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GREGORY P CLARK P.A.
NPI 1730170796
Physician Assistant in Powell, WY

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
71.77/100
CMS Quality Rating
777 AVENUE H, POWELL VALLEY HEALTHCARE INC, POWELL, WY 82435(307) 754-3405(307) 754-1207 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory P Clark P.a. NPPES

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

GREGORY P CLARK P.A. (NPI 1730170796) is an individual physician assistant in Powell, Wyoming, licensed in Wyoming (203) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with North Big Horn Hospital District, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1730170796
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY P CLARKCredential: P.A.
Location Address777 AVENUE H, POWELL VALLEY HEALTHCARE INCPowell, WY 82435
Mailing Address777 Avenue HPowell, WY 82435 · (307) 754-3405 · Fax (307) 754-1207
Phone(307) 754-3405
Fax(307) 754-1207
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 13, 2015
✔ NPI 1730170796 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 WY · 203
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.
777 AVENUE H, Powell, WY 82435
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Other Identifiers 2

Medicare UPINS63405WY
Medicaid115812100WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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

Gregory P Clark P.a. 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 ID4082636949
PECOS Enrollment IDI20051220000978
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.

Hospital Affiliations CMS Care Compare 3

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

North Big Horn Hospital District

Critical Access Hospitals · Lovell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531309
Location1115 Lane 12Lovell, WY 82431 · Big Horn County
Emergency services

Powell Valley Hospital

Critical Access Hospitals · Powell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531310
Location777 Avenue HPowell, WY 82435 · Park County
Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82435 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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.

71.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.3
Promoting Interoperability100
Improvement Activities40
Cost28.62

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.

TARI ANN MCADAM PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
DR. BRADLEY J NORTH DO
Emergency Medicine
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
ROCKY MOUNTAIN RADIOLOGY SERVICES, LLC
Radiology (Diagnostic Radiology)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
CHRIS B HOELLWARTH CRNA
Nurse Anesthetist, Certified Registered
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
MRS. JESSICA LEE MATHEWS COMMUNITY PARAMEDIC
Registered Nurse
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-1175
MARY NEAL
Dietitian, Registered
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
BRETT SOLOAI
Occupational Therapist (Hand)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-2267
LEXIE HILL DNP, FNP-BC
Nurse Practitioner (Family)
777 AVENUE H
POWELL, WY 82435
Park County (307) 754-7257

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 Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1730170796. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Gregory Clark located?

Gregory Clark practices at 777 Avenue H Powell Valley Healthcare Inc, Powell, WY 82435. The listed phone number is (307) 754-3405.

What is Gregory Clark's specialty?

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

Is Gregory Clark enrolled in Medicare?

Yes. Gregory 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 Gregory Clark accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Gregory 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 Gregory Clark affiliated with any hospitals?

According to CMS data, Gregory Clark is affiliated with North Big Horn Hospital District, Powell Valley Hospital and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Gregory Clark was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.