Samuel J. Clark, M.D.
NPI 1689611709ActiveIndividual· Internal Medicine, Pulmonary Disease· San Diego, CA
Internal Medicine, Pulmonary Disease (M.D.) in San Diego, California, trained at Vanderbilt University School of Medicine (class of 1992). Medicare paid $162,896 for services to 213 patients in 2024.
Overview
| NPI | 1689611709 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Jun 25, 2024 |
| Certified by provider | Jun 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | A52335 | CA |
| Internal Medicine | 207R00000X | A52335 | CA |
| Internal Medicine, Critical Care Medicine | 207RC0200X | A52335 | CA |
| Internal Medicine, Sleep Medicine | 207RS0012X | A52335 | CA |
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 - Pulmonary Disease (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 213 |
|---|---|
| Services billed | 2,243 across 26 procedure codes |
| Paid by Medicare | $162,896 |
Education and affiliations
| Medical school | Vanderbilt University School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Internal Medicine |
Medical groups
- Emergency and Acute Care Medical CorporationLa Mesa, CA · 422 clinicians
- Chest Medicine and Critical Care Medical Group IncSan Diego, CA · 25 clinicians
- Sd Diagnostics IncSan Diego, CA · 6 clinicians
- Samuel J Clark MD IncSan Diego, CA · 3 clinicians
Hospital affiliations
- Scripps Mercy HospitalSan Diego, CA
- Sharp Memorial HospitalSan Diego, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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