Derek Blaine Clark, DO
NPI 1568041655ActiveIndividual· Family Medicine· Parksley, VA
Family Medicine (DO) in Parksley, Virginia, trained at Edward Via Col of Osteo Medicine-Virginia Campus (class of 2021). Their prescriptions cost Medicare Part D more than their services did: $97,110 for 1,240 claims, against $31,257 paid for services in 2024. Lilly USA, LLC reported $125.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1568041655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Apr 6, 2021 |
| Last updated in NPPES | Nov 4, 2024 |
| Certified by provider | Nov 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0102208196 | VA |
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 - Family Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 603 across 40 procedure codes |
| Paid by Medicare | $31,257 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,240 · 2,133 30-day fills |
|---|---|
| Patients | 228 |
| Total drug cost | $97,110 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Edward Via Col of Osteo Medicine-Virginia Campus |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Family Practice |
Medical group
- Riverside Physician Services IncWilliamsburg, VA · 797 clinicians
Hospital affiliations
- Riverside Shore Memorial HospitalOnancock, VA
- Tidalhealth Peninsula Regional, IncSalisbury, MD
Other facilities
- Kind HeartsHome health agency · Oak Hall, VA
- Riverside Shore Home HealthHome health agency · Accomac, VA
- Riverside Shore HospiceHospice · Accomac, VA
Industry payments (Open Payments)
- 2025$125.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $125.00 | 1 |
What the 2025 payments were for
- Food and Beverage$125.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Parksley
- 1942570247