Doctor profile · Federal record
Dr. Susan Clark, MS, RD, Ld, CDE
Registered Dietitian · Rexburg, ID
- NPI 1124676663
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
393 E 2Nd N
Rexburg, ID 834401605
(208) 356-5401 - Additional location
-
450 E Main St
Rexburg, ID 834402048
(208) 359-6522 - Mailing address
-
450 E Main St
Rexburg, ID 834402048
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- November 24, 2025
- Specialty taxonomy
- 133V00000X — NUCC code
- State license (1)
- Idaho #D-393
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124676663. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
75
Distinct HCPCS
1
Medicare allowed
$3,882
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes | 75 | 19 | $52 |
In context: peer comparison
Among 1 peers in Rexburg Registered Dietitian, average services per provider: 75. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Susan Clark's medical specialty?
Dr. Susan Clark practices Registered Dietitian in Rexburg, ID.
Where does Dr. Susan Clark practice?
Dr. Susan Clark practices at 393 E 2Nd N, Rexburg, ID 834401605. Office phone: 2083565401.
What is Dr. Susan Clark's NPI?
Dr. Susan Clark's National Provider Identifier (NPI) is 1124676663, issued by NPPES.
What procedures does Dr. Susan Clark commonly perform?
Top Medicare-reported procedures in 2023: Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS G0108). Source: CMS Medicare Physician & Other Practitioners file.