JAYME MARIE CLARK PA-C
NPI 1306115142
Physician Assistant - Medical in South Windsor, CT

Active since December 23, 2011PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
2800 TAMARACK AVE, SUITE 104, SOUTH WINDSOR, CT 06074(860) 648-4480(860) 648-2132 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jayme Marie Clark Pa-c NPPES

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

JAYME MARIE CLARK PA-C (NPI 1306115142) is an individual medical provider in South Windsor, Connecticut, licensed in Connecticut (002685) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306115142
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJAYME MARIE CLARKCredential: PA-C
Location Address2800 TAMARACK AVE, SUITE 104South Windsor, CT 06074-5539
Mailing AddressPo Box 3252Vernon, CT 06066-2152 · (860) 896-1422 · Fax (860) 896-1425
Fax(860) 648-2132
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 23, 2011
Last NPPES UpdateNovember 30, 2012
NPI 1306115142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 002685
2800 TAMARACK AVE, South Windsor, CT 06074

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

Jayme Marie 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 ID9830356328
PECOS Enrollment IDI20120213000037
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 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.

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.
89 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 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.
40 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers13 claims31 services$5.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$66.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Otolaryngology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Orthopaedic Surgery
2800 TAMARACK AVE, SUITE 106
SOUTH WINDSOR, CT 06074
Clinic/Center (Radiology)
2800 TAMARACK AVE, SUITE 002
SOUTH WINDSOR, CT 06074
Surgery
2800 TAMARACK AVE, SUITE 100
SOUTH WINDSOR, CT 06074
Ophthalmology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Specialist
2800 TAMARACK AVE, SUITE 100
SOUTH WINDSOR, CT 06074
Otolaryngology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Orthopaedic Surgery
2800 TAMARACK AVE, SUITE 104
SOUTH WINDSOR, CT 06074

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 Jayme Clark's NPI number?

The NPI number for Jayme Clark is 1306115142. It was assigned to this individual provider in the NPPES registry on December 23, 2011.

Where is Jayme Clark located?

Jayme Clark practices at 2800 Tamarack Ave Suite 104, South Windsor, CT 06074. The listed phone number is (860) 648-4480.

What is Jayme Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jayme Clark enrolled in Medicare?

Yes. Jayme 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.

When was this NPI record last updated?

The NPPES record for Jayme Clark was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.