MARK CLARK DPM
NPI 1912324351
Podiatrist - Foot Surgery in Pueblo, CO
About Mark Clark Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK CLARK DPM (NPI 1912324351) is an individual foot surgery provider in Pueblo, Colorado, licensed in Colorado (502) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
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
Mark Clark Dpm 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.
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 Mark Clark's NPI number?
The NPI number for Mark Clark is 1912324351. It was assigned to this individual provider in the NPPES registry on March 24, 2014.
Where is Mark Clark located?
Mark Clark practices at 2300 Coronado Rd, Pueblo, CO 81003. The listed phone number is (719) 859-1901.
What is Mark Clark's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Mark Clark enrolled in Medicare?
Yes. Mark 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.
When was this NPI record last updated?
The NPPES record for Mark Clark was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mark Clark, DPM · NPI 1912324351
Foot Surgery provider in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since March 24, 2014.
## Identity
- **NPI:** 1912324351 (Entity type: Individual)
- **Enumerated:** March 24, 2014
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **State license:** 502 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 CORONADO RD, Pueblo, CO 81003-1840
- **Phone:** (719) 859-1901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** New York College Of Podiatric Medicine, class of 1994
## Record status
- **NPPES last updated:** March 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912324351) · Data from the CMS NPPES public registry.