043860000FL
Medicare UPIND50133FL

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 (PECOS)

Dr. Clark Dale Gaddy M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

77.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.57
Promoting Interoperability87
Improvement Activities40
Cost77.24

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers21 claims5,370 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers55 claims18,630 services$1.74 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 4

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

Nurse Practitioner (Adult Health)
1179 NW 64TH TER
GAINESVILLE, FL 32605
Urology
1179 NW 64TH TER
GAINESVILLE, FL 32605
Urology
1179 NW 64TH TER
GAINESVILLE, FL 32605
Urology
1179 NW 64TH TER
GAINESVILLE, FL 32605

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 Clark Gaddy's NPI number?

The NPI number for Clark Gaddy is 1528092061. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Clark Gaddy located?

Clark Gaddy practices at 1179 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 333-5400.

What is Clark Gaddy's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Clark Gaddy enrolled in Medicare?

Yes. Clark Gaddy is registered in the Medicare PECOS enrollment system.

What insurance does Clark Gaddy accept?

Health plans from AvMed list Clark Gaddy 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.

When was this NPI record last updated?

The NPPES record for Clark Gaddy was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.