GREGORY S CLARK PA-C
NPI 1164841102
Physician Assistant - Surgical in Indianapolis, IN

Q: What is Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1164841102. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Gregory Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Clark was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment

8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260(317) 583-7600 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gregory S Clark Pa-c NPPES

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

GREGORY S CLARK PA-C (NPI 1164841102) is an individual surgical provider in Indianapolis, Indiana, licensed in Indiana (10000165A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of Duke University School Of Medicine (1987).

NPPES Registry Identity

NPI1164841102

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameGREGORY S CLARKCredential: PA-C

Location Address8433 HARCOURT RD STE 100Indianapolis, IN 46260-2193

Mailing Address10330 N Meridian St # 300Indianapolis, IN 46290-1024

Phone(317) 583-7600

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1987

Enumeration DateApril 7, 2014

Last NPPES UpdateJanuary 3, 2017

✔ NPI 1164841102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IN · 10000165A

8433 HARCOURT RD STE 100, Indianapolis, IN 46260

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Other Identifiers 1

Medicare PIN558430151IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Gregory S 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 ID9830322494

PECOS Enrollment IDI20180515002561

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 2

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.

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.

31 services15 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340004

Location601 N Elm StHigh Point, NC 27261 · Guilford County

Emergency services Birthing friendly

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.

VIJAY KRISHNA NUTHAKKI MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)