GINA CLARK DO
NPI 1790065399
Family Medicine - Sports Medicine in Stigler, OK

Q: What is Gina Clark's NPI number?

The NPI number for Gina Clark is 1790065399. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Q: What is Gina Clark's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Gina Clark was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 26, 2011PECOS EnrolledAccepts Medicare Assignment

1505 E MAIN ST, STIGLER, OK 74462(918) 967-3368(918) 967-4582 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2018, Oct 15, 2018, Jan 20, 2017 (3 updates tracked since 2017).

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About Gina Clark Do NPPES

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

GINA CLARK DO (NPI 1790065399) is an individual sports medicine provider in Stigler, Oklahoma, licensed in Oklahoma (5482) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Lincoln Memorial University Medical Department (2011).

NPPES Registry Identity

NPI1790065399

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameGINA CLARKCredential: DO

Location Address1505 E MAIN STStigler, OK 74462-2913

Mailing AddressPo Box 179Stigler, OK 74462-0179 · (918) 967-3368 · Fax (918) 967-4582

Phone(918) 967-3368

Fax(918) 967-4582

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2011

Enumeration DateAugust 26, 2011

Last NPPES UpdateNovember 1, 20183 updates tracked since enumeration

✔ NPI 1790065399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in OK · 5482

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 172613 (NC)

1505 E MAIN ST, Stigler, OK 74462

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Clark Do 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 ID9234350166

PECOS Enrollment IDI20141017002341, I20150812008639

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.

Medicare Billing Reassignments

Medicare enrollment records show Gina Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stigler Health And Wellness Center Inc

Same address

Federally Qualified Health Center (FQHC)

1505 E MAIN ST
Stigler, OK 74462

Reassigned Medicare billing, Oklahoma enrollment
61 clinicians in this Medicare group

NPI 1891752853 (918) 967-3368

Haskell Regional Hospital, Inc.

2.6 mi

Critical Access

401 NW H ST
Stigler, OK 74462

Reassigned Medicare billing, Oklahoma enrollment
Also billed through NPI 1790307593 (Oklahoma)
17 clinicians in this Medicare group

NPI 1194348961 (888) 339-7339

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

118 services70 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

31 services28 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

24 services22 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

15 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370025

Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County

Emergency services Birthing friendly

Mcalester Regional Health Center

Acute Care Hospitals · Mcalester, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370034

Location1 Clark Bass BoulevardMcalester, OK 74501 · Pittsburg County

Emergency services Birthing friendly

Haskell Regional Hospital, Inc

Critical Access Hospitals · Stigler, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number371335

Location401 Northwest H StreetStigler, OK 74462 · Haskell County

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK

OwnershipGovernment - Local

CMS Certification Number371337

Location105 Wall StreetPoteau, OK 74953 · Le Flore County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74462 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers27 claims78 services$5.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims18 services$1.13 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers34 claims34 services$18.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers70 claims70 services$113.86 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers14 claims16 services$38.16 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers17 claims900 services$0.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MISS KELSEY HAUGHTON PA-C

Physician Assistant