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JUSTIN CHARLES CLARK MD
NPI 1598945644
Neurological Surgery in Grand Rapids, MI

Active since November 06, 2007PECOS EnrolledAccepts Medicare Assignment
48.09/100
CMS Quality Rating
414 PLYMOUTH NE, GRAND RAPIDS, MI 49505(616) 454-3465(616) 242-7060 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Justin Charles Clark Md NPPES

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

JUSTIN CHARLES CLARK MD (NPI 1598945644) is an individual neurological surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301104141) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Michigan Medical School (2007).

NPPES Registry Identity

NPI1598945644
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJUSTIN CHARLES CLARKCredential: MD
Location Address414 PLYMOUTH NEGrand Rapids, MI 49505-6041
Mailing Address414 Plymouth NeGrand Rapids, MI 49505-6041 · (616) 454-3465 · Fax (616) 242-7060
Phone(616) 454-3465
Fax(616) 242-7060
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2007
Enumeration DateNovember 6, 2007
Last NPPES UpdateJune 26, 2015
✔ NPI 1598945644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MI · 4301104141
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
414 PLYMOUTH NE, Grand Rapids, MI 49505
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Other Identifiers 2

Other4301104141MI · State Of Michigan
Other80762AZ · Training Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Charles Clark Md 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 ID5991928590
PECOS Enrollment IDI20140529001817
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 Reassignments

2

Medicare enrollment records show Justin Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sheridan Community Hospital
2.1 mi
Foot and Ankle Surgery
1525 E BELTLINE AVE NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1689618324 (Michigan)
  • 85 clinicians in this Medicare group
NPI 1285588442 (989) 291-6304
Great Lakes Neurosurgical Associates, PC
2.1 mi
Neurological Surgery
3350 EAGLE PARK DR NE STE 102
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1366590929 (616) 454-3465

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

Areas of Expertise CMS Part B claims 12

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
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.
44 services40 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
30 services23 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
22 services22 patients
Aspiration of bone marrow for spine bone graft 20939
Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.
20 services20 patients
Fusion of spine in lower back with partial removal of spine bone and disc 22633
This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Sheridan Community Hospital

Critical Access Hospitals · Sheridan, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231312
Location301 N Main StSheridan, MI 48884 · Montcalm County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49505 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

48.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability94
Improvement Activities40

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 Justin Clark's NPI number?

The NPI number for Justin Clark is 1598945644. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Justin Clark located?

Justin Clark practices at 414 Plymouth NE, Grand Rapids, MI 49505. The listed phone number is (616) 454-3465.

What is Justin Clark's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Justin Clark enrolled in Medicare?

Yes. Justin 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.

Which organizations bill Medicare for Justin Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Clark reassigns Medicare benefits to 2 organizations: Sheridan Community Hospital (Grand Rapids, MI) and Great Lakes Neurosurgical Associates, PC (Grand Rapids, MI). Each 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 Justin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Justin 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 Justin Clark affiliated with any hospitals?

According to CMS data, Justin Clark is affiliated with Spectrum Health, Mercy Health Saint Mary's, Corewell Health Big Rapids Hospital, University Of Michigan Health - West and Sheridan Community Hospital.

When was this NPI record last updated?

The NPPES record for Justin Clark was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.