Charles E. Clark IV, M.D.
NPI 1194745851ActiveIndividual· Anesthesiology· Salem, VA
Anesthesiology (M.D.) in Salem, Virginia, trained at Brody School of Medicine at East Carolina University (class of 1992). Medicare paid $17,347 for services to 227 patients in 2024.
Overview
| NPI | 1194745851 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Feb 14, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 0101053907 | VA |
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 - Anesthesiology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 227 |
|---|---|
| Services billed | 273 across 33 procedure codes |
| Paid by Medicare | $17,347 |
Education and affiliations
| Medical school | Brody School of Medicine at East Carolina University |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Anesthesiology |
Medical group
- Gate City Anesthesia, IncGreensboro, NC · 29 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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