Doctor profile · Federal record
Dr. Nicole Clark, DO
Family Medicine Physician (CMS: Family Practice) · Lebanon, IN
- NPI 1083110225
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2705 N Lebanon St Ste 300
Lebanon, IN 460528622
(765) 485-8649
fax (765) 485-8650 - Mailing address
-
2605 N Lebanon St
Lebanon, IN 460521476
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Profile last updated
- October 10, 2023
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Indiana #02006481A
- Medicaid
- IN #300014551
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083110225. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
505
Distinct HCPCS
10
Medicare allowed
$36,160
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 109 | 60 | $117 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 97 | 62 | $83 | |
36415 |
Insertion of needle into vein for collection of blood sample | 68 | 47 | $8 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 55 | 11 | $57 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 46 | 11 | $43 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 37 | 37 | $112 | |
83036 |
Hemoglobin a1c level | 18 | 11 | $10 | |
81003 |
Automated urinalysis test | 17 | 11 | $2 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $153 | |
G0008 |
Administration of influenza virus vaccine | 15 | 15 | $29 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 105. This provider delivers 4.8× the peer median.Open Payments
Industry payments received
All-time total
$800
Transactions
45
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 20 | $305.99 | |
| Lilly USA, LLC | 4 | $76.18 | |
| AstraZeneca Pharmaceuticals LP | 4 | $62.82 | |
| GlaxoSmithKline, LLC. | 3 | $60.66 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 2 | $34.21 | |
| Exact Sciences Corporation | 2 | $31.41 | |
| Novo Nordisk Inc | 2 | $29.01 | |
| Janssen Pharmaceuticals, Inc | 1 | $23.62 | |
| Lundbeck LLC | 1 | $21.38 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $20.22 | |
| Azurity Pharmaceuticals, Inc. | 1 | $20.08 | |
| Novartis Pharmaceuticals Corporation | 1 | $18.84 | |
| Merck Sharp & Dohme LLC | 1 | $17.82 | |
| Radius Health, Inc. | 1 | $16.39 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,248
Patients
357
Total drug cost
$16,347
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 220 | 65 | $3,238 |
| Levothyroxine Sodium | Generic | 141 | 40 | $2,107 |
| Gabapentin | Generic | 90 | 28 | $1,741 |
| Lisinopril | Generic | 87 | 29 | $592 |
| Duloxetine Hcl | Generic | 77 | 17 | $1,879 |
| Amlodipine Besylate | Generic | 73 | 24 | $410 |
| Metformin Hcl | Generic | 71 | 17 | $743 |
| Hydrochlorothiazide | Generic | 70 | 18 | $356 |
| Omeprazole | Generic | 68 | 23 | $1,005 |
| Trazodone Hcl | Generic | 64 | 19 | $756 |
Frequently asked questions
What is Dr. Nicole Clark's medical specialty?
Dr. Nicole Clark practices Family Medicine Physician in Lebanon, IN.
Where does Dr. Nicole Clark practice?
Dr. Nicole Clark practices at 2705 N Lebanon St Ste 300, Lebanon, IN 460528622. Office phone: 7654858649.
What is Dr. Nicole Clark's NPI?
Dr. Nicole Clark's National Provider Identifier (NPI) is 1083110225, issued by NPPES.
Does Dr. Nicole Clark accept Medicare assignment?
Yes. Dr. Nicole Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Clark commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.