Doctor profile · Federal record
Dr. CLANCY CLARK, MD
Surgery Physician (CMS: UNDEFINED PHYSICIAN TYPE (SPECIFY)) · Surgery Physician · Surgical Oncology Physician · SEATTLE, WA
- NPI 1053455444
- Accepts Medicare
- 22 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1100 9TH AVE
SEATTLE, WA 98101
(206) 624-1144 - Additional location
-
Medical Center Blvd
Winston Salem, NC 271570001
(336) 716-9272
fax (336) 716-6637 - Mailing address
-
2450 GREENBRIER RD
WINSTON SALEM, NC 271042108
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- December 13, 2024
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Washington #MD61617432 · North Carolina #2012-01216
- Medicaid
- NC #5920754
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053455444. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
227
Distinct HCPCS
5
Medicare allowed
$21,637
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 149 | 94 | $91 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $127 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $124 | |
99442 |
Telephone medical discussion with physician, 11-20 minutes | 15 | 14 | $63 | |
76998 |
Ultrasonic guidance during surgery | 12 | 12 | $58 |
In context: peer comparison
Among 36 peers in this city , average services per provider: 26. This provider delivers 8.7× the peer median.Open Payments
Industry payments received
All-time total
$7,890
Transactions
26
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | 25 | $7,765.01 | |
| AstraZeneca Pharmaceuticals LP | 1 | $125.01 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
60
Patients
16
Total drug cost
$71,162
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Creon (Lipase/Protease/Amylase) | Brand | 46 | 16 | $70,954 |
| Omeprazole | Generic | 14 | 0 | $207 |