Doctor profile · Federal record
Dr. Shannon Clark, MD
Maternal & Fetal Medicine Physician (CMS: Obstetrics/Gynecology) · Galveston, TX
- NPI 1568524106
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 26 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
301 University Blvd
Galveston, TX 775555302
(409) 772-2222
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- January 28, 2020
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 207VM0101X — NUCC code
- State license (1)
- Texas #L8653
- Medicaid
- TX #165852801
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568524106. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$80
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $80.00 |
By nature of payment
Frequently asked questions
What is Dr. Shannon Clark's medical specialty?
Dr. Shannon Clark practices Maternal & Fetal Medicine Physician in Galveston, TX.
Where does Dr. Shannon Clark practice?
Dr. Shannon Clark practices at 301 University Blvd, Galveston, TX 775555302. Office phone: 4097722222.
What is Dr. Shannon Clark's NPI?
Dr. Shannon Clark's National Provider Identifier (NPI) is 1568524106, issued by NPPES.
Does Dr. Shannon Clark accept Medicare assignment?
Yes. Dr. Shannon Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.