RYAN WILLIAM CLARK D.O.
NPI 1720499759
Pain Medicine - Interventional Pain Medicine in Green Bay, WI

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8377(920) 288-8385 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2026, May 25, 2023, Apr 6, 2020 and 2 more (5 updates tracked since 2018).

About Ryan William Clark D.o. NPPES

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

RYAN WILLIAM CLARK D.O. (NPI 1720499759) is an individual interventional pain medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (67188) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and is a graduate of Western University Of Health Sciences College Of Dental Med (2013).

NPPES Registry Identity

NPI1720499759
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameRYAN WILLIAM CLARKCredential: D.O.
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 288-8377 · Fax (920) 405-8005
Fax(920) 288-8385
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2013
Enumeration DateMay 13, 2014
Last NPPES UpdateApril 21, 20265 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1720499759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in WI · 67188
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 67188 (WI)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 67188 (WI)
2845 GREENBRIER RD, Green Bay, WI 54311

Other Identifiers 1

Medicaid100068648WI

Accepted 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

Ryan William Clark D.o. 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 ID9537467576
PECOS Enrollment IDI20180911000823
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 28

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
13,000 services13 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
247 services180 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
207 services207 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
152 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services99 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
94 services59 patients

Hospital Affiliations CMS Care Compare 3

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520034
Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County
Emergency services Birthing friendly

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Internal Medicine (Pulmonary Disease)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Nurse Practitioner
2845 GREENBRIER RD, 1ST FL
GREEN BAY, WI 54311
Radiology (Diagnostic Ultrasound)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Anesthesiology
2845 GREENBRIER RD
GREEN BAY, WI 54311
Anesthesiology
2845 GREENBRIER RD
GREEN BAY, WI 54311
Preventive Medicine (Undersea and Hyperbaric Medicine)
2845 GREENBRIER RD
GREEN BAY, WI 54311

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 1720499759. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Ryan Clark located?

Ryan Clark practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8377.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

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 Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and Security Health Plan and 1 other insurer 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 Aurora Medical Ctr Manitowoc County, Aurora Baycare Medical Ctr and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.