Doctor profile · Federal record
Dr. Kelly Clark, MD
Family Medicine Physician (CMS: Family Practice) · Traverse City, MI
- NPI 1487806717
- Accepts Medicare
- 19 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1400 Medical Campus Dr
Traverse City, MI 496847823
(231) 935-8031
fax (231) 935-8099 - Additional location
-
1105 Sixth St Ste D6
Traverse City, MI 496842345
(231) 935-6380
fax (231) 935-6920
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Profile last updated
- February 10, 2026
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Michigan #4301090780
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487806717. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
234
Distinct HCPCS
5
Medicare allowed
$18,790
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 106 | 45 | $94 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 55 | 21 | $76 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 24 | $64 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | 22 | $123 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 21 | 21 | $0 |
In context: peer comparison
Among 42 peers in this city , average services per provider: 79. This provider delivers 3.0× the peer median.Open Payments
Industry payments received
All-time total
$124
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 1 | $123.92 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,010
Patients
260
Total drug cost
$17,928
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 164 | 48 | $3,395 |
| Lisinopril | Generic | 98 | 29 | $968 |
| Levothyroxine Sodium | Generic | 88 | 19 | $1,331 |
| Amlodipine Besylate | Generic | 80 | 24 | $747 |
| Gabapentin | Generic | 80 | 31 | $1,316 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 79 | 22 | $2,788 |
| Fluticasone Propionate | Generic | 61 | 17 | $789 |
| Omeprazole | Generic | 55 | 19 | $1,204 |
| Hydrochlorothiazide | Generic | 54 | 14 | $172 |
| Hydroxyzine Hcl | Generic | 52 | 0 | $1,281 |
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Clark's medical specialty?
Dr. Kelly Clark practices Family Medicine Physician in Traverse City, MI.
Where does Dr. Kelly Clark practice?
Dr. Kelly Clark practices at 1400 Medical Campus Dr, Traverse City, MI 496847823. Office phone: 2319358031.
What is Dr. Kelly Clark's NPI?
Dr. Kelly Clark's National Provider Identifier (NPI) is 1487806717, issued by NPPES.
Does Dr. Kelly Clark accept Medicare assignment?
Yes. Dr. Kelly Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Clark commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.