Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235127291 Individual Practitioner Male Practitioner

Dr. Kevin N Clark , MD

Surgery • Bountiful, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Clark, MD is a certified Surgery practicing in Bountiful, UT. With approximately 41 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 1985, Dr. Clark delivers high-quality medical care to the local community at 425 MEDICAL DR.

Dr. Clark accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, new patient outpatient office visit, removal of gallbladder with x-ray study of bile ducts using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 Medical Dr
Ste 101

Bountiful, UT 840104945

Telephone 8012989409
Fax 8012921271
Associated Practice Facility / Clinic
🏢 Russell B Shields Md Pc Facility NPI 1477543213

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bountiful, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +3.0 yrs vs City Avg
City Avg: 38.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Bountiful, UT (278 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (41 Years) 41 Yrs
Bountiful Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
14 14 $250.00 $67.89

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 901831861205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Heidi Bishop , LCSW

Social Worker - Clinical

NPI 1407918790

Licensed Clinical Social Worker

Dr. Allan Edson , DO

Family Medicine

NPI 1508811092

Doctor of Osteopathic Medicine (D.O.)

NPI 1528194826

Doctor of Medicine (M.D.)

Melanie Oliver , GNP

Nurse Practitioner - Gerontology

NPI 1528389723
Harold Pergler , MCD, FAAA, CCC-A

Audiologist-Hearing Aid Fitter

NPI 1548363617

MCD, FAAA, CCCA

NPI 1548446560

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2011

Registered at 425 MEDICAL DR, STE 101, BOUNTIFUL, UT 840104945 (Tel: 8012989409)

📍
Updated Business Mailing Address October 19, 2011

Registered at 425 MEDICAL DR, STE 101, BOUNTIFUL, UT 840104945 (Tel: 8012989409)

👤
Provider Name / Credentials Updated October 19, 2011

Recorded as KEVIN CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Surgery (License #901831861205 in UT)

🟢
Initial NPI Registration & Enumeration October 12, 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: 1235127291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2005
Last Update: October 19, 2011
Sole Proprietor: Yes

Mailing Address

425 Medical Dr, Ste 101

Bountiful, UT 840104945

Phone: 8012989409

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.