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ANTON VICTOR CLARK PA-C
NPI 1487372116
Physician Assistant - Medical in Anchorage, AK

Active since August 18, 2022PECOS EnrolledAccepts Medicare Assignment
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508(907) 562-2277(907) 563-3460 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Nov 5, 2023, Oct 25, 2023 and 1 more (4 updates tracked since 2022).

About Anton Victor Clark Pa-c NPPES

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

ANTON VICTOR CLARK PA-C (NPI 1487372116) is an individual medical provider in Anchorage, Alaska, licensed in Alaska (217139) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487372116
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANTON VICTOR CLARKCredential: PA-C
Location Address3801 LAKE OTIS PKWY STE 300Anchorage, AK 99508-5234
Mailing Address3801 Lake Otis Pkwy Ste 300Anchorage, AK 99508-5234 · (907) 562-2277 · Fax (907) 563-3460
Phone(907) 562-2277
Fax(907) 563-3460
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 18, 2022
Last NPPES UpdateOctober 23, 20254 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1487372116 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 AK · 217139
3801 LAKE OTIS PKWY STE 300, Anchorage, AK 99508
Open in Google Maps ↗

Other Identifiers 1

Medicaid1744081AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Anton Victor 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 ID3779926308
PECOS Enrollment IDI20240209003130, I20260420000111
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.

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.
54 services35 patients
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.
16 services16 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
12 services12 patients

Other Providers at the Same Location NPPES 20

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

JEFFREY ROBERT HARTZELL PA-C
Physician Assistant (Medical)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277
MARY PEREZ PA-C
Physician Assistant (Medical)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277
EVA VAAIA PA-C
Physician Assistant (Medical)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277
MRS. KARRIE LYNN YOUNG FNP-C, ANP
Nurse Practitioner (Family)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277
SARAH DELENIKOS PA-C
Physician Assistant (Surgical)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-3460
DANN J LAUDERMILCH M.D.
Orthopaedic Surgery (Hand Surgery)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277
CAITLIN JUSTINE KOELLING DPM
Podiatrist (Foot & Ankle Surgery)
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277
RYAN DUPUIS DPT
Physical Therapist
3801 LAKE OTIS PKWY STE 300
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2277

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 Anton Clark's NPI number?

The NPI number for Anton Clark is 1487372116. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Anton Clark located?

Anton Clark practices at 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508. The listed phone number is (907) 562-2277.

What is Anton Clark's specialty?

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

Is Anton Clark enrolled in Medicare?

Yes. Anton 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 Anton Clark accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anton 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.

When was this NPI record last updated?

The NPPES record for Anton Clark was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.