Clancy J. Clark, MD

NPI 1053455444ActiveIndividual· Surgery· Seattle, WA

Surgery (MD) in Seattle, Washington, trained at Ohio State University College of Medicine (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $120,908 for 77 claims, against $46,505 paid for services in 2024. Intuitive Surgical, Inc. was the largest of 2 companies reporting payments in 2025, $2,446 in all, mostly travel and lodging.

Overview

NPI	1053455444
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Feb 18, 2007
Last updated in NPPES	Dec 13, 2024
Certified by provider	Dec 13, 2024

Specialties and licenses

Taxonomy	Code	License	State
Surgery Primary	208600000X	MD61617432	WA
Surgery	208600000X	2012-01216	NC
Surgery, Surgical Oncology	2086X0206X	2012-01216	NC

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

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

Medicare

Enrollment (PECOS)	Enrolled Practitioner - General Surgery (NC); Practitioner - Other (Physician) (WA)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	143
Services billed	288 across 36 procedure codes
Paid by Medicare	$46,505

Part D prescriptions in 2024

Prescriptions (claims)	77 · 98 30-day fills
Patients	37
Total drug cost	$120,908
Generic share	47% of claims

Medicare sources and data years

Education and affiliations

Medical school	Ohio State University College of Medicine
Graduation year	2004
Medicare specialty	Undefined Physician Type (Specify)
Secondary specialties	General Surgery, Surgical Oncology
Telehealth	Offers telehealth