Dr. Daryle L Clark , OD
Optometrist • Gillette, WY
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. Daryle Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Daryle Clark, OD was a registered Optometrist in Gillette, WY. Prior to record deactivation on 2006-03-25, Dr. Clark completed approximately 16 years of clinical practice following graduation from Pacific University - College Of Optometry in 1990.
Dr. Clark was affiliated with Eye Care Associates Of Wyoming, P.C. and accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
312 E Lakeway Rd
Gillette, WY 827186329
Medicare Profile & Education
Pacific University - College Of Optometry
1990
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Gillette, WY
Practicing in Gillette, WY (156 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
234 | 227 | $153.73 | $123.15 |
|
92134
Imaging of retina
|
95 | 89 | $84.00 | $39.23 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
51 | 44 | $144.12 | $54.89 |
|
92250
Photography of the retina
|
49 | 48 | $109.00 | $36.20 |
|
66984
Removal of cataract with insertion of lens
|
49 | 29 | $400.00 | $103.88 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
43 | 39 | $168.00 | $88.45 |
|
92004
New patient complete exam of visual system
|
34 | 34 | $160.16 | $145.17 |
|
92133
Imaging of optic nerve
|
15 | 15 | $82.80 | $34.73 |
|
92082
Exam of visual field with intermediate testing
|
15 | 15 | $109.00 | $46.11 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Eye Care Associates Of Wyoming, P.c.
312 E Lakeway Rd, Gillette, WY 827186329
Phone: 3076862010
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 312 E LAKEWAY RD, GILLETTE, WY 827186329 (Tel: 3076877353)
Registered at 312 E LAKEWAY RD, GILLETTE, WY 827186329 (Tel: 3076862010)
Recorded as DARYLE CLARK, OD
Optometrist (License #191T in WY)
Record officially reactivated for active practice on April 12, 2006
Record deactivated on March 25, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
312 E Lakeway Rd
Gillette, WY 827186329
Phone: 3076862010
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