G GREGORY CLARK M.D.
NPI 1679642912
Ophthalmology in Indianapolis, IN

Q: What is G Clark's NPI number?

The NPI number for G Clark is 1679642912. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is G Clark's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for G Clark was last updated on January 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2006PECOS Enrolled

9002 N MERIDIAN ST, SUITE 112, INDIANAPOLIS, IN 46260(317) 843-9005(317) 580-0443 Get Directions Write a Review

NPPES record last updated: January 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About G Gregory Clark M.d. NPPES

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

G GREGORY CLARK M.D. (NPI 1679642912) is an individual ophthalmology provider in Indianapolis, Indiana, licensed in Indiana (0132124A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679642912

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameG GREGORY CLARKCredential: M.D.

Location Address9002 N MERIDIAN ST, SUITE 112Indianapolis, IN 46260-5381

Mailing Address9002 N Meridian St, Suite 112Indianapolis, IN 46260-5381 · (317) 843-9005 · Fax (317) 580-0443

Phone(317) 843-9005

Fax(317) 580-0443

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateJanuary 5, 2008

✔ NPI 1679642912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IN · 0132124A

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

9002 N MERIDIAN ST, Indianapolis, IN 46260

Open in Google Maps ↗

Other Identifiers 4

Other000000538215IN · Blue Cross/blue Shield

Medicare UPIND67867IN

Medicare PIN797890AIN

Medicare PIN253740AIN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

G Gregory Clark 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 46260 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Leave this field empty