Clarence E. Clark, MD

NPI 1952582397ActiveIndividual· Colon & Rectal Surgery· Chandler, AZ

Colon & Rectal Surgery (MD) in Chandler, Arizona, trained at Pennsylvania State University College of Medicine (class of 2004). 104 Medicare patients in 2024, $62,329 paid; nearly all of their 54 Part D prescriptions were generic (98%). Davol Inc. reported $41.65 in payments in 2025, mostly food and beverage.

Overview

NPI	1952582397
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Nov 14, 2007
Last updated in NPPES	Dec 16, 2024
Certified by provider	Dec 16, 2024

Specialties and licenses

Taxonomy	Code	License	State
Colon & Rectal Surgery Primary	208C00000X	61606	AZ
Surgery	208600000X	61606	AZ

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 - Colorectal Surgery (Proctology) (AZ); Practitioner - Colorectal Surgery (Proctology) (GA)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	104
Services billed	296 across 45 procedure codes
Paid by Medicare	$62,329

Part D prescriptions in 2024

Prescriptions (claims)	54 · 60 30-day fills
Patients	27
Total drug cost	$1,684
Generic share	98% of claims

Medicare sources and data years

Education and affiliations

Medical school	Pennsylvania State University College of Medicine
Graduation year	2004
Medicare specialty	Colorectal Surgery (Proctology)
Secondary specialties	General Surgery
Telehealth	Offers telehealth