MR. RYAN PATRICK CLARK PHYSICIAN ASSISTANT
NPI 1013335496
Physician Assistant - Medical in West Frankfort, IL

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
309 W SAINT LOUIS ST, WEST FRANKFORT, IL 62896(618) 932-2200 Get Directions Write a Review

NPPES record last updated: August 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ryan Patrick Clark Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN PATRICK CLARK PHYSICIAN ASSISTANT (NPI 1013335496) is an individual medical provider in West Frankfort, Illinois, licensed in Illinois (085005075) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013335496
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RYAN PATRICK CLARKCredential: PHYSICIAN ASSISTANT
Location Address309 W SAINT LOUIS STWest Frankfort, IL 62896-2099
Mailing Address132 Houston StSaint Charles, MO 63301-1620 · (636) 293-2038
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2014
Last NPPES UpdateAugust 16, 2014
NPI 1013335496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085005075
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2014009216 (MO)
309 W SAINT LOUIS ST, West Frankfort, IL 62896

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryan Patrick Clark Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416177084
PECOS Enrollment IDI20150518000767
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
300 services283 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
269 services257 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
35 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%353 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Pharmacist
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Pharmacist
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Clinic/Center (Rural Health)
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Pharmacy (Community/Retail Pharmacy)
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Nurse Practitioner (Family)
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Pharmacist
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
Pharmacist
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1013335496. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Ryan Clark located?

Ryan Clark practices at 309 W Saint Louis St, West Frankfort, IL 62896. The listed phone number is (618) 932-2200.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Clark enrolled in Medicare?

Yes. Ryan Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Ryan Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Clark affiliated with any hospitals?

According to CMS data, Ryan Clark is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on August 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.