Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Michael Lee Clark, DO

Individual provider Diagnostic Radiology Physician · NPI 1457662280

Dr. Michael Lee Clark, DO practises Diagnostic Radiology in Fort Myers, Florida. Qualified in 2010, 16 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
16
Licensed in
FL, IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone: (855) 674-4624
Fax: (941) 883-8386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS13601 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036132955 (IL)

Record details

NPI number1457662280
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2010
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations28 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 patients5,433
Services billed 145,117 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

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 Millennium Physician Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 970 clinicians in the practice; 12 are shown here.

Other providers in Fort Myers