Doctor profile · Federal record

Dr. Patricia Clark, MD

Surgery Physician (CMS: General Surgery) · Surgery Physician · Fort Wayne, IN

  • NPI 1053335349
  • Accepts Medicare
  • MIPS 93.6 / 100 · 2023
  • 28 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11050 Parkview Circle Dr
Fort Wayne, IN 468451739
(833) 724-8326
fax (260) 425-6845
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
October 2, 2024
Year of graduation
1998 — 28 yrs since
Specialty taxonomy
208600000X — NUCC code
State licenses (2)
Indiana #01094461A · Arizona #51951
Medicaid
AZ #135033

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053335349. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
276
Distinct HCPCS
7
Medicare allowed
$43,112
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 109 104 $87
99214 Established patient office or other outpatient visit, 30-39 minutes 77 69 $125
99215 Established patient office or other outpatient visit, 40-54 minutes 26 21 $175
19301 Partial removal of breast 19 15 $613
99204 New patient office or other outpatient visit, 45-59 minutes 19 19 $163
99205 New patient office or other outpatient visit, 60-74 minutes 15 15 $215
38900 Imaging of lymph nodes during surgery 11 11 $133

In context: peer comparison

Among 14 peers in this city , average services per provider: 48. This provider delivers 5.8× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$17,398
Transactions
32
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Endomagnetics Ltd 27 $17,044.70
Sirius Medical Systems 4 $325.48
Myriad Genetic Laboratories, Inc. 1 $27.49

By nature of payment

Travel and Lodging
$13,484
Food and Beverage
$3,914

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
19
Patients
17
Total drug cost
$58
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 19 17 $58

Frequently asked questions

Auto-generated from federal data
What is Dr. Patricia Clark's medical specialty?
Dr. Patricia Clark practices Surgery Physician in Fort Wayne, IN.
Where does Dr. Patricia Clark practice?
Dr. Patricia Clark practices at 11050 Parkview Circle Dr, Fort Wayne, IN 468451739. Office phone: 8337248326.
What is Dr. Patricia Clark's NPI?
Dr. Patricia Clark's National Provider Identifier (NPI) is 1053335349, issued by NPPES.
Does Dr. Patricia Clark accept Medicare assignment?
Yes. Dr. Patricia Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Patricia Clark commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.