Edward Petersen Clack, DO
Family Medicine Physician · Dayton, OH
Edward Petersen Clack, DO is a family medicine physician with a practice address in Dayton, Ohio, and NPI 1659629053, issued on Aug 16, 2012. Check the license (Ohio 34.011463, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Edward Petersen Clack
- Credential
- DO
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 34.011463 OH
Self-reported in NPPES; status is on the state search - Practice location
- 5900 N Main St Ste 3, Dayton, OH 45415
- Phone
- (937) 277-9371
- Enumerated
- Aug 16, 2012
- Record last updated
- May 3, 2023
- Fax
- (937) 277-7734
- Medicaid ID
- 0122811 OH
- Medicare enrollment
- Enrolled (PECOS I20141122000327); accepts Medicare assignment
- Medical or professional school
- At Still University Of Health Sciences, College Of Osteo Med, Kirksville, 2012
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 5,606 in Ohio → Look up another NPI →
Also registered at 5900 N Main St Ste 3
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shannon BakerProfessional Counselor1881407898
Verify Edward Petersen Clack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 34.011463Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.4 times the Medicare Part D claims of the average family medicine physician in 2024
8,660 Medicare Part D claims for 643 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 122 claims were for opioids.
Most prescribed
- Atorvastatin Calcium538 claims
- Amlodipine Besylate422 claims
- Levothyroxine Sodium328 claims
- Omeprazole306 claims
- Lisinopril288 claims
- Metformin Hcl251 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 98.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,320.68
149 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Shiloh Family Medicine LLCDayton, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Edward Petersen Clack among 5,606 family medicine physician records in Ohio
Edward Petersen Clack, DO is one of 5,606 family medicine physician records with a practice address in Ohio. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 70% of them.
- NPI issued2012 · 70% of these records are older, 28% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2012 · median 2005 among the 3,510 with a school on file
- Record last updated2023 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
149 family medicine physician records list a practice address in Dayton
They are 149 of the 12,431 NPPES records with a practice address in Dayton, and 5,606 family medicine physician records in Ohio.
All 5,606 in Ohio → Every provider in Dayton → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- J Aldstadt, MDDayton, OH 454151245287911
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- Martin Fujimura, MDDayton, OH 454151548267461
- Aco Jovanov, MDDayton, OH 454151639179856
- Christopher Lauricella, DOEnglewood, OH 454151316942063
- Paul Martin, D.O.Dayton, OH 454151841292018
- David Mesker, MDEnglewood, OH 454151093793762
- Kwasi Nenonene, M.D.Dayton, OH 454151184617276
Common questions
What is Edward Petersen Clack, DO's NPI number?
Edward Petersen Clack, DO's National Provider Identifier (NPI) is 1659629053, issued on Aug 16, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Edward Petersen Clack, DO located?
The NPPES record lists a practice address at 5900 N Main St Ste 3, Dayton, OH, 45415. Phone: (937) 277-9371. Providers update this record themselves, so call before visiting.
How can I verify Edward Petersen Clack, DO's license?
NPPES lists Ohio license number 34.011463, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Edward Petersen Clack, DO prescribe under Medicare Part D?
In 2024, Edward Petersen Clack, DO had 8,660 Medicare Part D claims for 643 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Edward Petersen Clack, DO's MIPS final score?
The 2023 MIPS final score is 98.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.