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TIMOTHY A CLARK PA-C
NPI 1336851724
Physician Assistant in Glenelg, MD

Active since December 19, 2022PECOS Enrolled
15011 DOUBLE BRIDGES CT, GLENELG, MD 21737(443) 534-6487 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Timothy A Clark Pa-c NPPES

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

TIMOTHY A CLARK PA-C (NPI 1336851724) is an individual physician assistant in Glenelg, Maryland and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336851724
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY A CLARKCredential: PA-C
Location Address15011 DOUBLE BRIDGES CTGlenelg, MD 21737-9618
Mailing Address15011 Double Bridges CtGlenelg, MD 21737-9618 · (443) 534-6487
Phone(443) 534-6487
Sole ProprietorNo
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 17, 2022
✔ NPI 1336851724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
15011 DOUBLE BRIDGES CT, Glenelg, MD 21737
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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 (PECOS)

Timothy A Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21737 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1336851724. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Timothy Clark located?

Timothy Clark practices at 15011 Double Bridges Ct, Glenelg, MD 21737. The listed phone number is (443) 534-6487.

What is Timothy Clark's specialty?

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

Is Timothy Clark enrolled in Medicare?

Yes. Timothy Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.