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ELLIOTT CLARK PA-C
NPI 1386152049
Physician Assistant - Medical in Dover, OH

Active since January 16, 2018PECOS EnrolledAccepts Medicare Assignment
81.26/100
CMS Quality Rating
515 UNION AVE STE 167, DOVER, OH 44622(330) 343-3335(330) 364-5720 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Jul 14, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Elliott Clark Pa-c NPPES

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

ELLIOTT CLARK PA-C (NPI 1386152049) is an individual medical provider in Dover, Ohio, licensed in Ohio (50.005394RX) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Union Hospital, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1386152049
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameELLIOTT CLARKCredential: PA-C
Location Address515 UNION AVE STE 167Dover, OH 44622-3005
Mailing Address524 Park Ave SwBolivar, OH 44612-9534 · (860) 933-8265
Phone(330) 343-3335
Fax(330) 364-5720
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 16, 2018
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1386152049 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 OH · 50.005394RX
515 UNION AVE STE 167, Dover, OH 44622
Open in Google Maps ↗

Secondary Practice Location 1

Location 1659 Boulevard StDover, OH 44622-2026 · Phone (330) 343-3311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Elliott 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 ID2668732884
PECOS Enrollment IDI20180208002051
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

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 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.
29 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital

Acute Care Hospitals · Dover, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360010
Location659 BoulevardDover, OH 44622 · Tuscarawas County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark 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.

81.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.77
Promoting Interoperability100
Improvement Activities40
Cost62.77

Other Providers at the Same Location NPPES 2

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

WESLEY BAKER DO
Family Medicine (Sports Medicine)
515 UNION AVE STE 167
DOVER, OH 44622
Tuscarawas County (330) 343-3335
JACOB WILLIAM RIGG PA-C
Physician Assistant
515 UNION AVE STE 167
DOVER, OH 44622
Tuscarawas County (330) 343-3335

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 Elliott Clark's NPI number?

The NPI number for Elliott Clark is 1386152049. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Elliott Clark located?

Elliott Clark practices at 515 Union Ave Ste 167, Dover, OH 44622. The listed phone number is (330) 343-3335.

What is Elliott Clark's specialty?

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

Is Elliott Clark enrolled in Medicare?

Yes. Elliott 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 Elliott Clark accept?

Health plans from CareSource list Elliott 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 Elliott Clark affiliated with any hospitals?

According to CMS data, Elliott Clark is affiliated with Union Hospital and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Elliott Clark was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.