Katelyn Ann Clark, M.D.
NPI 1366732729ActiveIndividual· Surgery· Springfield, OR
Surgery (M.D.) in Springfield, Oregon, trained at Oregon Health Sciences University School of Medicine (class of 2011). 155 Medicare patients in 2024, $70,131 paid; nearly all of their 309 Part D prescriptions were generic (96%). Kerecis Limited was the largest of 2 companies reporting payments in 2025, $174.81 in all, mostly food and beverage.
Overview
| NPI | 1366732729 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 19, 2011 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Nov 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD175116 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 155 |
|---|---|
| Services billed | 292 across 101 procedure codes |
| Paid by Medicare | $70,131 |
Part D prescriptions in 2024
| Prescriptions (claims) | 309 · 315 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $7,039 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Oregon Health Sciences University School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | General Surgery |
| Telehealth | Offers telehealth |
Medical groups
- Peacehealth Medical GroupEugene, OR · 255 clinicians
- PeacehealthRoseburg, OR · 197 clinicians
Hospital affiliations
- Bay Area HospitalCoos Bay, OR
- Sacred Heart Medical Center - RiverbendSpringfield, OR
Industry payments (Open Payments)
- 2025$174.81 · 2 payments from 2 companies
- 2024$980.22 · 9 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $98.17 | 1 |
| Acera Surgical, Inc. | $76.64 | 1 |
What the 2025 payments were for
- Food and Beverage$174.81 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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