Katelyn Ann Clark, M.D.
Surgery Physician · Springfield, OR
Katelyn Ann Clark, M.D. is a surgery physician with a practice address in Springfield, Oregon, and NPI 1366732729, issued on Apr 19, 2011. Check the license (Oregon MD175116, as entered in NPPES) on the Oregon Medical Board; the Medicare figures below come from public CMS files.
- Name
- Katelyn Ann Clark
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- MD175116 OR
Self-reported in NPPES; status is on the state search - Practice location
- Peacehealth Surgical Specialties, Springfield, OR 97477
- Phone
- (541) 222-8333
- Enumerated
- Apr 19, 2011
- Record last updated
- Feb 28, 2024
- Fax
- (541) 222-8320
- Medicaid ID
- 500654943 OR
- Medicare enrollment
- Enrolled (PECOS I20160727000078); accepts Medicare assignment
- Medical or professional school
- Oregon Health Sciences University School Of Medicine, 2011
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 524 in Oregon → Look up another NPI →
Also registered at Peacehealth Surgical Specialties
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Cusati, M.D.Surgery Physician1134210370
- Nichole Ingalls, MDSurgery Physician1235357104
- Camille Leider, NPFamily Nurse Practitioner1972548766
- Heidi Semple, NPFamily Nurse Practitioner1205355740
Verify Katelyn Ann Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersOregon Medical Board
Search for license MD175116Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.1 times the Medicare Part D claims of the average surgery physician in 2024
309 Medicare Part D claims for 129 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 137 claims were for opioids.
Most prescribed
- Oxycodone Hcl112 claims
- Ondansetron Hcl31 claims
- Hydrocodone-Acetaminophen17 claims
- Cefdinir14 claims
- Metronidazole14 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.
Industry payments in 2024: $980.22
9 payments; by number, the most common kind was education; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 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 2 group practices
- PeacehealthSpringfield, OR
- Peacehealth Medical GroupSpringfield, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Katelyn Ann Clark among 524 surgery physician records in Oregon
Katelyn Ann Clark, M.D. is one of 524 surgery physician records with a practice address in Oregon. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 69% of them.
- NPI issued2011 · 69% of these records are older, 29% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2011 · median 2005 among the 321 with a school on file
- Record last updated2024 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
25 surgery physician records list a practice address in Springfield
They are 25 of the 2,209 NPPES records with a practice address in Springfield, and 524 surgery physician records in Oregon.
All 524 in Oregon → Every provider in Springfield → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Kenneth Baker, MDSpringfield, OR 974771538122759
- Thomas Bascom, M.D.Springfield, OR 974771790714046
- Daniel Cusati, M.D.Springfield, OR 974771134210370
- David Dehaas, M.D.Springfield, OR 974771417986761
- John Dickinson, M.D.Springfield, OR 974771477582872
- Snell Fontus, MDSpringfield, OR 974771073639712
- Winnie Henderson, M.D., PH.D.Springfield, OR 974771235347428
- Nichole Ingalls, MDSpringfield, OR 974771235357104
Common questions
What is Katelyn Ann Clark, M.D.'s NPI number?
Katelyn Ann Clark, M.D.'s National Provider Identifier (NPI) is 1366732729, issued on Apr 19, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Katelyn Ann Clark, M.D. located?
The NPPES record lists a practice address at Peacehealth Surgical Specialties, Springfield, OR, 97477. Phone: (541) 222-8333. Providers update this record themselves, so call before visiting.
How can I verify Katelyn Ann Clark, M.D.'s license?
NPPES lists Oregon license number MD175116, as entered by the provider. Search the Oregon Medical Board at https://www.oregon.gov/OMB/Pages/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Katelyn Ann Clark, M.D. prescribe under Medicare Part D?
In 2024, Katelyn Ann Clark, M.D. had 309 Medicare Part D claims for 129 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
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.