Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306994637 Individual Practitioner Female Practitioner

Dr. Diane Marie Clark , DC

Chiropractor • Port Orange, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Diane Clark, DC is a certified Chiropractor practicing in Port Orange, FL. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Clark delivers high-quality medical care to the local community at 4705 S CLYDE MORRIS BLVD.

Dr. Clark is affiliated with Palmer College Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4705 S Clyde Morris Blvd

Port Orange, FL 321294103

Telephone 3867632728

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Port Orange, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +22.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
123 Specialists

Practicing in Port Orange, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (39 Years) 39 Yrs
Port Orange Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
81 13 $30.00 $27.47
98941 Chiropractic manipulative treatment, 3-4 spinal regions
80 12 $41.00 $39.36

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH5971

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
001509400 (FL)
Commercial Insurance / Payer ID Bcbs
22574 (FL)
Commercial Insurance / Payer ID Railroad Medicare
P00706874 (FL)

Hospital & Practice Group Affiliations

Palmer College Foundation

4705 Clyde Morris Blvd, Port Orange, FL 321294103

Phone: 3867632718

Practice Associates & Co-Workers

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

21 Associated Practitioners
NPI 1013232875

Doctor of Chiropractic

NPI 1154499150

Doctor of Chiropractic

NPI 1205033925

Doctor of Chiropractic

NPI 1225158991

Doctor of Chiropractic

NPI 1275849929

Doctor of Chiropractic

NPI 1346333242

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2012

Registered at 4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 321294103 (Tel: 3867632728)

📍
Updated Business Mailing Address December 19, 2012

Registered at 4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 321294103 (Tel: 3867632728)

👤
Provider Name / Credentials Updated December 19, 2012

Recorded as DIANE CLARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2012

Chiropractor (License #CH5971 in FL)

🟢
Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Diane Clark. Be the first to share your experience!

Sign in to leave a review for Dr. Diane Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306994637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: December 19, 2012
Sole Proprietor: No

Mailing Address

4705 S Clyde Morris Blvd

Port Orange, FL 321294103

Phone: 3867632728

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.