Deactivated NPI 1386648087 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Thomas Clark , MD

Ophthalmology • Brighton, MI

⚠️

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. Robert Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005

NPI Deactivation Date March 15, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Clark, MD was a registered Ophthalmology practicing in Brighton, MI. Throughout an active medical career spanning 1 years, Dr. Clark provided care at the practice location at 7575 GRAND RIVER RD until profile deactivation on 2006-03-15.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7575 Grand River Rd
Ste 111

Brighton, MI 481149390

Telephone 8108447744

Fax 8108447725

Associated Practice Facility / Clinic

🏢 Robert T Clark Md Pc Facility NPI 1821154667

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Brighton, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.1 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Brighton, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	471	467	$175.00	$120.51
92012 Established patient problem focused exam of visual system	337	191	$125.00	$85.49
92134 Imaging of retina	184	159	$150.00	$37.98
92202 Extended exam of the back part of the eye with optic nerve drawing	182	161	$75.00	$15.07
68761 Closure of tear duct opening using plug	181	67	$375.00	$101.20
92083 Exam of visual field with extended testing	134	126	$130.00	$58.71
92133 Imaging of optic nerve	115	107	$150.00	$32.52
67031 Laser release of scar tissue between the lens and retina	93	39	$975.00	$371.27
92250 Photography of the retina	91	91	$205.00	$35.57
92201 Extended exam of the back part of the eye with retinal drawing	82	65	$75.00	$23.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	72	$135.00	$123.81
95930 Measurement of nerve conduction using visual stimulation testing with report	79	79	$250.00	$62.40
66821 Removal of recurring cataract in lens capsule using a laser	58	43	$1125.00	$312.24
92004 New patient complete exam of visual system	56	56	$205.00	$143.06
65855 Laser repair to improve eye fluid flow	43	27	$2000.00	$234.98
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	30	30	$285.00	$83.95
65778 Insertion of amniotic membrane to eye surface	21	12	$2500.00	$1193.35
92136 Measurement of corneal curvature and depth of eye	21	20	$146.43	$16.48
92060 Exam to measure eye deviation and range of motion	18	15	$95.00	$60.36
67800 Removal of eyelid growth	11	11	$267.00	$106.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	521	517	$174.73	$121.51
92012 Established patient problem focused exam of visual system	328	197	$124.62	$85.56
92202 Extended exam of the back part of the eye with optic nerve drawing	217	190	$75.00	$15.37
92134 Imaging of retina	188	158	$150.00	$38.51
68761 Closure of tear duct opening using plug	174	73	$375.00	$101.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	137	$134.53	$123.86
92083 Exam of visual field with extended testing	138	135	$130.00	$59.41
66821 Removal of recurring cataract in lens capsule using a laser	134	90	$1125.00	$318.55
67031 Laser release of scar tissue between the lens and retina	122	60	$975.00	$371.77
92133 Imaging of optic nerve	111	108	$150.00	$33.01
92201 Extended exam of the back part of the eye with retinal drawing	109	87	$75.00	$23.60
95930 Measurement of nerve conduction using visual stimulation testing with report	93	91	$250.00	$62.44
92250 Photography of the retina	92	91	$205.00	$35.54
92004 New patient complete exam of visual system	77	77	$204.74	$144.33
65855 Laser repair to improve eye fluid flow	38	25	$2000.00	$237.06
68801 Dilation of tear drainage opening	38	37	$268.42	$129.73
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	32	32	$285.00	$82.55
92060 Exam to measure eye deviation and range of motion	28	20	$95.00	$59.70
92136 Measurement of corneal curvature and depth of eye	19	18	$142.11	$19.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	578	571	$170.00	$122.38
92012 Established patient problem focused exam of visual system	355	210	$120.00	$86.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	159	$130.00	$123.65
92202 Extended exam of the back part of the eye with optic nerve drawing	197	171	$75.00	$15.34
68761 Closure of tear duct opening using plug	182	75	$375.00	$105.75
92134 Imaging of retina	181	150	$150.00	$37.79
92136 Measurement of corneal curvature and depth of eye	167	62	$103.29	$26.83
83861 Microfluid analysis of tears	148	53	$30.00	$22.48
66821 Removal of recurring cataract in lens capsule using a laser	126	85	$1125.00	$317.24
92083 Exam of visual field with extended testing	125	117	$130.00	$60.08
92201 Extended exam of the back part of the eye with retinal drawing	124	92	$75.00	$24.37
92133 Imaging of optic nerve	107	102	$150.00	$33.79
92250 Photography of the retina	94	92	$205.00	$37.33
95930 Measurement of nerve conduction using visual stimulation testing with report	83	80	$250.00	$64.23
67031 Laser release of scar tissue between the lens and retina	79	42	$975.00	$379.64
92004 New patient complete exam of visual system	71	71	$200.00	$145.66
66984 Removal of cataract with insertion of lens	59	36	$3050.00	$528.13
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	47	42	$285.00	$85.23
65855 Laser repair to improve eye fluid flow	44	31	$2000.00	$240.15
68801 Dilation of tear drainage opening	43	40	$265.12	$124.86
66982 Complex removal of cataract with insertion of prosthetic lens	41	25	$3050.00	$694.64
65778 Insertion of amniotic membrane to eye surface	20	14	$2500.00	$1376.79
92060 Exam to measure eye deviation and range of motion	17	14	$95.00	$61.18
92285 Photography of content of eyes	16	16	$75.00	$18.19
76514 Ultrasound scan of cornea to determine thickness	13	12	$145.00	$11.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	604	553	$170.00	$122.71
92012 Established patient problem focused exam of visual system	379	223	$120.00	$85.51
83861 Microfluid analysis of tears	190	72	$30.00	$22.35
92134 Imaging of retina	162	135	$150.00	$38.77
92083 Exam of visual field with extended testing	159	144	$130.00	$60.26
92136 Measurement of corneal curvature and depth of eye	155	59	$104.52	$30.37
68761 Closure of tear duct opening using plug	149	66	$375.00	$107.11
66821 Removal of recurring cataract in lens capsule using a laser	130	90	$1125.00	$323.69
92133 Imaging of optic nerve	122	116	$150.00	$33.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	87	$130.00	$106.16
92250 Photography of the retina	105	103	$205.00	$42.66
92201 Extended exam of the back part of the eye with retinal drawing	104	78	$75.00	$24.99
95930 Measurement of nerve conduction using visual stimulation testing with report	97	93	$250.00	$63.19
67031 Laser release of scar tissue between the lens and retina	83	49	$975.00	$384.12
92004 New patient complete exam of visual system	60	60	$200.00	$146.58
66984 Removal of cataract with insertion of lens	59	36	$3050.00	$539.77
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	55	44	$285.00	$84.92
65855 Laser repair to improve eye fluid flow	53	35	$2000.00	$236.12
66982 Complex removal of cataract with insertion of prosthetic lens	35	25	$3050.00	$741.63
92202 Extended exam of the back part of the eye with optic nerve drawing	34	34	$75.00	$15.88
92285 Photography of content of eyes	13	13	$75.00	$17.40
92060 Exam to measure eye deviation and range of motion	12	12	$95.00	$61.68
76514 Ultrasound scan of cornea to determine thickness	11	11	$145.00	$11.56
15823 Removal of excessive skin and fat of upper eyelid	11	11	$2000.00	$810.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	895	838	$167.37	$122.04
92012 Established patient problem focused exam of visual system	648	354	$116.82	$84.74
92136 Measurement of corneal curvature and depth of eye	282	110	$102.39	$32.89
92134 Imaging of retina	278	232	$150.00	$38.35
83861 Microfluid analysis of tears	242	92	$30.00	$22.03
92083 Exam of visual field with extended testing	228	212	$130.00	$60.60
66821 Removal of recurring cataract in lens capsule using a laser	191	134	$1130.89	$318.45
68761 Closure of tear duct opening using plug	185	68	$375.00	$103.93
92133 Imaging of optic nerve	179	169	$150.00	$33.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	139	$126.69	$105.54
66984 Removal of cataract with insertion of lens	135	82	$3050.00	$627.70
92250 Photography of the retina	125	124	$205.00	$48.12
92274 Measurement of retinal and optic nerve function targeting multiple separate locations	109	98	$285.00	$86.54
92004 New patient complete exam of visual system	100	100	$196.90	$146.52
95930 Measurement of nerve conduction using visual stimulation testing with report	95	91	$250.00	$64.57
67031 Laser release of scar tissue between the lens and retina	83	48	$975.00	$374.10
92225 Examination of eye by ophthalmoscope with retinal drawing	82	70	$82.32	$29.91
65855 Laser repair to improve eye fluid flow	59	39	$2000.00	$239.38
66982 Complex removal of cataract with insertion of prosthetic lens	44	32	$3050.00	$781.38
76514 Ultrasound scan of cornea to determine thickness	28	28	$145.00	$11.96
92060 Exam to measure eye deviation and range of motion	26	21	$95.00	$59.32
92285 Photography of content of eyes	17	17	$75.00	$17.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,219	1,136	$160.00	$120.18
92012 Established patient problem focused exam of visual system	872	448	$110.00	$82.94
92136 Measurement of corneal curvature and depth of eye	407	147	$102.27	$35.02
92134 Imaging of retina	351	283	$150.00	$37.91
92083 Exam of visual field with extended testing	311	280	$130.00	$57.93
83861 Microfluid analysis of tears	306	103	$30.00	$21.92
92275 Recording of retinal electrical responses to external stimuli	289	249	$285.00	$141.00
92133 Imaging of optic nerve	237	221	$150.00	$33.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	184	$120.00	$103.39
66821 Removal of recurring cataract in lens capsule using a laser	225	167	$1125.00	$312.75
66984 Removal of cataract with insertion of lens	214	125	$3050.00	$617.11
92004 New patient complete exam of visual system	196	196	$190.00	$144.39
68761 Closure of tear duct opening using plug	194	81	$375.00	$109.25
92250 Photography of the retina	173	169	$205.00	$52.85
92225 Examination of eye by ophthalmoscope with retinal drawing	102	79	$77.94	$27.03
67031 Laser release of scar tissue between the lens and retina	66	45	$975.00	$370.18
65855 Laser repair to improve eye fluid flow	65	42	$2000.00	$237.48
76514 Ultrasound scan of cornea to determine thickness	44	44	$145.00	$14.45
66982 Complex removal of cataract with insertion of prosthetic lens	40	31	$3050.00	$771.96
92060 Exam to measure eye deviation and range of motion	25	16	$95.00	$62.07
92285 Photography of content of eyes	20	20	$75.00	$16.51
65778 Insertion of amniotic membrane to eye surface	17	12	$2500.00	$1248.21
95930 Measurement of nerve conduction using visual stimulation testing with report	17	17	$250.00	$65.62
67820 Removal of eyelashes using forceps	16	12	$135.00	$39.03
15823 Removal of excessive skin and fat of upper eyelid	14	14	$2000.00	$791.52
67840 Removal of eyelid growth	13	13	$576.92	$282.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,258	1,172	$160.00	$117.29
92012 Established patient problem focused exam of visual system	1,030	555	$110.00	$80.59
92134 Imaging of retina	328	277	$150.00	$38.34
92136 Measurement of corneal curvature and depth of eye	314	123	$102.95	$39.01
83861 Microfluid analysis of tears	282	111	$30.00	$22.21
92083 Exam of visual field with extended testing	274	255	$130.00	$56.20
66821 Removal of recurring cataract in lens capsule using a laser	256	198	$1125.49	$308.79
92275 Recording of retinal electrical responses to external stimuli	220	208	$285.00	$137.98
92133 Imaging of optic nerve	214	202	$150.00	$32.72
92004 New patient complete exam of visual system	214	214	$190.00	$141.15
92250 Photography of the retina	186	185	$205.00	$60.66
66984 Removal of cataract with insertion of lens	185	112	$3050.00	$610.04
68761 Closure of tear duct opening using plug	157	62	$375.00	$102.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	129	$120.00	$102.62
65855 Laser repair to improve eye fluid flow	91	54	$2000.00	$234.07
92225 Examination of eye by ophthalmoscope with retinal drawing	80	66	$76.88	$26.47
67031 Laser release of scar tissue between the lens and retina	59	37	$991.53	$372.32
66982 Complex removal of cataract with insertion of prosthetic lens	29	21	$3050.00	$735.10
92060 Exam to measure eye deviation and range of motion	25	20	$95.00	$61.47
67840 Removal of eyelid growth	23	18	$521.74	$230.70
92285 Photography of content of eyes	18	18	$75.00	$16.12
95930 Measurement of nerve conduction using visual stimulation testing with report	16	14	$250.00	$120.13
92002 New patient problem focused exam of visual system	13	13	$125.00	$77.38
67820 Removal of eyelashes using forceps	12	12	$120.00	$48.30
76514 Ultrasound scan of cornea to determine thickness	12	12	$145.00	$14.01

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301040778

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MI 4301040778

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2681557 (MI)

Commercial Insurance / Payer ID Bcbs Referring

RC040778 (MI)

Commercial Insurance / Payer ID Bcbs Indiv Pin

1804701481 (MI)

Commercial Insurance / Payer ID State License

4301040778 (MI)

Commercial Insurance / Payer ID Bcbsm Optometric Group

900D710610 (MI)

Practice Associates & Co-Workers

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

20 Associated Practitioners

Roberta Knittle , PA-C

Physician Assistant

NPI 1013976968

Physician Assistant (Certified)

Dr. Benjamin Gilbert , DO

Family Medicine

NPI 1033571302

Doctor of Osteopathic Medicine (D.O.)

Dr. Gary Falkenberg , DO

Family Medicine

NPI 1336211259

Doctor of Osteopathic Medicine (D.O.)

Dr. Alexis Michaels , MD

Emergency Medicine

NPI 1336258979

Doctor of Medicine (M.D.)

Margaret Mcmahon , CNP

Nurse Practitioner - Pediatrics

NPI 1457424095

Certified Nurse Practitioner

Dr. Kelly Arenz , DO

Family Medicine

NPI 1467672428

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 16, 2008

Registered at 7575 GRAND RIVER RD, STE 111, BRIGHTON, MI 481149390 (Tel: 8108447744)

📍

Updated Business Mailing Address July 16, 2008

Registered at 1252 HIDDEN LAKE DR, BLOOMFIELD, MI 483021955 (Tel: 2482581967)

👤

Provider Name / Credentials Updated July 16, 2008

Recorded as ROBERT CLARK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2008

Optometrist (License #4301040778 in MI)

🔄

NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️

NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

🟢

Initial NPI Registration & Enumeration June 09, 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: 1386648087

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 09, 2005

Last Update: July 16, 2008

Deactivation Date: March 15, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1252 Hidden Lake Dr

Bloomfield, MI 483021955

Phone: 2482581967

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.