Individual provider Active NPI

Clark David Wiginton, MD

  • Diagnostic Radiology Physician
  • Abilene, TX
National Provider Identifier
1043414642
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M8427 Issued in TX
Practice address
401 Cypress St
Suite 110
Abilene, TX 79601-5122
Phone
(325) 677-2201
Fax
(325) 677-7641
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X BP1-0022835 TX
Diagnostic Radiology Physician 2085R0202X M8427 TX Primary

Addresses

Primary practice location

401 Cypress St
Suite 110
Abilene, TX 79601-5122

Mailing address

PO Box 2898
Abilene, TX 79604-2898
Phone (325) 677-2201

Other identifiers 2

IdentifierTypeStateIssuer
202920903MedicaidTX
2776501934OtherMYUTMB 2776501934-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000601 TX Practitioner - Diagnostic Radiology 1355491184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Abilene PAGroup PAC ID 1759287055, 25 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (479) 452-9416

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
33.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP1-0022835TXMDDiagnostic Radiology Physician
M8427TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Abilene PA Diagnostic Radiology CurrentSince Jun 15, 2010 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Radiology Consultants of Nacogdoches LLP Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Hendrick Provider Network PastSince Apr 15, 2019 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

4400 Buffalo Gap Rd
Ste 2600
Abilene, TX 79606

750 N 18th St
Abilene, TX 79601
Phone (325) 437-0560

401 Cypress St
Ste 110
Abilene, TX 79601
Phone (915) 677-2201

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

3318 N University Dr
Pineywoods Imaging Ctr LLC
Nacogdoches, TX 75965

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1043414642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2898",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796042898",
            "telephone_number": "325-677-2201",
            "fax_number": "325-677-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CYPRESS ST",
            "address_2": "SUITE 110",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015122",
            "telephone_number": "325-677-2201",
            "fax_number": "325-677-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGINTON",
        "first_name": "CLARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP1-0022835",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M8427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202920903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2776501934-COMMERCIAL NUMBER",
            "identifier": "2776501934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.