MICHAEL CLARK MD
NPI 1912903949
Family Medicine in Wallingford, CT
About Michael Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL CLARK MD (NPI 1912903949) is an individual family medicine provider in Wallingford, Connecticut, licensed in Connecticut (41950) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Michael Clark Md 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 Reassignment
Medicare enrollment records show Michael Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06492 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
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 1912903949. It was assigned to this individual provider in the NPPES registry on June 23, 2005.
Where is Michael Clark located?
Michael Clark practices at 850 N Main Street Ext Blgd 2 Suite C2, Wallingford, CT 06492. The listed phone number is (203) 269-9778.
What is Michael Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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.
Which organization bills Medicare for Michael Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Clark reassigns Medicare benefits to Aspire Family Medicine & wellness Center, LLC (Wallingford, CT). The 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 Michael Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Clark accept?
Health plans from Anthem Blue Cross and Blue Shield 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.
When was this NPI record last updated?
The NPPES record for Michael Clark was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Michael Clark, MD · NPI 1912903949
Family Medicine physician in Wallingford, Connecticut. Individual provider, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1912903949 (Entity type: Individual)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 41950 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 850 N MAIN STREET EXT, BLGD 2 SUITE C2, Wallingford, CT 06492-2400
- **Phone:** (203) 269-9778 · **Fax:** (203) 949-1544
## 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:** Aspire Family Medicine & wellness Center, LLC (NPI 1821284407, Wallingford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** July 31, 2015
- **Other identifiers:** Medicare UPIN H97122; Medicare ID-Type Unspecified 080001642 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1912903949) · Data from the CMS NPPES public registry.