Derek Clark, BOCO C.PED
NPI 1497161590ActiveIndividual· Orthotist· Albuquerque, NM
Orthotist (BOCO C.PED) in Albuquerque, New Mexico, licensed in MD, with an NPI issued in July 2014.
Overview
| NPI | 1497161590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BOCO C.PED |
| Sole proprietor | No |
| NPI issued | Jul 9, 2014 |
| Last updated in NPPES | Jul 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthotist Primary | 222Z00000X | C49914 | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|