DEBRA CLARK PA-C
NPI 1720058282
Physician Assistant in Winston Salem, NC

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
250 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 718-1000(336) 718-1052 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra Clark Pa-c NPPES

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

DEBRA CLARK PA-C (NPI 1720058282) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (103316) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720058282
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEBRA CLARKCredential: PA-C
Location Address250 CHARLOIS BLVDWinston Salem, NC 27103-1508
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · Fax (336) 716-3202
Fax(336) 718-1052
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 8, 2016
NPI 1720058282 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 · 103316
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.
250 CHARLOIS BLVD, Winston Salem, NC 27103

Other Identifiers 3

Medicaid8101696NC
Medicare PIN235045ANC
Medicare UPINP38336

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

Debra 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 ID8325942709
PECOS Enrollment IDI20031126000407
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 2

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services16 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
23 services16 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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 20

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

Internal Medicine
250 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
Radiology (Diagnostic Radiology)
250 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Obstetrics & Gynecology (Gynecology)
250 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Internal Medicine
250 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
Pediatrics
250 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
Internal Medicine
250 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Nurse Practitioner
250 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
250 CHARLOIS BLVD
WINSTON SALEM, NC 27103

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 Debra Clark's NPI number?

The NPI number for Debra Clark is 1720058282. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Debra Clark located?

Debra Clark practices at 250 Charlois Blvd, Winston Salem, NC 27103. The listed phone number is (336) 718-1000.

What is Debra Clark's specialty?

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

Is Debra Clark enrolled in Medicare?

Yes. Debra 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 Debra Clark accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Debra 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 Debra Clark affiliated with any hospitals?

According to CMS data, Debra Clark is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Debra Clark was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.