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PATRICIA L CLARK RPA-C
NPI 1316170574
Physician Assistant - Medical in Wading River, NY

Active since September 03, 2009PECOS EnrolledAccepts Medicare Assignment
16.31/100
CMS Quality Rating
271 ROUTE 25A STE 2, WADING RIVER, NY 11792(631) 929-1256(631) 929-8313 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia L Clark Rpa-c NPPES

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

PATRICIA L CLARK RPA-C (NPI 1316170574) is an individual medical provider in Wading River, New York, licensed in New York (013420-1) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2009).

NPPES Registry Identity

NPI1316170574
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePATRICIA L CLARKCredential: RPA-C
Location Address271 ROUTE 25A STE 2Wading River, NY 11792-2014
Mailing Address271 Route 25a Ste 2Wading River, NY 11792-2014 · (631) 929-1256 · Fax (631) 929-8313
Phone(631) 929-1256
Fax(631) 929-8313
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2009
Enumeration DateSeptember 3, 2009
✔ NPI 1316170574 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 NY · 013420-1
271 ROUTE 25A STE 2, Wading River, NY 11792
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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

Patricia L Clark Rpa-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 ID7618116583
PECOS Enrollment IDI20130626000012
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,570 services247 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
650 services189 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
89 services85 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

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.

16.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost54.37

Other Providers at the Same Location NPPES

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

DR. CORINNE BROOKE VIDULICH M.D.
Family Medicine
271 ROUTE 25A STE 2
WADING RIVER, NY 11792
Suffolk County (631) 727-4950

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 Patricia Clark's NPI number?

The NPI number for Patricia Clark is 1316170574. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Patricia Clark located?

Patricia Clark practices at 271 Route 25A Ste 2, Wading River, NY 11792. The listed phone number is (631) 929-1256.

What is Patricia Clark's specialty?

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

Is Patricia Clark enrolled in Medicare?

Yes. Patricia 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.

Is Patricia Clark affiliated with any hospitals?

According to CMS data, Patricia Clark is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Patricia Clark was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.