Randall Bruce Clark II, D.O.
NPI 1265873111ActiveIndividual· Radiology, Diagnostic Radiology· Cape Girardeau, MO
Radiology, Diagnostic Radiology (D.O.) with Premier Diagnostic Imaging, LLC, practicing in Cape Girardeau, Missouri. Medicare paid $381,882 for services to 2,753 patients in 2024. Siemens Medical Solutions USA, Inc. reported $15.43 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1265873111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jul 8, 2013 |
| Last updated in NPPES | Jan 27, 2021 |
| Certified by provider | Jan 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 2013021199 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,753 |
|---|---|
| Services billed | 31,353 across 171 procedure codes |
| Paid by Medicare | $381,882 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Premier Diagnostic Imaging, LLCCookeville, TN · 3 clinicians
Industry payments (Open Payments)
- 2025$15.43 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Siemens Medical Solutions USA, Inc. | $15.43 | 1 |
What the 2025 payments were for
- Food and Beverage$15.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 64 diagnostic radiologists in Cape Girardeau · All diagnostic radiologists in Missouri