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GERALD W CLEVENGER PAC
NPI 1083610646
Physician Assistant in Troy, KS

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
311 W. LOCUST ST., TROY, KS 66087(785) 985-3504(785) 985-3813 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald W Clevenger Pac NPPES

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

GERALD W CLEVENGER PAC (NPI 1083610646) is an individual physician assistant in Troy, Kansas, licensed in Kansas (1500117) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hiawatha Community Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1083610646
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGERALD W CLEVENGERCredential: PAC
Location Address311 W. LOCUST ST.Troy, KS 66087
Mailing Address800 Ravenhill DrAtchison, KS 66002-9204 · (913) 367-2131 · Fax (913) 674-2024
Phone(785) 985-3504
Fax(785) 985-3813
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJune 28, 2005
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1083610646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 1500117
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
311 W. LOCUST ST., Troy, KS 66087
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Secondary Practice Locations 6

Location 1415 W Main StHighland, KS 66035-4143 · Phone (785) 442-3213
Location 2800 Ravenhill Dr Ste 100&107Atchison, KS 66002-9204 · Phone (913) 367-7300 · Fax (913) 674-2030
Location 3801 Atchison StAtchison, KS 66002-2352 · Phone (913) 367-5020
Location 4300 Utah St Ste 200Hiawatha, KS 66434-2314 · Phone (785) 742-2161
Location 51004 Progress Dr Ste 180&145Lansing, KS 66043-6326 · Phone (913) 297-3215
Location 61903 Euclid AveHorton, KS 66439-1238 · Phone (785) 486-2468

Other Identifiers 3

Medicaid30004083700001KS
Other016289043KS · Ptan
Medicaid100098780EKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Gerald W Clevenger Pac 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 ID7012959026
PECOS Enrollment IDI20050531000532
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.

Hospital Affiliations CMS Care Compare 2

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

Hiawatha Community Hospital

Critical Access Hospitals · Hiawatha, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number171341
Location300 Utah StreetHiawatha, KS 66434 · Brown County
Emergency services Birthing friendly

Amberwell Atchison Association

Critical Access Hospitals · Atchison, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171382
Location800 Raven Hill DriveAtchison, KS 66002 · Atchison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$39.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers29 claims29 services$88.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers31 claims88 services$31.18 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers22 claims22 services$19.34 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers22 claims22 services$15.89 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers36 claims216 services$2.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gerald Clevenger's NPI number?

The NPI number for Gerald Clevenger is 1083610646. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Gerald Clevenger located?

Gerald Clevenger practices at 311 W. Locust St., Troy, KS 66087. The listed phone number is (785) 985-3504.

What is Gerald Clevenger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gerald Clevenger enrolled in Medicare?

Yes. Gerald Clevenger 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 Gerald Clevenger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Gerald Clevenger 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 Gerald Clevenger affiliated with any hospitals?

According to CMS data, Gerald Clevenger is affiliated with Hiawatha Community Hospital and Amberwell Atchison Association.

When was this NPI record last updated?

The NPPES record for Gerald Clevenger was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.