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Michael J. Clark, DO

NPI 1215967898ActiveIndividual· Family Medicine· Thief River Falls, MN

Family Medicine (DO) in Thief River Falls, Minnesota, licensed in MN and ND, with an NPI issued in July 2006. Part D covered 117 prescriptions written in 2024, 76% of them generic.

Overview

NPI1215967898
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorNo
NPI issuedJul 3, 2006
Last updated in NPPESMar 25, 2022
Certified by providerMar 25, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X27254MN
Family Medicine207Q00000X5746ND

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (MN)

Part D prescriptions in 2024

Prescriptions (claims)117 · 123 30-day fills
Total drug cost$2,761
Generic share76% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other family medicine physicians in Thief River Falls

All 15 family medicine physicians in Thief River Falls · All family medicine physicians in Minnesota