MICHAEL E CLARK MD
NPI 1770675092
Obstetrics & Gynecology in Tacoma, WA
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 and maintains a secondary practice location in Renton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael E Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Michael Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98371
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 1,526 clinicians in this Medicare group
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
- 689 clinicians in this Medicare group
Sammamish, WA 98074
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: King County Public Hospital District No 2
- 1,074 clinicians in this Medicare group
Silverdale, WA 98383
- Reassigned Medicare billing, Washington enrollment
- 223 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TACOMA, WA 98431
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.
Which organizations bill Medicare for Michael Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clark reassigns Medicare benefits to 5 organizations: Multicare Health System (Puyallup, WA), Franciscan Medical Group (Tacoma, WA), Valley Medical Group-Renton (Renton, WA), Public Hospital District No 2 (Sammamish, WA) and Obhg Washington, PC (Silverdale, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Michael E Clark, MD · NPI 1770675092
Obstetrics & Gynecology physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1770675092 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD60844955 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9040 JACKSON AVE, Tacoma, WA 98431-1100
- **Phone:** (253) 968-1159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1700396652, Puyallup, WA); Franciscan Medical Group (NPI 1366539421, Tacoma, WA); Valley Medical Group-Renton (NPI 1619209574, Renton, WA); Public Hospital District No 2 (NPI 1417058694, Sammamish, WA); Obhg Washington, PC (NPI 1962729525, Silverdale, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770675092) · Data from the CMS NPPES public registry.