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DR. RYAN GREGORY CLARK D.M.D.
NPI 1528372133
Dentist in Martinsburg, WV

Active since August 06, 2010PECOS Enrolled
58 WARM SPRINGS AVE, MARTINSBURG, WV 25404(304) 263-4999(304) 163-4999 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ryan Gregory Clark D.m.d. NPPES

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

DR. RYAN GREGORY CLARK D.M.D. (NPI 1528372133) is an individual dentist in Martinsburg, West Virginia, licensed in Indiana (12011515A) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528372133
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RYAN GREGORY CLARKCredential: D.M.D.
Location Address58 WARM SPRINGS AVEMartinsburg, WV 25404-3800
Mailing AddressPo Box 1146Martinsburg, WV 25402-1146 · (304) 263-4999 · Fax (304) 263-0984
Phone(304) 263-4999
Fax(304) 163-4999
Sole ProprietorNo
Enumeration DateAugust 6, 2010
Last NPPES UpdateFebruary 11, 2013
✔ NPI 1528372133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12011515A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
58 WARM SPRINGS AVE, Martinsburg, WV 25404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Gregory Clark D.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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Syracuse Community Health Center
263 mi
Federally Qualified Health Center (FQHC)
930 S SALINA ST
Syracuse, NY 13202
  • Reassigned Medicare billing, New York enrollment
  • 87 clinicians in this Medicare group
NPI 1184886988 (315) 476-7921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25404 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 9

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

ZANE VIKTORIA COOPER RDH
Dental Hygienist
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 263-4999
JEREMY RICHARDSON DDS
Dentist (General Practice)
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250
MORGAN HOFFMAN
Dental Hygienist
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250
LISA VARELA
Dental Hygienist
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250
DR. DAVID ROBERT SCHMID DDS
Dentist (General Practice)
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250
DR. KIMBERLY PAIGE SMITH D.D.S
Dentist (General Practice)
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250
SCHEHERAZADE JAAMAC D.D.S.
Dentist
58 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 267-0250

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 Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1528372133. It was assigned to this individual provider in the NPPES registry on August 6, 2010.

Where is Ryan Clark located?

Ryan Clark practices at 58 Warm Springs Ave, Martinsburg, WV 25404. The listed phone number is (304) 263-4999.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ryan Clark enrolled in Medicare?

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

Which organization bills Medicare for Ryan Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Clark reassigns Medicare benefits to Syracuse Community Health Center (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.