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MICHAEL E CLARK MD
NPI 1770675092
Obstetrics & Gynecology in Tacoma, WA

Active since September 28, 2006PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1159 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2021, Mar 4, 2019 (2 updates tracked since 2019).

About Michael E Clark Md NPPES

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

MICHAEL E CLARK MD (NPI 1770675092) is an individual obstetrics & gynecology provider in Tacoma, Washington, licensed in Washington (MD60844955) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770675092
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL E CLARKCredential: MD
Location Address9040 JACKSON AVETacoma, WA 98431-1100
Mailing Address12725 172nd St E, Apt Gg-204Puyallup, WA 98374-8709 · (251) 605-9018
Phone(253) 968-1159
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1770675092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WA · MD60844955✔ Licensed in AL · 28952
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9040 JACKSON AVE, Tacoma, WA 98431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael E 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 98431 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1770675092. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Michael Clark located?

Michael Clark practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1159.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Clark enrolled in Medicare?

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

What insurance does Michael Clark accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Clark was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.