DR. RYAN CLARK M.D.
NPI 1689061822
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Duluth, MN

Q: What is Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1689061822. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Q: What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment

400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2022, Jun 11, 2020 (2 updates tracked since 2020).

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About Dr. Ryan Clark M.d. NPPES

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

DR. RYAN CLARK M.D. (NPI 1689061822) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Duluth, Minnesota, licensed in Minnesota (71069) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (2015).

NPPES Registry Identity

NPI1689061822

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. RYAN CLARKCredential: M.D.

Location Address400 E 3RD STDuluth, MN 55805-1951

Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364

Phone(218) 786-8364

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015

Enumeration DateApril 24, 2015

Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1689061822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MN · 71069

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

400 E 3RD ST, Duluth, MN 55805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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. Ryan Clark M.d. 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 ID1254652068

PECOS Enrollment IDI20220721002315

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 2

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

18 services18 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Essentia Health Northern Pines Medical Center

Critical Access Hospitals · Aurora, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241340

Location5211 Highway 110Aurora, MN 55705 · St. Louis County

Emergency services

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241360

Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County

Emergency services

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

CHRISTIAN CONNER RN, CRNA

Nurse Anesthetist, Certified Registered

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-4150

JORDAN TICHENOR

Internal Medicine (Infectious Disease)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-3737

MOLLY B DWYER APRN, CNP

Nurse Practitioner (Psychiatric/Mental Health)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

AMY MARIE LARSON MD

Hospitalist

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

BRUCE JAMES DERAUF

Radiology (Diagnostic Radiology)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

NIZAR NAJIB SALEH

Internal Medicine (Cardiovascular Disease)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

DIANE MAE KOLQUIST

Clinical Nurse Specialist (Medical-Surgical)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

GINA MARIE SLIPKA-MARINOS

Internal Medicine

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

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 1689061822. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Ryan Clark located?

Ryan Clark practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ryan Clark enrolled in Medicare?

Yes. Ryan 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 Ryan Clark accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Ryan 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 Ryan Clark affiliated with any hospitals?

According to CMS data, Ryan Clark is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Northern Pines Medical Center, Essentia Health Deer River and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.