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ROSS W CLARK PA-C
NPI 1104355692
Physician Assistant in Madison, WI

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
700 S PARK ST, MADISON, WI 53715(608) 260-2900(608) 260-2961 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Apr 10, 2018, Aug 24, 2017 and 1 more (4 updates tracked since 2017).

About Ross W Clark Pa-c NPPES

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

ROSS W CLARK PA-C (NPI 1104355692) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (4112-23) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104355692
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROSS W CLARKCredential: PA-C
Location Address700 S PARK STMadison, WI 53715-1830
Mailing Address700 S Park StMadison, WI 53715-1830 · (608) 260-2900 · Fax (608) 260-2961
Phone(608) 260-2900
Fax(608) 260-2961
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateOctober 26, 20214 updates tracked since enumeration
NPPES CertifiedOctober 26, 2021
✔ NPI 1104355692 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 WI · 4112-23
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.
700 S PARK ST, Madison, WI 53715
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Other Identifiers 1

Medicaid1104355692WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ross W Clark Pa-c 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 ID7618241530
PECOS Enrollment IDI20170915002013
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

CHRISTOPHER DO
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JEREMI THOMAS OLSON PA-C
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
TIMOTHY J MORTON PA-C
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 251-6100
STEPHEN H VANDER SLUIS
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
BENJAMIN KLEIBER M.D.
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
ERIN M MULLAN-TOWNS PA-C
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 260-2900
CONNIE SUE MCCULLICK APNP
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JUSTIN ALLEN LEHRKE CRNA
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100

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 Ross Clark's NPI number?

The NPI number for Ross Clark is 1104355692. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Ross Clark located?

Ross Clark practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 260-2900.

What is Ross Clark's specialty?

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

Is Ross Clark enrolled in Medicare?

Yes. Ross 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 Ross Clark accept?

Health plans from Anthem Blue Cross and Blue Shield list Ross 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 Ross Clark affiliated with any hospitals?

According to CMS data, Ross Clark is affiliated with Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Ross Clark was last updated on October 26, 2021. 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.