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 Seattle Surgery Physician, 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 |
Hospital affiliations
Frequently asked questions
What is Dr. Clancy Clark's medical specialty?
Dr. Clancy Clark practices Surgery Physician in Seattle, WA.
Where does Dr. Clancy Clark practice?
Dr. Clancy Clark practices at 1100 9Th Ave, Seattle, WA 98101. Office phone: 2066241144.
What is Dr. Clancy Clark's NPI?
Dr. Clancy Clark's National Provider Identifier (NPI) is 1053455444, issued by NPPES.
Does Dr. Clancy Clark accept Medicare assignment?
Yes. Dr. Clancy Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Clancy Clark commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.