Nicolette M. Clark, MD
NPI 1174104111ActiveIndividual· Surgery, Vascular Surgery· Tampa, FL
Surgery, Vascular Surgery (MD) in Tampa, Florida, licensed in FL and OH, with an NPI issued in April 2021. Part D covered 99 prescriptions written in 2024, 98% of them generic. Boston Scientific Corporation was the largest of 5 companies reporting payments in 2025, $369.61 in all, mostly food and beverage.
Overview
| NPI | 1174104111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2021 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | ME0180960 | FL |
| Surgery | 208600000X | 57.251172 | OH |
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 Order and Referring Only - General Surgery (OH) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 99 · 117 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $2,822 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$369.61 · 5 payments from 5 companies
- 2024$149.36 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $114.57 | 1 |
| Acera Surgical, Inc. | $114.53 | 1 |
| Intuitive Surgical, Inc. | $90.37 | 1 |
| W. L. Gore & Associates, Inc. | $36.12 | 1 |
| Micro-Tech Endoscopy USA, Inc. | $14.02 | 1 |
What the 2025 payments were for
- Food and Beverage$369.61 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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