Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dwayne Charles Clark, MD

Individual provider Family Medicine Physician · NPI 1184695975

Dr. Dwayne Charles Clark, MD is registered under Family Practice in N Fond Du Lac, Wisconsin. Graduated from Duke University School of Medicine in 1994, 32 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Trained at
Duke University School of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

723 Park Ridge Ln
N Fond Du Lac, WI 54937-1385
Phone: (920) 926-8600
Fax: (920) 926-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 48855 (WI)

Record details

NPI number1184695975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients67
Services billed 98 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Agnesian Healthcare Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 390 clinicians in the practice; 12 are shown here.

Other providers in N Fond Du Lac