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DR. DANA GIBBS CLARK MD
NPI 1720009236
Otolaryngology in Arlington, TX

Active since July 21, 2006Opted out of Medicare · through Jan 1, 2028
2314 SHADYDALE DR, ARLINGTON, TX 76012(178) 988-4261(817) 259-2613 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dana Gibbs Clark Md NPPES

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

DR. DANA GIBBS CLARK MD (NPI 1720009236) is an individual otolaryngology provider in Arlington, Texas, licensed in Texas (K7021) and active in the NPI registry since July 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720009236
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DANA GIBBS CLARKCredential: MD
Location Address2314 SHADYDALE DRArlington, TX 76012-5428
Mailing Address2314 Shadydale DrArlington, TX 76012-5428 · (178) 988-4261 · Fax (817) 259-2613
Phone(178) 988-4261
Fax(817) 259-2613
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1720009236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · K7021
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License K7021 (TX)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License K7021 (TX)
2314 SHADYDALE DR, Arlington, TX 76012
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Other Names 1

Professional Name (2)Dr. Dana Bernice Gibbs Md

Other Identifiers 1

Medicaid153107101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Dana Gibbs Clark Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

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 Dana Clark's NPI number?

The NPI number for Dana Clark is 1720009236. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Dr. Dana Bernice Gibbs MD.

Where is Dana Clark located?

Dana Clark practices at 2314 Shadydale Dr, Arlington, TX 76012. The listed phone number is (178) 988-4261.

What is Dana Clark's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Dana Clark enrolled in Medicare?

No. Dana Clark has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dana Clark accept?

Health plans from Medica list Dana 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 Dana Clark was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.