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CLARK A. ELLIOTT M.D.
NPI 1871540567
Otolaryngology in Traverse City, MI

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1104 CASS ST, TRAVERSE CITY, MI 49684(231) 941-1155(231) 259-1005 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Aug 17, 2021, Nov 16, 2020 and 2 more (5 updates tracked since 2017).

About Clark A. Elliott M.d. NPPES

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

CLARK A. ELLIOTT M.D. (NPI 1871540567) is an individual otolaryngology provider in Traverse City, Michigan, licensed in North Dakota (12266) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of University Of Manitoba, Faculty Of Medicine (1982).

NPPES Registry Identity

NPI1871540567
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameCLARK A. ELLIOTTCredential: M.D.
Location Address1104 CASS STTraverse City, MI 49684-3236
Mailing Address1104 Cass StTraverse City, MI 49684-3236 · (231) 941-1155 · Fax (231) 259-1005
Phone(231) 941-1155
Fax(231) 259-1005
Sole ProprietorNo
Medical School CMSUniversity Of Manitoba, Faculty Of MedicineGraduated 1982
Enumeration DateMay 28, 2006
Last NPPES UpdateJanuary 16, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1871540567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in ND · 12266✔ Licensed in KY · 41717
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 41717 (KY)
1104 CASS ST, Traverse City, MI 49684
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Clark A. Elliott 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 ID1456301118
PECOS Enrollment IDI20240916002376
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.

Hospital Affiliations CMS Care Compare 2

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Other Providers at the Same Location NPPES 10

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

MATTHEW NATHAN SMITH
Nurse Practitioner (Acute Care)
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-1155
DR. LORI ANN LEMONNIER M.D.
Otolaryngology
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-1155
RICHARD C. SCHULTZ JR. M.D.
Otolaryngology
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-1155
RICHARD C SCHULTZ MD & ASSOCIATES PC
Otolaryngology
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-1155
KARA GUY
Nurse Practitioner (Family)
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-1155
DR. ERIC ROSS SNYDER M.D.
Otolaryngology
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-4502
DREW V COLLINS MD PC
Specialist
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-2214
JILL NORENE POLMATEER N.P.
Nurse Practitioner (Family)
1104 CASS ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-1155

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 Clark Elliott's NPI number?

The NPI number for Clark Elliott is 1871540567. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Clark Elliott located?

Clark Elliott practices at 1104 Cass St, Traverse City, MI 49684. The listed phone number is (231) 941-1155.

What is Clark Elliott's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Clark Elliott enrolled in Medicare?

Yes. Clark Elliott 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 Clark Elliott accept?

Health plans from Priority Health list Clark Elliott 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 Clark Elliott affiliated with any hospitals?

According to CMS data, Clark Elliott is affiliated with Munson Medical Center and Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Clark Elliott was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.