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Deactivated NPI 1083726970 Deactivated / Inactive NPI Male Practitioner

Dr. Clark Richard Mcdaniel , MD

General Practice • Big Spring, TX

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

Registration / Start Date August 31, 2006
NPI Deactivation Date June 14, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Clark Mcdaniel, MD was a registered General Practice practicing in Big Spring, TX. Throughout an active medical career spanning 15 years, Dr. Mcdaniel provided care at the practice location at 1608 W FM 700 until profile deactivation on 2021-06-14.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1608 W Fm 700
Ste A

Big Spring, TX 797204113

Telephone 4322130794
Fax 4322672604
Associated Practice Facility / Clinic
🏢 Kim Lisa Bango Md Pa Facility NPI 1477595866

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Big Spring, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Big Spring, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.1% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
39 35 $272.00 $100.87
36415 Insertion of needle into vein for collection of blood sample
36 30 $45.00 $2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
24 13 $59.00 $23.48
99213 Established patient office or other outpatient visit, typically 15 minutes
20 18 $184.00 $68.31

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX E2289

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Carlos Dimidjian , DPM

Podiatrist - Foot Surgery

NPI 1033197405

Doctor of Podiatric Medicine

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 June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2016

Registered at 1608 W FM 700, STE A, BIG SPRING, TX 797204113 (Tel: 4322130794)

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Updated Business Mailing Address April 18, 2016

Registered at 1608 W FM 700, STE A, BIG SPRING, TX 797204113 (Tel: 6157788544)

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Provider Name / Credentials Updated April 18, 2016

Recorded as CLARK MCDANIEL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

General Practice (License #E2289 in TX)

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Initial NPI Registration & Enumeration August 31, 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: 1083726970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: April 18, 2016
Deactivation Date: June 14, 2021

Mailing Address

1608 W Fm 700, Ste A

Big Spring, TX 797204113

Phone: 6157788544

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.