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CLIFFORD D CLARK M.D. NPI 1881612653


NPI Information

NPI: 1881612653
Provider Name: CLIFFORD D CLARK, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
2500 E PROSPECT RD
FORT COLLINS, CO
ZIP 80525
Phone: (970) 493-0112
Get Directions

Clifford D Clark, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Fort Collins, CO with 21 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Clifford D Clark, M.D. NPI is 1881612653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

2500 E PROSPECT RD
FORT COLLINS, CO
ZIP 80525-718
Phone: (970) 493-0112

The NPI 1881612653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 12/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryDR.0047585COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112688200MEDICAIDWYOMING
2P00755984OTHERCOLORADORR MEDICARE
366729378MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.