Edward Petersen Clack, DO

NPI 1659629053ActiveIndividual· Family Medicine· Dayton, OH

Family Medicine (DO) in Dayton, Ohio, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2012). Their prescriptions cost Medicare Part D more than their services did: $668,399 for 8,660 claims, against $80,123 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 20 companies reporting payments in 2025, $2,650 in all, mostly food and beverage.

Overview

NPI	1659629053
Status	Active
Entity type	Individual
Credential	DO
Sole proprietor	Yes
NPI issued	Aug 16, 2012
Last updated in NPPES	May 3, 2023
Certified by provider	May 3, 2023

Specialties and licenses

Taxonomy	Code	License	State
Family Medicine Primary	207Q00000X	34.011463	OH

About license numbers in NPPES

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 (OH)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	197
Services billed	1,357 across 24 procedure codes
Paid by Medicare	$80,123

Part D prescriptions in 2024

Prescriptions (claims)	8,660 · 21,464 30-day fills
Patients	643
Total drug cost	$668,399
Generic share	89% of claims

Medicare sources and data years

Education and affiliations

Medical school	At Still University of Health Sciences, College of Osteo Med, Kirksville
Graduation year	2012
Medicare specialty	Family Practice
Secondary specialties	Osteopathic Manipulative Medicine