1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Surgery
  6. NPI Profile

GWENDOLYN ELIZABETH CLARK MD
NPI 1740966514
Surgery in Omaha, NE

Active since June 26, 2023PECOS Enrolled
7710 MERCY ROAD SUITE 202, OMAHA, NE 68124(720) 382-9349 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwendolyn Elizabeth Clark Md NPPES

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

GWENDOLYN ELIZABETH CLARK MD (NPI 1740966514) is an individual surgery provider in Omaha, Nebraska, licensed in Nebraska (9645) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740966514
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameGWENDOLYN ELIZABETH CLARKCredential: MD
Location Address7710 MERCY ROAD SUITE 202Omaha, NE 68124
Mailing Address7710 Mercy Road Suite 202Omaha, NE 68124
Phone(720) 382-9349
Sole ProprietorYes
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1740966514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 9645
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7710 MERCY ROAD SUITE 202, Omaha, NE 68124
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Elizabeth 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 68124 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 5

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

ANNA AMANE PODBER MD
Surgery
7710 MERCY ROAD SUITE 202
OMAHA, NE 68124
Douglas County (402) 280-4675
DR. DINESH REDDY APALA MBBS, MD
Internal Medicine (Cardiovascular Disease)
7710 MERCY ROAD SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4392
MADALYN R ADAMS MD
Surgery
7710 MERCY ROAD SUITE 202
OMAHA, NE 68124
Douglas County (402) 280-4675
STEPHANIE JESINA DO
Internal Medicine
7710 MERCY ROAD SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4392
JOHN PAUL OSBORNE DO
Internal Medicine
7710 MERCY ROAD SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4210

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 Gwendolyn Clark's NPI number?

The NPI number for Gwendolyn Clark is 1740966514. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Gwendolyn Clark located?

Gwendolyn Clark practices at 7710 Mercy Road Suite 202, Omaha, NE 68124. The listed phone number is (720) 382-9349.

What is Gwendolyn Clark's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gwendolyn Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gwendolyn Clark was last updated on June 26, 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.