Randall Clark, D.O.
NPI 1265873111 · Diagnostic Radiology Physician · Cape Girardeau, MO
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Clark, D.O. is a Diagnostic Radiology Physician provider in Cape Girardeau, MO (NPI 1265873111).
Provider details
- NPI number
- 1265873111
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2013021199 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
4,321 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 790 | $113 |
| Screening 3d Breast Mammography77063 | 789 | $47 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 332 | $115 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 227 | $34 |
| X-Ray of Chest, 2 Views71046 | 140 | $30 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 128 | $117 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Frequently asked questions
- What is Randall Clark's NPI number?
- Randall Clark's National Provider Identifier (NPI) is 1265873111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Clark's specialty?
- Randall Clark is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Clark located?
- Randall Clark's practice location on file with NPPES is 70 Doctors Park, Cape Girardeau, MO 63703-4928.
- What is Randall Clark's phone number?
- The practice phone number listed in the NPPES registry for Randall Clark is (573) 334-6071.
- Does Randall Clark accept Medicare?
- Randall Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Clark's NPI active?
- Yes — Randall Clark's NPI (1265873111) is active in the NPPES registry as of the last update on 2021-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.