Active NPI 1053455444 Individual Practitioner Male Practitioner

Dr. Clancy J Clark , MD

Surgery • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Clancy Clark, MD is a certified Surgery practicing in Seattle, WA. With approximately 22 years of clinical experience since graduating from Ohio State University College Of Medicine in 2004, Dr. Clark delivers high-quality medical care to the local community at 1100 9TH AVE.

Dr. Clark maintains professional affiliations with Franciscan Medical Group, Virginia Mason Medical Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 9th Ave

Seattle, WA 98101

Telephone 2066241144

Associated Practice Facility / Clinic

🏢 Virginia Mason Medical Center Facility NPI 1376607234

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +1.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

222 Specialists

Practicing in Seattle, WA (818 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (22 Years) 22 Yrs

Seattle Specialty Average (20.6 Years) 20.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	98	$215.00	$90.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$351.00	$124.42
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$201.00	$61.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$390.31	$121.52
76998 Ultrasonic guidance during surgery	13	13	$220.00	$39.25

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	149	94	$215.00	$91.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$351.00	$126.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$374.00	$124.10
99442 Telephone medical discussion with physician, 11-20 minutes	15	14	$201.00	$63.03
76998 Ultrasonic guidance during surgery	12	12	$220.00	$57.63

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	183	122	$215.00	$94.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	18	$107.00	$37.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$351.00	$129.28
99442 Telephone medical discussion with physician, 11-20 minutes	25	22	$201.00	$64.51
76998 Ultrasonic guidance during surgery	15	15	$220.00	$57.80

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	155	103	$215.00	$97.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$351.00	$133.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	16	$107.00	$37.34
99442 Telephone medical discussion with physician, 11-20 minutes	33	25	$201.00	$66.31
76998 Ultrasonic guidance during surgery	14	13	$220.00	$60.83
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$276.00	$97.97
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$140.00	$66.03

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	118	83	$201.56	$77.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	22	$99.25	$38.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$318.69	$124.98
99442 Telephone medical discussion with physician, 11-20 minutes	26	20	$188.35	$50.46
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$129.82	$49.72
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$247.50	$99.98
76998 Ultrasonic guidance during surgery	14	14	$186.43	$59.87

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	132	88	$189.00	$77.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$291.00	$123.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	17	$91.00	$38.53
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$126.00	$50.03
76998 Ultrasonic guidance during surgery	13	13	$173.00	$61.69

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	153	106	$189.00	$76.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	20	$163.00	$70.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$291.00	$124.95
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$130.60	$47.59
76998 Ultrasonic guidance during surgery	13	13	$173.00	$60.78

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	127	100	$189.00	$75.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	17	$163.00	$69.82
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$129.68	$48.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$360.00	$162.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$291.00	$115.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$255.00	$107.45
76998 Ultrasonic guidance during surgery	11	11	$173.00	$60.89

Medical Specialties & State Licenses

CMS Verified: 2024-12-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD61617432

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License NC 2012-01216

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NC 2012-01216

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5920754 (NC)

Hospital & Practice Group Affiliations

Virginia Mason Medical Center

1100 9th Ave, Seattle, WA 981012756

Phone: 2062236600

Franciscan Medical Group

1708 Yakima Ave, Tacoma, WA 984055300

Phone: 2535521200

Secondary Practice Locations

Medical Center Blvd

Winston Salem, NC 271570001

Phone: 3367169272

Practice Associates & Co-Workers

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

40 Associated Practitioners

Rebecca Davies , PT ASSISTANT

General Acute Care Hospital

NPI 1003937335

PTASSISTANT

Dr. Yordanos Kahsai , MD

Hospitalist

NPI 1013130319

Doctor of Medicine (M.D.)

Dr. Atousa Keshavarz Rahbar , MD

Student in an Organized Health Care Education/Training Program

NPI 1013711555

Doctor of Medicine (M.D.)

Dr. Marika Rossetto , MD

Student in an Organized Health Care Education/Training Program

NPI 1043005325

Doctor of Medicine (M.D.)

Vanessa Fernandez

Nurse Anesthetist, Certified Registered

NPI 1043050487

Dandi Lin , RN

Registered Nurse

NPI 1053053827

Registered Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 03, 2024

Registered at 1100 9TH AVE, SEATTLE, WA 98101 (Tel: 2066241144)

📍

Updated Business Mailing Address December 03, 2024

Registered at 2450 GREENBRIER RD, WINSTON SALEM, NC 271042108 (Tel: 3364808064)

✅

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2012

Registered at MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001 (Tel: 3367169272)

📍

Updated Business Mailing Address October 01, 2012

Registered at PO BOX 602658, CHARLOTTE, NC 282602658 (Tel: 3367169272)

👤

Provider Name / Credentials Updated October 01, 2012

Recorded as CLANCY CLARK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Surgery (License #2012-01216 in NC)

🟢

Initial NPI Registration & Enumeration February 18, 2007

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: 1053455444

Entity Type:

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

Enumeration Date: February 18, 2007

Last Update: December 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2450 Greenbrier Rd

Winston Salem, NC 271042108

Phone: 3364808064

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.