Active NPI 1558858464 Individual Practitioner Male Practitioner

Dr. Michael Clark , OD

Optometrist • Brigham City, UT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Clark, OD is a certified Optometrist practicing in Brigham City, UT. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Clark delivers high-quality medical care to the local community at 990 MEDICAL DR STE G3.

Dr. Clark is affiliated with Promontory Vision Partners and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

990 Medical Dr Ste G3

Brigham City, UT 84302

Telephone 4353742097

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Brigham City, UT

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs +0.7 yrs vs City Avg

City Avg: 7.3 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Brigham City, UT (484 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (8 Years) 8 Yrs

Brigham City Specialty Average (7.3 Years) 7.3 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
92014 Established patient complete exam of visual system	288	288	$200.00	$117.91
92012 Established patient problem focused exam of visual system	178	122	$100.00	$83.16
92004 New patient complete exam of visual system	85	85	$200.00	$138.59
92134 Imaging of retina	72	62	$78.00	$37.13
92133 Imaging of optic nerve	35	26	$75.00	$33.94
92083 Exam of visual field with extended testing	30	26	$120.00	$58.90
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$90.00	$85.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$190.00	$157.99
92250 Photography of the retina	12	12	$70.00	$34.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	282	281	$200.00	$121.07
92012 Established patient problem focused exam of visual system	153	113	$100.00	$86.17
92004 New patient complete exam of visual system	69	69	$212.32	$144.03
92134 Imaging of retina	61	57	$78.00	$38.77
92133 Imaging of optic nerve	41	35	$75.00	$35.17
92083 Exam of visual field with extended testing	18	16	$120.00	$59.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$190.00	$161.35
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$90.00	$87.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	263	262	$177.91	$119.96
92012 Established patient problem focused exam of visual system	149	114	$96.81	$84.90
92004 New patient complete exam of visual system	86	86	$212.33	$141.66
92134 Imaging of retina	65	54	$66.60	$38.05
92133 Imaging of optic nerve	34	31	$64.71	$34.04
92083 Exam of visual field with extended testing	21	20	$103.33	$59.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$70.79	$54.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$186.25	$160.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	299	299	$135.64	$121.55
92012 Established patient problem focused exam of visual system	145	106	$90.83	$85.41
92004 New patient complete exam of visual system	85	85	$162.12	$146.44
92134 Imaging of retina	49	46	$51.22	$36.15
92133 Imaging of optic nerve	45	40	$50.00	$35.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$65.00	$54.59
92083 Exam of visual field with extended testing	31	29	$70.81	$58.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$175.50	$163.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	269	269	$135.24	$121.77
92012 Established patient problem focused exam of visual system	159	107	$90.50	$84.94
92134 Imaging of retina	61	55	$50.00	$39.45
92004 New patient complete exam of visual system	57	57	$160.79	$143.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$175.00	$160.94
92133 Imaging of optic nerve	40	35	$50.38	$35.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$65.00	$44.00
92083 Exam of visual field with extended testing	30	29	$70.83	$58.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	253	253	$135.59	$121.88
92012 Established patient problem focused exam of visual system	180	109	$90.39	$84.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$175.17	$159.71
92134 Imaging of retina	76	67	$50.00	$39.38
92004 New patient complete exam of visual system	54	54	$161.67	$145.92
92083 Exam of visual field with extended testing	52	44	$70.48	$59.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$66.19	$43.40
92133 Imaging of optic nerve	38	35	$50.00	$35.30
92250 Photography of the retina	20	20	$80.00	$48.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$125.00	$105.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	92	92	$135.54	$120.21
92012 Established patient problem focused exam of visual system	60	35	$90.00	$84.17
83516 Analysis of substance using immunoassay technique	49	17	$20.00	$13.96
92134 Imaging of retina	24	23	$52.08	$38.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$175.00	$160.89
92004 New patient complete exam of visual system	16	16	$160.00	$145.82

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 10841920-9934

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License UT 10841920-9934

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Hospital & Practice Group Affiliations

Promontory Vision Partners

2028 W 2220, Clinton, UT 840158388

Promontory Vision Partners

2028 W 2220, Clinton, UT 840155744

Phone: 8017790708

Secondary Practice Locations

2850 N 2000 W Ste 202

Farr West, UT 844049230

Phone: 8017316326

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Isaiah Davies , MD

Ophthalmology

NPI 1437681723

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 04, 2018

Registered at 990 MEDICAL DR STE G3, BRIGHAM CITY, UT 84302 (Tel: 4353742097)

👤

Provider Name / Credentials Updated June 04, 2018

Recorded as MICHAEL CLARK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Optometrist (License #10841920-9934 in UT)

✅

NPI Profile Active April 16, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2018

Registered at 990 MEDICAL DR STE G3, BRIGHAM CITY, UT 843023077 (Tel: 4353742097)

📍

Updated Business Mailing Address April 16, 2018

Registered at 990 MEDICAL DR STE G3, BRIGHAM CITY, UT 843023077 (Tel: 4353742097)

👤

Provider Name / Credentials Updated April 16, 2018

Recorded as MICHAEL CLARK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2018

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 16, 2018

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: 1558858464

Entity Type:

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

Enumeration Date: April 16, 2018

Last Update: June 04, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

990 Medical Dr Ste G3

Brigham City, UT 843023077

Phone: 4353742097

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.