Doctor profile · Federal record
Dr. Kirby Clark, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Waterloo, IA
- NPI 1407893795
- Accepts Medicare
- 31 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4006 Johnathan St
Waterloo, IA 507019387
(319) 236-2700 - Additional location
-
660 N Westmoreland RD
Lake Forest, IL 600451659
(847) 535-7480 - Mailing address
-
Po Box 2758
Waterloo, IA 507042758
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- November 21, 2023
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Iowa #35956 · Wisconsin #42049-20 · Illinois #036126457
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407893795. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
34,452
Distinct HCPCS
10
Medicare allowed
$169,158
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9575 |
Injection, gadoterate meglumine, 0.1 ml | 20,101 | 107 | $0 | |
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 12,000 | 136 | $0 | |
72148 |
Mri scan of lower spinal canal without contrast | 198 | 98 | $89 | |
76705 |
Limited ultrasound scan of abdomen | 191 | 152 | $28 | |
73721 |
Mri scan of leg joint without contrast | 156 | 76 | $95 | |
73221 |
Mri scan of arm joint without contrast | 150 | 67 | $95 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 145 | 72 | $145 | |
70551 |
Mri scan of brain without contrast | 111 | 57 | $94 | |
36415 |
Insertion of needle into vein for collection of blood sample | 91 | 90 | $8 | |
82565 |
Blood creatinine level | 91 | 90 | $5 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 224. This provider delivers 154× the peer median.Frequently asked questions
What is Dr. Kirby Clark's medical specialty?
Dr. Kirby Clark practices Diagnostic Radiology Physician in Waterloo, IA.
Where does Dr. Kirby Clark practice?
Dr. Kirby Clark practices at 4006 Johnathan St, Waterloo, IA 507019387. Office phone: 3192362700.
What is Dr. Kirby Clark's NPI?
Dr. Kirby Clark's National Provider Identifier (NPI) is 1407893795, issued by NPPES.
Does Dr. Kirby Clark accept Medicare assignment?
Yes. Dr. Kirby Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kirby Clark commonly perform?
Top Medicare-reported procedures in 2023: Injection, gadoterate meglumine, 0.1 ml (HCPCS A9575); Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Mri scan of lower spinal canal without contrast (HCPCS 72148). Source: CMS Medicare Physician & Other Practitioners file.