Scott A Clark, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

106339-0501 Issued in UT

Practice address

24 S 1100 E Ste 210
Salt Lake City, UT 84102

Phone

(801) 505-5277

Fax

(801) 505-5280

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Podiatry Group LLCGroup PAC ID 2163592379, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003

Merit-based Incentive Payment System (MIPS)

Final score

85.38 of 100Reported as group

Quality

67.22

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: advancedfootandankle.scottclark@115046.advancedmd-direct.com

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.

• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1659540359

  Podiatrist, UT

  Medicare reassignment Care Compare group NPD Authorized official
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Park City, UT
  • NPI 1205569100
  Care Compare group Authorized official
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1457847964
  Care Compare group Authorized official
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • West Jordan, UT
  • NPI 1518239177
  Care Compare group Authorized official
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1598205494
  Care Compare group Authorized official
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1821757303
  Care Compare group Authorized official
• Utah Podiatry Group PC

  • Foot & Ankle Surgery Podiatrist
  • South Ogden, UT
  • NPI 1225796790
  Care Compare group Authorized official
• Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Heber City, UT
  • NPI 1942733415
  Care Compare group
• Advanced Vein and Vascular of Salt Lake City LLC

  • Interventional Cardiology Physician
  • Salt Lake City, UT
  • NPI 1386272755

  Foot & Ankle Surgery

  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1821113887
  NPD (past)

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

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1043915523

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1700865748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540610",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "840540610",
            "telephone_number": "801-451-6060",
            "fax_number": "801-296-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-505-5277",
            "fax_number": "801-505-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8822 S Redwood Rd Ste E121",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840885763",
            "country_code": "US",
            "telephone_number": "801-285-7060",
            "fax_number": "801-285-7061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2159 S 700 E Ste 150",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841062279",
            "country_code": "US",
            "telephone_number": "801-466-1333",
            "fax_number": "801-466-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3435 E Pony Express Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Eagle Mountain",
            "state": "UT",
            "postal_code": "840055548",
            "country_code": "US",
            "telephone_number": "801-692-3868",
            "fax_number": "801-789-2406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "106339-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Clark
• Richard Jack Clark, PEER SUPPORT
• Sam Burk Clark
• Sara Clark
• Sara Jean Clark
• Spencer Clark
• Stan Reed Clark, D.M.D
• Sydnie Ann Clark
• Thomas Clark
• Walker Dean Clark, DDS

• All providers in Salt Lake City, UT
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.