KENNETH BRYAN CLARK PA
NPI 1417903287
Physician Assistant in Salisbury, NC

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
810 MITCHELL AVE, SALISBURY, NC 28144(704) 603-1403(704) 603-1517 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Bryan Clark Pa NPPES

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

KENNETH BRYAN CLARK PA (NPI 1417903287) is an individual physician assistant in Salisbury, North Carolina, licensed in North Carolina (103056) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417903287
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH BRYAN CLARKCredential: PA
Location Address810 MITCHELL AVESalisbury, NC 28144-6253
Mailing AddressPo Box 602362Charlotte, NC 28260-2362 · (704) 216-5633 · Fax (704) 639-0785
Fax(704) 603-1517
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
NPI 1417903287 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 NC · 103056
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.

810 MITCHELL AVE, Salisbury, NC 28144

Accepted 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

Kenneth Bryan 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 ID7315943230
PECOS Enrollment IDI20061016000426
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 7

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
35 services29 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
35 services21 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services34 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
31 services31 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
18 services14 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 18

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

Orthopaedic Surgery
810 MITCHELL AVE
SALISBURY, NC 28144
Specialist/Technologist (Athletic Trainer)
810 MITCHELL AVE
SALISBURY, NC 28144
Orthopaedic Surgery
810 MITCHELL AVE
SALISBURY, NC 28144
Orthopaedic Surgery
810 MITCHELL AVE
SALISBURY, NC 28144
Physical Therapist
810 MITCHELL AVE
SALISBURY, NC 28144
Orthopaedic Surgery
810 MITCHELL AVE
SALISBURY, NC 28144
Physician Assistant
810 MITCHELL AVE
SALISBURY, NC 28144
Physician Assistant
810 MITCHELL AVE
SALISBURY, NC 28144

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 Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1417903287. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Kenneth Clark located?

Kenneth Clark practices at 810 Mitchell Ave, Salisbury, NC 28144. The listed phone number is (704) 603-1403.

What is Kenneth Clark's specialty?

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

Is Kenneth Clark enrolled in Medicare?

Yes. Kenneth 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 Kenneth Clark accept?

Health plans from Blue Cross and Blue Shield of NC list Kenneth 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 Kenneth Clark affiliated with any hospitals?

According to CMS data, Kenneth Clark is affiliated with Novant Health Rowan Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Clark was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.