MR. ANDREW THOMAS CLARK PA
NPI 1497008254
Physician Assistant in Chesterfield, MO

Q: What is Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1497008254. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Q: What is Andrew Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 17, 2012PECOS Enrolled

15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 735-4268 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Andrew Thomas Clark Pa NPPES

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

MR. ANDREW THOMAS CLARK PA (NPI 1497008254) is an individual physician assistant in Chesterfield, Missouri, licensed in Missouri (2013001474) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bridgeton.

NPPES Registry Identity

NPI1497008254

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ANDREW THOMAS CLARKCredential: PA

Location Address15740 S OUTER 40 RDChesterfield, MO 63017

Mailing Address15740 S Outer 40 RdChesterfield, MO 63017-2004 · (636) 735-4268

Phone(636) 735-4268

Sole ProprietorNo

Enumeration DateOctober 17, 2012

Last NPPES UpdateMay 14, 2019

✔ NPI 1497008254 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 MO · 2013001474

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.

15740 S OUTER 40 RD, Chesterfield, MO 63017

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Secondary Practice Location 1

Location 112303 De Paul DrBridgeton, MO 63044-2512 · Phone (314) 317-0600 · Fax (314) 317-0606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Andrew Thomas Clark Pa 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 63017 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims63,000 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers18 claims18 services$25.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. ELIZABETH ANN CURTIS FNP-C

Nurse Practitioner (Family)