Michael Dean Clark Jr.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

44929 Issued in AL

Practice address

5850 Valley Rd Ste 110
Birmingham, AL 35235-8683

Phone

(205) 838-3090

Fax

(205) 838-3043

NPI assigned

Apr 21, 2016

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Orthopedic Surgery

Education

Mercer University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosports Associates LLCGroup PAC ID 3173707171, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Home Health Home health agency, Pell City, AL, CCN 017145
• Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
• St. Vincent's East Hospital, Birmingham, AL, CCN 010011
• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score

84.68 of 100Reported as group

Improvement activities

40

Cost

69.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Orthosports Associates LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
  • NPI 1114226438
  Medicare reassignment Care Compare group NPD
• Orthosports Associates LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1700519600
  NPD

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

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• St. Vincent's East

  dba Ascension St. Vincent's East

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841308020
  Care Compare affiliation
• St. Vincent's Home Health, LLC

  dba Ascension at Home

  • Home Health Agency
  • Birmingham, AL
  • NPI 1083721575
  Care Compare affiliation
• St. Vincent's Home Health, LLC

  dba Ascension at Home

  • Home Health Agency
  • Pell City, AL
  • NPI 1497862551
  Care Compare affiliation

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1497109888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051614",
            "telephone_number": "205-939-0447",
            "fax_number": "205-939-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 VALLEY RD STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358683",
            "telephone_number": "205-838-3090",
            "fax_number": "205-838-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Medical Park Dr E Ste 220",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353428",
            "country_code": "US",
            "telephone_number": "205-838-4747",
            "fax_number": "205-838-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "44929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Cogdill Clark, LICSW, PIP
• Madalyn Clark
• Manay Clark, O.D.
• Matthew Gill Clark, M.D.
• Melissa B Clark, OT
• Myra Clark
• Nicole Renae Clark, LICSW
• Owen Matthew Clark, MD
• Sally Marie Clark, MS, CCC-SLP
• Sara Emily Allen Clark, M.D.

• Orthopaedic Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.