2026 NPPES data Periodontics NPI 1104907617 DDS, MSD
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DORRANCE CLARK, DDS, MSD

Periodontics in WARREN, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
62
Medicare Part D claims · 40 beneficiaries · Periodontics avg: 264
What the federal data reveals: DORRANCE CLARK, DDS, MSD is a Periodontics ([object Object]) practicing in WARREN, Michigan with a Medicare Part D prescribing footprint of 62 claims across 40 beneficiaries .

What stands out: DORRANCE CLARK, DDS, MSD filed 62 Medicare Part D claims in 2023 across WARREN, Michigan. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

DORRANCE CLARK, DDS, MSD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/18/2006

NPI 1104907617

Primary specialty

Periodontics

Mid-sized

6,061 US NPIs in this specialty

Medicare Part D claims

62 77% vs specialty avg

2023 prescription claims

Specialty avg: 264

Specialty distribution in Michigan

How Periodontics compares to other specialties among Michigan providers

Michigan providers

Periodontics share within Michigan

1. Periodontics42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Periodontics share within Michigan

Specialty board-certification context

Estimated specialty board-certified rate — Periodontics (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Periodontics ABMS/AOA estimate

Est. board-certified rate (Periodontics) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Periodontics) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DORRANCE CLARK, DDS, MSD is a Periodontics provider practicing in WARREN, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DDS, MSD. NPI: 1104907617. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DORRANCE CLARK, DDS, MSD appears in the CMS NPPES registry as a Periodontics provider holding DDS, MSD credentials at 2425 E 12 MILE RD, WARREN, MI, 48092, with a listed phone of (586) 519-5977. NPI 1104907617 was issued on 10/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLARK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 62 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $626 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Periodontics is a mid-sized specialty nationwide, with 6,061 enrolled providers across 53 states and an average of 264 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2425 E 12 MILE RD
WARREN, MI 48092

Provider Details

NPI 1104907617
Specialty Periodontics
Credentials DDS, MSD
Gender Male
NPI Issued 10/18/2006

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to DORRANCE CLARK, DDS, MSD. To verify DORRANCE CLARK, DDS, MSD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

62
Total Claims
$626
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
62
Total Day Supply
619
Generic Drug Cost
$608
Antibiotic Claims
40

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
0.92
Gender Split
58% female / 43% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Amoxicillin
25

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Periodontics Overview

How DORRANCE CLARK, DDS, MSD fits within the Periodontics landscape nationally.

6,061
Periodontics Providers in US
53
States with Periodontics
264
Avg Claims per Provider

DORRANCE CLARK, DDS, MSD's 62 claims are below the specialty average of 264.

Nearby Periodontics Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as CLARK.

Compare Periodontics nationally: see state-by-state distribution →

Frequently Asked Questions

What is DORRANCE CLARK, DDS, MSD's specialty?
DORRANCE CLARK, DDS, MSD specializes in Periodontics and practices in WARREN, Michigan. Credentials: DDS, MSD.
How much does DORRANCE CLARK, DDS, MSD prescribe under Medicare Part D?
In 2023, DORRANCE CLARK, DDS, MSD wrote 62 Medicare Part D claims totaling $626 in drug costs for 40 beneficiaries.
Where is DORRANCE CLARK, DDS, MSD located?
DORRANCE CLARK, DDS, MSD is located at 2425 E 12 MILE RD, WARREN, MI, 48092. Phone: (586) 519-5977.
What is DORRANCE CLARK, DDS, MSD's NPI number?
DORRANCE CLARK, DDS, MSD's National Provider Identifier (NPI) is 1104907617, issued on 10/18/2006.
How many Periodontics providers are there in the US?
There are 6,061 Periodontics providers across 53 states in the US. The average Periodontics provider writes 264 Medicare Part D claims per year.
What drugs does DORRANCE CLARK, DDS, MSD prescribe most often?
Based on 2023 Medicare Part D data, DORRANCE CLARK, DDS, MSD's most frequently prescribed drugs include Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DORRANCE CLARK, DDS, MSD accept Medicare?
DORRANCE CLARK, DDS, MSD appears in CMS Medicare data with 62 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DORRANCE CLARK, DDS, MSD's credentials?
DORRANCE CLARK, DDS, MSD's NPI is 1104907617 with credentials DDS, MSD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology