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MEREDITH CLARK
NPI 1023609278
Physician Assistant - Surgical in Glenview, IL

Active since January 31, 2021PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2180 PFINGSTEN RD # 2000, GLENVIEW, IL 60026(847) 570-1440(847) 503-2100 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Jan 31, 2021 (2 updates tracked since 2021).

About Meredith Clark NPPES

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

MEREDITH CLARK (NPI 1023609278) is an individual surgical provider in Glenview, Illinois, licensed in Illinois (085008899) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1023609278
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMEREDITH CLARK
Location Address2180 PFINGSTEN RD # 2000Glenview, IL 60026-1339
Mailing Address2180 Pfingsten Rd # 2000Glenview, IL 60026-1339 · (847) 570-1440 · Fax (847) 503-2100
Phone(847) 570-1440
Fax(847) 503-2100
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 31, 2021
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1023609278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085008899
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085008899 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2180 PFINGSTEN RD # 2000, Glenview, IL 60026
Open in Google Maps ↗

Secondary Practice Location 1

Location 1900 E Stonewall St Apt 350Charlotte, NC 28204 · Phone (616) 443-9955

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

Meredith Clark 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 ID840678975
PECOS Enrollment IDI20220602000498
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 3

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 straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook 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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

JOSEPH THOMAS ALLEVA MD
Physical Medicine & Rehabilitation
2180 PFINGSTEN RD # 2000
GLENVIEW, IL 60026
Cook County (847) 503-4500
MELISSA L BUDAHAZY NP
Nurse Practitioner
2180 PFINGSTEN RD # 2000
GLENVIEW, IL 60026
Cook County (847) 570-2570
MS. MINA LEE ACEVEDO APRN
Nurse Practitioner
2180 PFINGSTEN RD # 2000
GLENVIEW, IL 60026
Cook County (847) 570-2570

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 Meredith Clark's NPI number?

The NPI number for Meredith Clark is 1023609278. It was assigned to this individual provider in the NPPES registry on January 31, 2021.

Where is Meredith Clark located?

Meredith Clark practices at 2180 Pfingsten Rd # 2000, Glenview, IL 60026. The listed phone number is (847) 570-1440.

What is Meredith Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Meredith Clark enrolled in Medicare?

Yes. Meredith 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.

Is Meredith Clark affiliated with any hospitals?

According to CMS data, Meredith Clark is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Meredith Clark was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.