GARRY ANDREW CLARK D.O.
NPI 1952380750
Physical Medicine & Rehabilitation - Pain Medicine in Sioux City, IA

Q: What is Garry Clark's NPI number?

The NPI number for Garry Clark is 1952380750. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Q: What is Garry Clark's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Garry Clark was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment

3930 STADIUM DR, SIOUX CITY, IA 51106(712) 276-4325(712) 276-6033 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Garry Andrew Clark D.o. NPPES

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

GARRY ANDREW CLARK D.O. (NPI 1952380750) is an individual pain medicine provider in Sioux City, Iowa, licensed in Iowa (01361) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1968).

NPPES Registry Identity

NPI1952380750

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameGARRY ANDREW CLARKCredential: D.O.

Location Address3930 STADIUM DRSioux City, IA 51106-5166

Mailing Address3930 Stadium DrSioux City, IA 51106-5166 · (712) 276-4325 · Fax (712) 276-6033

Phone(712) 276-4325

Fax(712) 276-6033

Sole ProprietorYes

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1968

Enumeration DateJanuary 11, 2006

Last NPPES UpdateJanuary 26, 2012

✔ NPI 1952380750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in IA · 01361

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

3930 STADIUM DR, Sioux City, IA 51106

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Other Identifiers 7

Other1528001492IA · St Lukes Group Npi

Other21964001IA · St Lukes Individual Ptan

Other080082594IA · Medicare Railroad Individual Number

Medicare UPINO46455IA

OtherCG1061IA · Medicare Railroad Group Number

Medicare ID-Type UnspecifiedI15722IA

Other21964IA · St Lukes Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Garry Andrew Clark D.o. 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 ID4082644927

PECOS Enrollment IDI20050819000421

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 4

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

76 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

35 services34 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

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