Kelly Clark, MD
NPI 1487806717 · Family Medicine Physician · Traverse City, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Clark, MD is a Family Medicine Physician provider in Traverse City, MI (NPI 1487806717).
Provider details
- NPI number
- 1487806717
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4301090780 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
255 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 105 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $62 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 34 | $0 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 33 | $123 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 29 | $75 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 69 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 156 | 44 |
| Lisinopril | 109 | 34 |
| Levothyroxine Sodium | 92 | 20 |
| Amlodipine Besylate | 90 | 28 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 78 | 18 |
| Gabapentin | 74 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1105 Sixth St Ste D6Traverse City, MI 49684-2345Phone: (231) 935-6380Fax: (231) 935-6920
Registry dates
- Enumerated
- 2008-10-17
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Frequently asked questions
- What is Kelly Clark's NPI number?
- Kelly Clark's National Provider Identifier (NPI) is 1487806717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Clark's specialty?
- Kelly Clark is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Clark located?
- Kelly Clark's practice location on file with NPPES is 1400 Medical Campus Dr, Traverse City, MI 49684-7823.
- What is Kelly Clark's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark is (231) 935-8031.
- Does Kelly Clark accept Medicare?
- Kelly Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Clark's NPI active?
- Yes — Kelly Clark's NPI (1487806717) is active in the NPPES registry as of the last update on 2026-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.