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Active NPI 1093704751 Individual Practitioner Male Practitioner

Dr. Melvin Jerome Clark , MD

Ophthalmology • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Melvin Clark, MD is a certified Ophthalmology practicing in Phoenix, AZ. With approximately 39 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1987, Dr. Clark delivers high-quality medical care to the local community at 4212 N 16TH ST.

Dr. Clark maintains professional affiliations with Dhhs Ihs Phoenix Area, Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, exam of visual field with intermediate testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4212 N 16th St

Phoenix, AZ 850165319

Telephone 6022631200
Fax 6022631619
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +14.9 yrs vs City Avg
City Avg: 24.1 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
100 Specialists

Practicing in Phoenix, AZ (384 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (39 Years) 39 Yrs
Phoenix Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
199 121 $80.75 $61.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
154 120 $121.16 $92.28
92134 Imaging of retina
26 22 $38.08 $23.63
92082 Exam of visual field with intermediate testing
23 22 $44.00 $19.75
66984 Removal of cataract with insertion of lens
20 16 $510.80 $502.63
76519 Ultrasound of eye for determination of lens power
18 18 $64.00 $28.77

Medical Specialties & State Licenses

CMS Verified: 2025-11-20
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 53852

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MN 45197

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm

4212 N 16th St, Phoenix, AZ 850165319

Phone: 6022631200

Dhhs Ihs Phoenix Area

12033 Agency Rd, Parker, AZ 853447718

Phone: 9286692137

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wendy Razo

Registered Nurse - Obstetric, High-Risk

NPI 1003045329
Thomas Hall , RN

Registered Nurse

NPI 1003138942

Registered Nurse

Dr. Umar Iqbal , MD

Family Medicine

NPI 1003170077

Doctor of Medicine (M.D.)

Sharla Wyatt , RN

Registered Nurse

NPI 1003208299

Registered Nurse

NPI 1003240318

Doctor of Pharmacy (Pharm.D.)

Laura Molander

Pharmacist

NPI 1003283623

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 20, 2025

Registered at PO BOX 95460, CLEVELAND, OH 441010033 (Tel: 6025816076)

NPI Profile Active August 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2012

Registered at 4212 N 16TH ST, PHOENIX, AZ 850165319 (Tel: 6022631200)

📍
Updated Business Mailing Address August 13, 2012

Registered at PO BOX 31001-0698, PASADENA, CA 911100698 (Tel: 6022631200)

👤
Provider Name / Credentials Updated August 13, 2012

Recorded as MELVIN CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2012

Ophthalmology (License #45197 in MN)

🟢
Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093704751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2005
Last Update: November 20, 2025
Sole Proprietor: No

Mailing Address

Po Box 95460

Cleveland, OH 441010033

Phone: 6025816076

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.