Doctor profile · Federal record

Dr. CAROLYN CLARK, MD

Diagnostic Radiology Physician (CMS: DIAGNOSTIC RADIOLOGY) · KAILUA, HI

  • NPI 1336536036
  • Accepts Medicare
  • 11 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
640 ULUKAHIKI ST
KAILUA, HI 967344454
(503) 251-6855
Mailing address
PO BOX 16961
PORTLAND, OR 972920961

Credentials & registration

NPPES · NUCC
NPI registered
April 2015 — 11 yrs on file
Profile last updated
April 12, 2022
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
2085R0202X — NUCC code
State license (1)
Hawaii #21521

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336536036. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,635
Distinct HCPCS
10
Medicare allowed
$18,439
HCPCS Description Services Patients Avg allowed
A9585 Injection, gadobutrol, 0.1 ml 1,225 13 $0
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,200 12 $0
72100 X-ray of lower and sacral spine, 2-3 views 27 27 $42
70553 Mri scan of brain before and after contrast 24 23 $116
73030 X-ray of shoulder, minimum of 2 views 18 14 $40
70551 Mri scan of brain without contrast 17 15 $75
72148 Mri scan of lower spinal canal without contrast 17 17 $75
70551 Mri scan of brain without contrast 16 16 $226
74177 Ct scan of abdomen and pelvis with contrast 16 16 $92
73564 X-ray of knee, 4 or more views 15 14 $52

In context: peer comparison

Among 2 peers in this city , average services per provider: 95. This provider delivers 28× the peer median.

Hospital affiliations

CMS Hospital Compare