Jack O. Clark, M.D.
NPI 1902992837ActiveIndividual· Internal Medicine· Rexburg, ID
Internal Medicine (M.D.) in Rexburg, Idaho, trained at Pennsylvania State University College of Medicine (class of 1999). Their prescriptions cost Medicare Part D more than their services did: $79,633 for 1,432 claims, against $23,779 paid for services in 2024. Stryker Corporation reported $80.42 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1902992837 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 5, 2006 |
| Last updated in NPPES | Apr 13, 2020 |
| Certified by provider | Apr 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | M-7743 | ID |
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 - Internal Medicine (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 289 across 22 procedure codes |
| Paid by Medicare | $23,779 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,432 · 1,448 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $79,633 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Pennsylvania State University College of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Internal Medicine |
Medical groups
- Madison Co Memorial HospitalRexburg, ID · 34 clinicians
- Madison Memorial HospitalReburg, ID · 22 clinicians
Hospital affiliations
- Eastern Idaho Regional Medical CenterIdaho Falls, ID
- Madison Memorial HospitalRexburg, ID
- Mountain View HospitalIdaho Falls, ID
Other facilities
- Madison Carriage Cove Short Stay RehabilitationNursing home · Rexburg, ID
Industry payments (Open Payments)
- 2024$80.42 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $80.42 | 1 |
What the 2024 payments were for
- Food and Beverage$80.42 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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