ANDREW BURNHAM CLARK DPM
NPI 1679572796
Podiatrist in Maumee, OH

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
609 FORD ST, MAUMEE, OH 43537(419) 893-5539(419) 893-6853 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Burnham Clark Dpm NPPES

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

ANDREW BURNHAM CLARK DPM (NPI 1679572796) is an individual podiatrist in Maumee, Ohio, licensed in Ohio (36.002902) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1679572796
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameANDREW BURNHAM CLARKCredential: DPM
Location Address609 FORD STMaumee, OH 43537-1947
Mailing Address609 Ford StMaumee, OH 43537-1947 · (419) 893-5539 · Fax (419) 893-6853
Fax(419) 893-6853
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 20, 2005
Last NPPES UpdateFebruary 12, 2010
NPI 1679572796 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 OH · 36.002902
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.

609 FORD ST, Maumee, OH 43537

Other Identifiers 10

Medicare UPINU61210
Medicaid0321182OH
Medicare NSC0537250004OH
Medicare PIN480020310OH
Medicare NSC0537250002OH
Medicare PINCL0801891OH
Medicare PINCL0801892OH
Medicare PIN480020309OH
Other000000135414Anthem
Other02222OH · Paramount

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

Andrew Burnham 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 ID2062488448
PECOS Enrollment IDI20100730000020
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 11

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,274 services356 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
434 services142 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
244 services127 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
100 services29 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
54 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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
2 suppliers27 claims54 services$58.90 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
2 suppliers25 claims147 services$36.84 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 9

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

Podiatrist
609 FORD ST
MAUMEE, OH 43537
Podiatrist
609 FORD ST
MAUMEE, OH 43537
Podiatrist
609 FORD ST
MAUMEE, OH 43537
Podiatrist
609 FORD ST
MAUMEE, OH 43537
Podiatrist (Foot & Ankle Surgery)
609 FORD ST
MAUMEE, OH 43537
Podiatrist
609 FORD ST
MAUMEE, OH 43537
Podiatrist
609 FORD ST
MAUMEE, OH 43537
Podiatrist (Foot & Ankle Surgery)
609 FORD ST
MAUMEE, OH 43537

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 Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1679572796. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Andrew Clark located?

Andrew Clark practices at 609 Ford St, Maumee, OH 43537. The listed phone number is (419) 893-5539.

What is Andrew Clark's specialty?

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

Is Andrew Clark enrolled in Medicare?

Yes. Andrew 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 Andrew Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and McLaren Health Plan Community and 3 other insurers list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on February 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.