SCOTT CLARK PA
NPI 1255440475
Physician Assistant in The Villages, FL

Q: What is Scott Clark's NPI number?

The NPI number for Scott Clark is 1255440475. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Scott Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Clark was last updated on July 21, 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

77.25/100

CMS Quality Rating

1503 BUENOS AIRES BLVD STE 100, THE VILLAGES, FL 32159(352) 753-2812(352) 753-0537 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 30, 2017 (3 updates tracked since 2017).

On this page

About Scott Clark Pa NPPES

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

SCOTT CLARK PA (NPI 1255440475) is an individual physician assistant in The Villages, Florida, licensed in Florida (PA3724) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1255440475

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSCOTT CLARKCredential: PA

Location Address1503 BUENOS AIRES BLVD STE 100The Villages, FL 32159-6825

Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (407) 875-2080 · Fax (407) 650-3455

Phone(352) 753-2812

Fax(352) 753-0537

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1255440475 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 FL · PA3724

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.

1503 BUENOS AIRES BLVD STE 100, The Villages, FL 32159

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Secondary Practice Locations 5

Location 1725 W Granada Blvd Ste 44Ormond Beach, FL 32174-9406 · Phone (386) 898-0547 · Fax (386) 898-0551

Location 22893 Enterprise Rd Ste 100Debary, FL 32713-2784 · Phone (386) 789-8600 ext. 38678 · Fax (386) 789-0219

Location 31918 SE 17th St # 300Ocala, FL 34471-4120 · Phone (352) 620-2420 · Fax (352) 620-2935

Location 41816 Salk AveTavares, FL 32778-4300 · Phone (352) 343-2461 · Fax (352) 343-5968

Location 5600 W Plymouth AveDeland, FL 32720-3260 · Phone (386) 738-8000 · Fax (386) 738-0929

Other Identifiers 1

Medicaid300867600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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

Scott Clark Pa 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 ID9234184235

PECOS Enrollment IDI20050312000001

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 15

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.

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

371 services336 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

176 services169 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

93 services91 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

66 services65 patients

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.

56 services54 patients

Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less 13122

This procedure involves the complex repair of a wound on the scalp, arms, or legs. It's more intricate than a regular wound repair, often involving layered sutures, debridement, and tissue rearrangement. The service covers each additional wound up to 5.0 cm in length.

55 services46 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less 13133

This procedure involves a complex repair of a wound on specified body parts. The wound is meticulously cleaned and stitched, ensuring minimal scarring. Each additional 5.0 cm or less of wound repaired requires extra care and precision.

53 services49 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

49 services48 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

34 services19 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

32 services27 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

26 services26 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

23 services23 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

22 services22 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

15 services15 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

77.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.22

Improvement Activities

Cost

49.44

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 Scott Clark's NPI number?

The NPI number for Scott Clark is 1255440475. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Scott Clark located?

Scott Clark practices at 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159. The listed phone number is (352) 753-2812.

What is Scott Clark's specialty?

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

Is Scott Clark enrolled in Medicare?

Yes. Scott 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 Scott Clark accept?

Health plans from Ambetter Health and Ambetter of Alabama list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Clark was last updated on July 21, 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.