CLARK A COLLINS PA-C
NPI 1760449821
Physician Assistant - Medical in Fort Atkinson, WI

Q: What is Clark Collins's NPI number?

The NPI number for Clark Collins is 1760449821. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Clark Collins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clark Collins was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 01, 2006PECOS EnrolledAccepts Medicare Assignment

1504 MADISON AVE, FORT ATKINSON, WI 53538(920) 563-7888(920) 563-7741 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clark A Collins Pa-c NPPES

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

CLARK A COLLINS PA-C (NPI 1760449821) is an individual medical provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (1029-023) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Stoughton Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1760449821

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCLARK A COLLINSCredential: PA-C

Location Address1504 MADISON AVEFort Atkinson, WI 53538-3100

Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 568-5411 · Fax (920) 568-4004

Phone(920) 563-7888

Fax(920) 563-7741

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 1, 2006

Last NPPES UpdateJune 21, 2018

✔ NPI 1760449821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WI · 1029-023

Also ListedPhysician AssistantTaxonomy 363A00000X · License 1029-023 (WI)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1029-023 (WI)

1504 MADISON AVE, Fort Atkinson, WI 53538

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Other Identifiers 2

Medicaid42974300WI

Other60272WI · Dean Health Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.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

Clark A Collins 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 ID6800885302

PECOS Enrollment IDI20040510001172

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.

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.

14 services11 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521343

Location900 Ridge StStoughton, WI 53589 · Dane County

Emergency services

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

47%68 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

85%86 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

20%98 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

77%48 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRETT WILLIAM ELISZEWSKI

Physical Therapist