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ROBERT BRENT CLARK MD
NPI 1689692071
Family Medicine in Payson, UT

Active since July 17, 2006PECOS Enrolled
97 S. PROFESSIONAL WAY, PAYSON, UT 84651(801) 465-4896(801) 465-4107 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2020, Oct 22, 2018 (2 updates tracked since 2018).

About Robert Brent Clark Md NPPES

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

ROBERT BRENT CLARK MD (NPI 1689692071) is an individual family medicine provider in Payson, Utah, licensed in Utah (165559-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689692071
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT BRENT CLARKCredential: MD
Location Address97 S. PROFESSIONAL WAYPayson, UT 84651
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 465-4896
Fax(801) 465-4107
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1689692071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 165559-1205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

97 S. PROFESSIONAL WAY, Payson, UT 84651
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Brent Clark Md 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 84651 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$50.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims66 services$1.84 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$30.89 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

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

DR. MAX JAY CROUCH M.D.
Obstetrics & Gynecology (Obstetrics)
97 S. PROFESSIONAL WAY
PAYSON, UT 84651
Utah County (801) 465-4896

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1689692071. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Robert Clark located?

Robert Clark practices at 97 S. Professional Way, Payson, UT 84651. The listed phone number is (801) 465-4896.

What is Robert Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Clark enrolled in Medicare?

Yes. Robert Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.