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DR. DANICA E CLARK MD
NPI 1972792992
Internal Medicine in Salem, OR

Active since October 16, 2007PECOS Enrolled
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301(503) 983-9900(503) 983-9899 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2025, Jun 10, 2021, Feb 4, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Danica E Clark Md NPPES

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

DR. DANICA E CLARK MD (NPI 1972792992) is an individual internal medicine provider in Salem, Oregon, licensed in Oregon (MD154535) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2005).

NPPES Registry Identity

NPI1972792992
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANICA E CLARKCredential: MD
Location Address1011 COMMERCIAL ST NE STE 110Salem, OR 97301-1036
Mailing Address1011 Commercial St Ne Ste 110Salem, OR 97301-1036 · (503) 983-9900 · Fax (503) 983-9899
Phone(503) 983-9900
Fax(503) 983-9899
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2005
Enumeration DateOctober 16, 2007
Last NPPES UpdateNovember 24, 20255 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1972792992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD154535
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1011 COMMERCIAL ST NE STE 110, Salem, OR 97301
Open in Google Maps ↗

Other Identifiers 1

Medicaid500644845OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Danica E Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840456307
PECOS Enrollment IDI20260317004743
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Danica Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Confederated Tribes Of The Grand Ronde Community Of Oregon
30 mi
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
9605 GRAND RONDE RD
Grand Ronde, OR 97347
  • Reassigned Medicare billing, Oregon enrollment
  • 27 clinicians in this Medicare group
NPI 1174666358 (503) 879-2236
Coquille Indian Tribe
126 mi
Clinic/Center
630 MILUK DR
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon and Texas enrollments
  • 20 clinicians in this Medicare group
NPI 1376592287 (541) 888-9494

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

TANNITH MCNEEL CRM
Peer Specialist
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
JOEL P SELWYN CRM
Peer Specialist
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
LYNETTE CAREEN BLOOM CADC I
Counselor (Addiction (Substance Use Disorder))
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
ERIC BRINTON FARNSWORTH
Counselor (Addiction (Substance Use Disorder))
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
CHRISTINA RENEE FLOWERS CADC-I
Counselor (Addiction (Substance Use Disorder))
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
MANYA B HELMAN MD
Family Medicine (Addiction Medicine)
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
CHRYSTAL JEAN ELLIS
Counselor (Addiction (Substance Use Disorder))
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
JEFFREY C RENNA PAC
Physician Assistant (Medical)
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900

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 Danica Clark's NPI number?

The NPI number for Danica Clark is 1972792992. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Danica Clark located?

Danica Clark practices at 1011 Commercial St NE Ste 110, Salem, OR 97301. The listed phone number is (503) 983-9900.

What is Danica Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Danica Clark enrolled in Medicare?

Yes. Danica Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danica Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danica Clark reassigns Medicare benefits to 2 organizations: Confederated Tribes Of The Grand Ronde Community Of Oregon (Grand Ronde, OR) and Coquille Indian Tribe (Coos Bay, OR). 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 Danica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danica Clark accept?

Health plans from Moda Health Plan, Inc. list Danica 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 Danica Clark was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.