Dr. Michael E Clark , DPM
Podiatrist • Decatur, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michael Clark, DPM was a registered Podiatrist practicing in Decatur, IL. Throughout an active medical career spanning 17 years, Dr. Clark provided care at the practice location at 102 W KENWOOD AVE until profile deactivation on 2023-07-12.
Historical Medicare Part B clinical services included removal of fingernails or toenails, established patient outpatient office visit, removal of single thickened skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
102 W Kenwood Ave
Ste 160
Decatur, IL 62526
Specialty Benchmarks & Practice Insights
Comparative analytics for Podiatrist in Decatur, IL
Practicing in Decatur, IL (647 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
11721
Removal of fingernails or toenails, 6 or more nails
|
75 | 75 | $70.00 | $43.48 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
71 | 54 | $80.00 | $42.88 |
|
11055
Removal of single thickened skin growth
|
18 | 18 | $80.00 | $52.53 |
|
99202
New patient office or other outpatient visit, typically 20 minutes
|
13 | 13 | $115.00 | $73.40 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dietitian, Registered
Registered Dietitian, Certified Diabetes Educator, Licensed Dietitian Nutritionist
Community Health Worker
Physical Therapist
Doctor of Physical Therapy
Specialist/Technologist - Athletic Trainer
Master of Science, Certified Athletic Trainer
Physician Assistant
Physician Assistant (Certified)
Social Worker - Clinical
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 12, 2023
NPI status registered as active in NPPES database
Registered at 102 W KENWOOD AVE, STE 160, DECATUR, IL 62526 (Tel: 2178770444)
Registered at 102 W KENWOOD AVE, STE 160, DECATUR, IL 62526 (Tel: 2178770444)
Recorded as MICHAEL CLARK, DPM
Podiatrist (License #016002692 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
102 W Kenwood Ave, Ste 160
Decatur, IL 62526
Phone: 2178770444
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