MICHAEL ALLEN CLARK M.D.
NPI 1841452505
Orthopaedic Surgery in Valdosta, GA

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
80.88/100
CMS Quality Rating
3527 N VALDOSTA RD, VALDOSTA, GA 31602(229) 247-2290(229) 247-0091 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Allen Clark M.d. NPPES

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

MICHAEL ALLEN CLARK M.D. (NPI 1841452505) is an individual orthopaedic surgery provider in Valdosta, Georgia, licensed in Georgia (070239) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Medical College Of Georgia School Of Medicine (2008).

NPPES Registry Identity

NPI1841452505
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL ALLEN CLARKCredential: M.D.
Location Address3527 N VALDOSTA RDValdosta, GA 31602-6418
Mailing Address3527 N Valdosta RdValdosta, GA 31602-6418 · (229) 247-2290 · Fax (229) 247-0091
Fax(229) 247-0091
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateJuly 19, 2013
NPI 1841452505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 070239
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3527 N VALDOSTA RD, Valdosta, GA 31602

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

Michael Allen Clark M.d. 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 ID9638310691
PECOS Enrollment IDI20130802000499
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 21

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, 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.
1,453 services114 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.
225 services153 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services121 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
124 services87 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
77 services58 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.
68 services68 patients

Hospital Affiliations CMS Care Compare 4

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Clinch Memorial Hospital

Critical Access Hospitals · Homerville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111308
Location1050 Valdosta HighwayHomerville, GA 31634 · Clinch County
Emergency services

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111326
Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County
Emergency services

Archbold Brooks

Critical Access Hospitals · Quitman, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111332
Location903 N Court StreetQuitman, GA 31643 · Brooks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.51
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
41%1,111 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
0%115 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%80 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
70%3,010 patients3/55-star benchmark: 100%
e-Prescribing
95%350 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
77%508 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%1,498 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 1,118 patients
Patients screened: 84% · 1,118 patients
99%140 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
56%821 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%104 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 538 patients
Patients totalRate: 4% · 538 patients
3%538 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier18 claims18 services$72.82 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$45.68 avg. paid by Medicare
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$131.72 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.

Orthopaedic Surgery
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Physician Assistant
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Nurse Practitioner (Family)
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Orthopaedic Surgery
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Specialist/Technologist (Athletic Trainer)
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Orthopaedic Surgery
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Physical Therapist (Orthopedic)
3527 N VALDOSTA RD
VALDOSTA, GA 31602
Orthopaedic Surgery
3527 N VALDOSTA RD
VALDOSTA, GA 31602

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 1841452505. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Michael Clark located?

Michael Clark practices at 3527 N Valdosta Rd, Valdosta, GA 31602. The listed phone number is (229) 247-2290.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Clark enrolled in Medicare?

Yes. Michael 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 Michael Clark accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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.

Is Michael Clark affiliated with any hospitals?

According to CMS data, Michael Clark is affiliated with Sgmc Health, Clinch Memorial Hospital, Sgmc Health Lanier and Archbold Brooks.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.