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Deactivated NPI 1437163474 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Leonard Clark , MD

Internal Medicine • Medford, OR

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

Registration / Start Date July 27, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Clark, MD was a registered Internal Medicine practicing in Medford, OR. Throughout an active medical career spanning 16 years, Dr. Clark provided care at the practice location at 19 MYRTLE ST until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, telephone medical discussion with physician, blood test, clotting time. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

19 Myrtle St

Medford, OR 975047337

Telephone 5418427626
Fax 5418427640
Associated Practice Facility / Clinic
🏢 Rogue Community Health Facility NPI 1194070557

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Medford, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.1 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
60 Specialists

Practicing in Medford, OR (2185 Statewide)

Telehealth Adoption Rate
28.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
8.2% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
18 13 $6.00 $2.99
99442 Telephone medical discussion with physician, 11-20 minutes
12 12 $35.00 $34.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OR MD15528

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

19 Associated Practitioners
Shelby Matt-Smith , LPC

Counselor - Professional

NPI 1053967570

Licensed Professional Counselor

NPI 1164131355

PSS, CADCR, CRM

Jordan Arnold

Dietitian, Registered

NPI 1194313833
Clarissa Carson , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205533155

Psychiatric-Mental Health Nurse Practitioner

Dr. Martin Albert , MD

Family Medicine

NPI 1275501215

Doctor of Medicine (M.D.)

Helena Turner , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366927220

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active May 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2013

Registered at 19 MYRTLE ST, MEDFORD, OR 975047337 (Tel: 5418427626)

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Updated Business Mailing Address May 06, 2013

Registered at 8385 DIVISION RD, WHITE CITY, OR 975031176 (Tel: 5418265853)

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Provider Name / Credentials Updated May 06, 2013

Recorded as THOMAS CLARK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2013

Internal Medicine (License #MD15528 in OR)

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Initial NPI Registration & Enumeration July 27, 2006

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: 1437163474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: May 06, 2013
Deactivation Date: January 28, 2022

Mailing Address

8385 Division Rd

White City, OR 975031176

Phone: 5418265853

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.