CLARK A. ELLIOTT M.D.
NPI 1871540567
Otolaryngology in Traverse City, MI
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 Healthcare Grayling Hospital, and is a graduate of University Of Manitoba, Faculty Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Clark Elliott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Binghamton, NY 13905
- Reassigned Medicare billing, New York enrollment
- 386 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Healthcare Grayling Hospital
Acute Care Hospitals · Grayling, MIMunson Medical Center
Acute Care Hospitals · Traverse City, MIPaul Oliver Memorial Hospital
Critical Access Hospitals · Frankfort, MIPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Clark Elliott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clark Elliott reassigns Medicare benefits to 2 organizations: Richard C Schultz MD & Associates PC (Traverse City, MI) and Our Lady Of Lourdes Memorial Hospital, Inc. (Binghamton, NY). 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 Clark Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clark Elliott accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of North Dakota and 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 Healthcare Grayling Hospital, Munson Medical Center and Paul Oliver 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 21 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.
# Clark A. Elliott, M.D. · NPI 1871540567
Otolaryngology physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since May 28, 2006.
## Identity
- **NPI:** 1871540567 (Entity type: Individual)
- **Enumerated:** May 28, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 12266 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1104 CASS ST, Traverse City, MI 49684-3236
- **Phone:** (231) 941-1155 · **Fax:** (231) 259-1005
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Richard C Schultz MD & Associates PC (NPI 1437255254, Traverse City, MI); Our Lady Of Lourdes Memorial Hospital, Inc. (NPI 1063557189, Binghamton, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Manitoba, Faculty Of Medicine, class of 1982
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871540567) · Data from the CMS NPPES public registry.