RICHARD KENNETH CLARK PA-C
NPI 1235580903
Physician Assistant in Rhinelander, WI
About Richard Kenneth Clark Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD KENNETH CLARK PA-C (NPI 1235580903) is an individual physician assistant in Rhinelander, Wisconsin, licensed in Wisconsin (3766-23) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of University Of Minnesota Medical School (2016).
NPPES Registry Identity
Specialties & Licenses
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
Richard Kenneth 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIAspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WIAspirus Eagle River Hospital
Critical Access Hospitals · Eagle River, WIAspirus Tomahawk Hospital
Critical Access Hospitals · Tomahawk, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RHINELANDER, WI 54501
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 Richard Clark's NPI number?
The NPI number for Richard Clark is 1235580903. It was assigned to this individual provider in the NPPES registry on June 23, 2016.
Where is Richard Clark located?
Richard Clark practices at 1630 Chippewa Dr, Rhinelander, WI 54501. The listed phone number is (715) 361-5480.
What is Richard Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Richard Clark enrolled in Medicare?
Yes. Richard 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 Richard Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Richard 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 Richard Clark affiliated with any hospitals?
According to CMS data, Richard Clark is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center, Aspirus Eagle River Hospital and Aspirus Tomahawk Hospital.
When was this NPI record last updated?
The NPPES record for Richard Clark was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Richard Kenneth Clark, PA-C · NPI 1235580903
Physician Assistant physician in Rhinelander, Wisconsin. Individual provider, active in the CMS NPPES registry since June 23, 2016.
## Identity
- **NPI:** 1235580903 (Entity type: Individual)
- **Enumerated:** June 23, 2016
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 3766-23 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1630 CHIPPEWA DR, Rhinelander, WI 54501-9503
- **Phone:** (715) 361-5480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Minnesota Medical School, class of 2016
## Record status
- **NPPES last updated:** June 23, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1235580903) · Data from the CMS NPPES public registry.