DR. GARY W CLARK DPM NPI 1609861152

NPI Information

  • NPI: 1609861152
  • Provider Name: DR. GARY W CLARK, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 166 W 1325 N
    SUITE 300
    CEDAR CITY, UT
    ZIP 84721
  • Phone: (435) 867-8521

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NPI Details

DR. Gary W Clark, DPM is a podiatrist in Cedar City, UT with 33 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Gary W Clark, DPM NPI is 1609861152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1993

The provider's business location address is:

166 W 1325 N
SUITE 300
CEDAR CITY, UT
ZIP 84721-792
Phone: (435) 867-8521
Fax: (435) 586-4073

The NPI 1609861152 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).

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.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Testing of autonomic (sympathetic) nervous system function, heart rate response to breathing exercises, and passive tilt (HCPCS:95922)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Removal of foreign body of foot tissue, accessed beneath the skin (HCPCS:28190)
  • Simple separation of fingernail or toenail from nail bed, each additional nail (HCPCS:11732)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)

The enumeration date for this NPI number is 9/12/2005 and was last updated on 3/27/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist320729-0501UTAHYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15790180001MEDICARE NSCUTAH
2000060792MEDICARE PINUTAH
3U50616MEDICARE UPINUTAH
4000011754MEDICARE PINUTAH
5P00399656MEDICARE PINUTAH

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: 11/21/2025

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