Active NPI 1720009236 Individual Practitioner Female Practitioner

Dr. Dana Gibbs Clark , MD

Otolaryngology • Arlington, TX

Professional Overview & Biography Verified Profile Summary

Dr. Dana Clark, MD is a registered healthcare professional specializing in Otolaryngology in Arlington, TX. Practice services are available at 2314 SHADYDALE DR under active NPI credentials.

Frequently performed procedures and clinical services include injection of incremental dosages of allergen, established patient outpatient office visit, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2314 Shadydale Dr

Arlington, TX 760125428

Telephone 1789884261

Fax 8172592613

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Arlington, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

14 Specialists

Practicing in Arlington, TX (840 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95115 Injection of incremental dosages of allergen	861	62	$30.00	$9.37
99213 Established patient office or other outpatient visit, typically 15 minutes	176	137	$130.00	$89.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	103	$185.00	$125.06
69210 Removal of impacted ear wax	75	69	$110.00	$46.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$185.00	$111.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$280.00	$165.42
31575 Diagnostic exam of voice box using a flexible endoscope	20	18	$350.00	$130.16
92504 Exam of ear using a microscope	14	14	$59.08	$29.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95115 Injection of incremental dosages of allergen	823	63	$30.00	$9.29
95024 Injection of allergenic extracts into skin for immediate reaction analysis	381	11	$11.50	$8.63
99213 Established patient office or other outpatient visit, typically 15 minutes	149	109	$130.00	$92.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	100	$185.00	$130.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$185.00	$112.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$280.00	$166.84
69210 Removal of impacted ear wax	34	33	$110.00	$47.77
31575 Diagnostic exam of voice box using a flexible endoscope	34	30	$350.00	$130.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95115 Injection of incremental dosages of allergen	778	85	$30.00	$9.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	117	$157.47	$107.76
99213 Established patient office or other outpatient visit, typically 15 minutes	143	109	$104.62	$74.68
95165 Professional service for preparation and provision of 1 or more antigens	114	13	$20.00	$14.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$156.07	$105.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$246.02	$166.40
31575 Diagnostic exam of voice box using a flexible endoscope	29	27	$350.00	$125.27
69210 Removal of impacted ear wax	17	17	$110.00	$48.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,639	41	$8.50	$4.13
95115 Injection of incremental dosages of allergen	1,584	88	$30.00	$9.01
95024 Injection of allergenic extracts into skin for immediate reaction analysis	1,569	41	$11.50	$7.96
95165 Professional service for preparation and provision of 1 or more antigens	1,522	82	$20.00	$13.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	143	$134.97	$104.23
99213 Established patient office or other outpatient visit, typically 15 minutes	115	89	$92.52	$72.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$205.00	$162.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$140.00	$104.79
31575 Diagnostic exam of voice box using a flexible endoscope	35	32	$350.00	$115.34
69210 Removal of impacted ear wax	22	22	$110.00	$44.68
92504 Exam of ear using a microscope	20	14	$45.00	$29.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$45.00	$22.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95024 Injection of allergenic extracts into skin for immediate reaction analysis	1,843	95	$12.07	$7.45
95115 Injection of incremental dosages of allergen	1,726	73	$30.00	$8.12
95004 Test for allergy using allergenic extract	1,600	40	$8.50	$4.83
95165 Professional service for preparation and provision of 1 or more antigens	1,453	84	$20.00	$12.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	159	$135.00	$97.66
99213 Established patient office or other outpatient visit, typically 15 minutes	109	84	$90.00	$66.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$205.00	$152.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$140.00	$98.08
31575 Diagnostic exam of voice box using a flexible endoscope	25	17	$350.00	$104.31
69210 Removal of impacted ear wax	18	18	$110.00	$43.71
92504 Exam of ear using a microscope	14	12	$45.00	$25.62
70486 CT scan of face	12	12	$995.00	$128.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95115 Injection of incremental dosages of allergen	1,537	64	$30.00	$8.00
95024 Injection of allergenic extracts into skin for immediate reaction analysis	1,215	82	$13.29	$7.00
95004 Test for allergy using allergenic extract	960	24	$8.50	$6.07
95165 Professional service for preparation and provision of 1 or more antigens	891	76	$20.00	$11.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	167	$134.75	$96.78
95117 Professional service for multiple injections of allergen	133	13	$38.00	$9.30
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$90.00	$66.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$205.00	$148.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$140.00	$98.74
69210 Removal of impacted ear wax	28	27	$110.00	$44.05
31575 Diagnostic exam of voice box using a flexible endoscope	25	24	$350.00	$103.54
92557 Comprehensive hearing and speech recognition test	12	12	$95.00	$34.57
70486 CT scan of face	12	12	$995.00	$116.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$45.00	$18.37
92567 Eardrum testing using ear probe	11	11	$40.00	$13.24

Medical Specialties & State Licenses

CMS Verified: 2023-05-16

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License TX K7021

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Specialist

NUCC Taxonomy Code: 174400000X

State License TX K7021

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Otolaryngology - Otolaryngic Allergy

NUCC Taxonomy Code: 207YX0602X

State License TX K7021

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

153107101 (TX)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 16, 2023

Registered at 2314 SHADYDALE DR, ARLINGTON, TX 760125428 (Tel: 1789884261)

📍

Updated Business Mailing Address May 16, 2023

Registered at 2314 SHADYDALE DR, ARLINGTON, TX 760125428 (Tel: 1789884261)

👤

Provider Name / Credentials Updated May 16, 2023

Recorded as DANA CLARK, MD

✅

NPI Profile Active December 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2012

Registered at 409 CENTRAL PARK DR, ARLINGTON, TX 760142069 (Tel: 8172619191)

📍

Updated Business Mailing Address December 04, 2012

Registered at 409 CENTRAL PARK DR, ARLINGTON, TX 760142069 (Tel: 8172619191)

👤

Provider Name / Credentials Updated December 04, 2012

Recorded as DANA GIBBS, MD PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2012

Specialist (License #K7021 in TX)

🟢

Initial NPI Registration & Enumeration July 21, 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: 1720009236

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: May 16, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2314 Shadydale Dr

Arlington, TX 760125428

Phone: 1789884261

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.