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Kevin R. Clark, DO

NPI 1053373399ActiveIndividual· General Practice· Hickory, NC

General Practice (DO) in Hickory, North Carolina, trained at Philadelphia College of Osteopathic Medicine (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $1,780,846 for 34,880 claims, against $274,055 paid for services in 2024.

Overview

NPI1053373399
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedApr 3, 2006
Last updated in NPPESJun 8, 2026
Certified by providerJun 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X200300020NC
Emergency Medicine207P00000X200300020NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Practice (NC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients773
Services billed4,084 across 17 procedure codes
Paid by Medicare$274,055

Part D prescriptions in 2024

Prescriptions (claims)34,880 · 35,001 30-day fills
Patients922
Total drug cost$1,780,846
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPhiladelphia College of Osteopathic Medicine
Graduation year1987
Medicare specialtyGeneral Practice
Secondary specialtiesEmergency Medicine

Medical groups

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other General Practice providers in Hickory

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