SCOTT A CLARK DPM
NPI 1700865748
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Q: What is Scott Clark's NPI number?

The NPI number for Scott Clark is 1700865748. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Scott Clark's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Scott Clark was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 10, 2006PECOS EnrolledAccepts Medicare Assignment

96.43/100

CMS Quality Rating

24 S 1100 E STE 210, SALT LAKE CITY, UT 84102(801) 505-5277(801) 505-5280 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2020, Jul 12, 2018 (2 updates tracked since 2018).

On this page

About Scott A Clark Dpm NPPES

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

SCOTT A CLARK DPM (NPI 1700865748) is an individual foot & ankle surgery provider in Salt Lake City, Utah, licensed in Utah (106339-0501) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital - Salt Lake, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700865748

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameSCOTT A CLARKCredential: DPM

Location Address24 S 1100 E STE 210Salt Lake City, UT 84102

Mailing AddressPo Box 540610N Salt Lake, UT 84054-0610 · (801) 451-6060 · Fax (801) 296-0218

Phone(801) 505-5277

Fax(801) 505-5280

Sole ProprietorYes

Medical School CMSBarry University School Of Podiatric MedicineGraduated 1991

Enumeration DateJanuary 10, 2006

Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration

✔ NPI 1700865748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in UT · 106339-0501

24 S 1100 E STE 210, Salt Lake City, UT 84102

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12159 S 700 E Ste 150Salt Lake City, UT 84106-2279 · Phone (801) 466-1333 · Fax (801) 466-6601

Location 28822 S Redwood Rd Ste E121West Jordan, UT 84088-5763 · Phone (801) 285-7060 · Fax (801) 285-7061

Location 33435 E Pony Express Pkwy Ste 140Eagle Mountain, UT 84005-5548 · Phone (801) 692-3868 · Fax (801) 789-2406

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott A 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 ID6204812779

PECOS Enrollment IDI20040625000373

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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utah Podiatry Group LLC

5.1 mi

Foot & Ankle Surgery

24 S 1100 E STE 210
Salt Lake City, UT 84102

Reassigned Medicare billing, Utah enrollment
19 clinicians in this Medicare group

NPI 1659540359 (801) 505-5277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

150 services61 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.

135 services80 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

114 services53 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.

106 services11 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.

102 services32 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.

84 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Cross Hospital - Salt Lake

Acute Care Hospitals · Salt Lake City, UT

2/5 CMS rating

OwnershipProprietary

CMS Certification Number460003

Location1050 East South TempleSalt Lake City, UT 84102 · Salt Lake County

Emergency services

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460006

Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County

Emergency services Birthing friendly

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.

96.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.5

Improvement Activities

Other Providers at the Same Location NPPES 5

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

CALLIE LORRAINE MORLOCK DPM

Podiatrist (Foot & Ankle Surgery)