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PROVIDER PROFILE · NPI 1053455444

Clancy ClarkMD

PRACTICESEATTLE EXTRACORPOREAL LLCSee all providers at this practice →
General SurgerySeattle, WAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 340047
Hospital
CCN 500005
Hospital
CCN 500021
Hospital
CCN 500039
Hospital
CCN 500108
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
31
Beneficiaries
—
Total drug cost
$81K
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Lipase/Protease/Amylase31 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
169
Unique beneficiaries
—
Total services
216
Distinct HCPCS
5
Medicare payment
$15K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 456 General Surgery providers in WA — above median (cohort median 178).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Clancy Clark's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTH CAROLINA BAPTIST HOSPITAL73538
SELMAN, LARKIN2695
DYER, RAYMOND1971
John Evans
Gastroenterology · Winston Salem, NC
1481
Rafel Tappouni
Diagnostic Radiology · Oak Ridge, NC
1333
Christopher Brady
Diagnostic Radiology · Jacksonville, FL
1346
Brian Allen
Diagnostic Radiology · Durham, NC
1137
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTH CAROLINA BAPTIST HOSPITAL112935
James Perumpillichira
Diagnostic Radiology · Winston Salem, NC
2145
SELMAN, LARKIN2098
Christopher Brady
Diagnostic Radiology · Jacksonville, FL
1852
DYER, RAYMOND1781
Rafel Tappouni
Diagnostic Radiology · Oak Ridge, NC
1747
David Childs
Diagnostic Radiology · Winston-Salem, NC
1548
HOSSEINZADEH, KEYANOOSH1434
Brian Allen
Diagnostic Radiology · Durham, NC
1432
REQUARTH, JAY1269
Rishi Pawa
Gastroenterology · Philadelphia, PA
1296
Clifford Howard
Diagnostic Radiology · Winston Salem, NC
1240
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$8K
Payment records
26
By payment type
Education$4K
Travel and Lodging$3K
Food and Beverage$990
Gift$9