DR. GARY W CLARK DPM
NPI 1609861152
Podiatrist in Cedar City, UT

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
70.85/100
CMS Quality Rating
166 W 1325 N, SUITE 300, CEDAR CITY, UT 84721(435) 867-8521(435) 586-4073 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gary W Clark Dpm NPPES

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

DR. GARY W CLARK DPM (NPI 1609861152) is an individual podiatrist in Cedar City, Utah, licensed in Utah (320729-0501) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and is a graduate of California School Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1609861152
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. GARY W CLARKCredential: DPM
Location Address166 W 1325 N, SUITE 300Cedar City, UT 84721-7792
Mailing AddressPo Box 1986Cedar City, UT 84721-1986 · (435) 867-8521 · Fax (435) 586-4073
Fax(435) 586-4073
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1993
Enumeration DateSeptember 12, 2005
Last NPPES UpdateMarch 27, 2014
NPI 1609861152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in UT · 320729-0501
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

166 W 1325 N, Cedar City, UT 84721

Other Identifiers 5

Medicare NSC5790180001UT
Medicare PIN000060792UT
Medicare UPINU50616UT
Medicare PIN000011754UT
Medicare PINP00399656UT

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. Gary W Clark Dpm 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 ID9335247618
PECOS Enrollment IDI20070611000270
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 22

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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
1,405 services401 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
501 services138 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
259 services43 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
181 services129 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
145 services126 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
108 services51 patients

Hospital Affiliations CMS Care Compare

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

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84721 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

70.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.88
Improvement Activities40

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%177 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%4,001 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%1,202 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 787 patients
0%787 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 758 patients
Patients totalRate: 0% · 758 patients
0%758 patients5/55-star benchmark: 100%
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.

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier79 claims157 services$59.21 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier74 claims417 services$24.56 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 7

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

Dermatology
166 W 1325 N, #250
CEDAR CITY, UT 84721
Surgery
166 W 1325 N, 350
CEDAR CITY, UT 84721
Surgery
166 W 1325 N, 350
CEDAR CITY, UT 84721
Dermatology
166 W 1325 N, #250
CEDAR CITY, UT 84721
Clinic/Center (Hearing and Speech)
166 W 1325 N, STE 100
CEDAR CITY, UT 84721
Surgery
166 W 1325 N
CEDAR CITY, UT 84721
Orthopaedic Surgery
166 W 1325 N, STE 150
CEDAR CITY, UT 84721

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 Gary Clark's NPI number?

The NPI number for Gary Clark is 1609861152. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Gary Clark located?

Gary Clark practices at 166 W 1325 N Suite 300, Cedar City, UT 84721. The listed phone number is (435) 867-8521.

What is Gary Clark's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Gary Clark enrolled in Medicare?

Yes. Gary 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 Gary Clark accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Gary 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 Gary Clark affiliated with any hospitals?

According to CMS data, Gary Clark is affiliated with Cedar City Hospital.

When was this NPI record last updated?

The NPPES record for Gary Clark was last updated on March 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.