Doctor profile · Federal record
Dr. EDWARD CLACK, DO
Family Medicine Physician (CMS: FAMILY PRACTICE) · DAYTON, OH
- NPI 1659629053
- Accepts Medicare
- MIPS 98.4 / 100 · 2023
- 14 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5900 N MAIN ST STE 3
DAYTON, OH 454153198
(937) 277-9371
fax (937) 277-7734
Credentials & registration
- NPI registered
- August 2012 — 14 yrs on file
- Profile last updated
- May 3, 2023
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Ohio #34.011463
- Medicaid
- OH #0122811
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659629053. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,373
Distinct HCPCS
10
Medicare allowed
$121,955
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 673 | 224 | $121 | |
98928 |
Osteopathic manipulative treatment, 7-8 body regions | 224 | 38 | $68 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 160 | 160 | $123 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 128 | 26 | $1 | |
J1885 |
Injection, ketorolac tromethamine, per 15 mg | 43 | 12 | $1 | |
96372 |
Injection of drug or substance under skin or into muscle | 31 | 20 | $13 | |
99497 |
Advance care planning, first 30 minutes | 29 | 29 | $80 | |
G0008 |
Administration of influenza virus vaccine | 24 | 24 | $29 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 23 | 23 | $76 | |
83036 |
Hemoglobin a1c level | 22 | 20 | $10 |
In context: peer comparison
Among 38 peers in this city , average services per provider: 75. This provider delivers 18× the peer median.Open Payments
Industry payments received
All-time total
$2,321
Transactions
147
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 18 | $459.23 | |
| ABBVIE INC. | 38 | $352.80 | |
| Exact Sciences Corporation | 11 | $297.25 | |
| PFIZER INC. | 18 | $274.79 | |
| Lilly USA, LLC | 15 | $228.27 | |
| Novo Nordisk Inc | 17 | $200.19 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 11 | $147.30 | |
| Merck Sharp & Dohme LLC | 5 | $81.06 | |
| Astellas Pharma US Inc | 4 | $66.54 | |
| Amgen Inc. | 3 | $59.28 | |
| Bayer Healthcare Pharmaceuticals Inc. | 2 | $29.81 | |
| Radius Health, Inc. | 2 | $29.30 | |
| Otsuka America Pharmaceutical, Inc. | 1 | $24.26 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $19.88 | |
| GlaxoSmithKline, LLC. | 1 | $19.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,832
Patients
1,155
Total drug cost
$43,049
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 619 | 179 | $8,406 |
| Amlodipine Besylate | Generic | 423 | 130 | $2,500 |
| Levothyroxine Sodium | Generic | 358 | 99 | $5,018 |
| Omeprazole | Generic | 312 | 97 | $4,264 |
| Lisinopril | Generic | 308 | 90 | $1,855 |
| Metformin Hcl | Generic | 274 | 88 | $1,880 |
| Losartan-Hydrochlorothiazide (Losartan/Hydrochlorothiazide) | Brand | 210 | 58 | $4,218 |
| Hydrochlorothiazide | Generic | 194 | 65 | $695 |
| Losartan Potassium | Generic | 181 | 58 | $2,111 |
| Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) | Brand | 166 | 46 | $1,531 |