Individual provider Active NPI

David Richard Clarkson, D.P.M.

  • Podiatrist
  • Chestertown, MD
National Provider Identifier
1477580231
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01437 Issued in MD
Practice address
6412 Church Hill Rd
Chestertown, MD 21620-2386
Phone
(410) 778-1801
Fax
(410) 758-3249
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01437 MD Primary

Addresses

Primary practice location

6412 Church Hill Rd
Chestertown, MD 21620-2386

Mailing address

6412 Church Hill Rd
Chestertown, MD 21620-2386
Phone (410) 778-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000108 MD Practitioner - Podiatry 1850497322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Family Footcare LLCGroup PAC ID 4587760053, 2 clinicians

Practice addresses (Care Compare)

510 S 5TH St
Denton, MD 21629-1368
Phone (410) 819-0096

6412 Church Hill Rd
Chestertown, MD 21620-2386
Phone (410) 778-1801

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue113
Removal of skin lesions1-10
Removal of nail tissue2020
Removal or shaving of skin growth422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01437MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Family Foot Care, LLC Podiatrist CurrentSince Jun 19, 2006 Accepting new patients
Eastern Shore Family Foot Care, LLC Past Accepting new patients

Locations

9 Chester Plz
Chester, MD 21619
Phone (410) 200-8330

970 Washington Ave
Chestertown, MD 21620
Phone (410) 778-1801

6412 Church Hill Rd
Chestertown, MD 21620
Phone (410) 778-1801

510 S 5th Ave
Denton, MD 21629
Phone (410) 479-2450

Interoperability endpoints

  • Direct secure messaging: dclarkson483406@direct.umm.edu
  • Direct secure messaging: drdavidclarkson@esffcl-md.direct.office.nextgen.com

Organizations & group practices 2

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 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1477580231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202386",
            "telephone_number": "410-778-1801",
            "fax_number": "410-758-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202386",
            "telephone_number": "410-778-1801",
            "fax_number": "410-758-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.