Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114082872 Individual Practitioner Male Practitioner

Dr. Jerry S Clark , DC

Chiropractor • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Clark, DC is a certified Chiropractor practicing in Provo, UT. With approximately 46 years of clinical experience since graduating from Western States College Of Chiropractic in 1980, Dr. Clark delivers high-quality medical care to the local community at 3325 N UNIVERSITY AVE STE 125.

Dr. Clark accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 5 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3325 N University Ave Ste 125

Provo, UT 846046615

Telephone 8013742774
Fax 8013742775
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Western States College Of Chiropractic

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs +13.7 yrs vs City Avg
City Avg: 32.3 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Provo, UT (942 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (46 Years) 46 Yrs
Provo Specialty Average (32.3 Years) 32.3 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
806 55 $77.95 $37.56
98942 Chiropractic manipulative treatment, 5 spinal regions
173 18 $88.00 $48.51

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License UT 166844-1202

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1366620320

Doctor of Chiropractic

NPI 1972962173

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2016

Registered at 3325 N UNIVERSITY AVE STE 125, PROVO, UT 846046615 (Tel: 8013742774)

📍
Updated Business Mailing Address November 01, 2016

Registered at 3325 N UNIVERSITY AVE STE 125, PROVO, UT 846046615 (Tel: 8013742774)

👤
Provider Name / Credentials Updated November 01, 2016

Recorded as JERRY CLARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Chiropractor (License #166844-1202 in UT)

🟢
Initial NPI Registration & Enumeration December 23, 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: 1114082872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2006
Last Update: November 01, 2016
Sole Proprietor: No

Mailing Address

3325 N University Ave Ste 125

Provo, UT 846046615

Phone: 8013742774

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.