MICHELLE W CLARK PHYSICIAN ASSISTANT
NPI 1881226462
Physician Assistant in New York, NY

Active since February 11, 2020PECOS EnrolledAccepts Medicare Assignment
87.06/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2026, Dec 12, 2025, Feb 11, 2020 (3 updates tracked since 2020).

About Michelle W Clark Physician Assistant NPPES

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

MICHELLE W CLARK PHYSICIAN ASSISTANT (NPI 1881226462) is an individual physician assistant in New York, New York, licensed in Colorado (PA.0008552) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881226462
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE W CLARKCredential: PHYSICIAN ASSISTANT
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address5464 Bull Creek DrDublin, OH 43016-6178 · (440) 320-2597
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 11, 2020
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1881226462 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 CO · PA.0008552
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.

1275 YORK AVE, New York, NY 10065

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

Michelle W Clark Physician Assistant 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 ID3678996386
PECOS Enrollment IDI20200713003282, I20250624000879
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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

87.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.48
Improvement Activities40

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.

Urology
1275 YORK AVE
NEW YORK, NY 10065
Anesthesiology
1275 YORK AVE, RM M301
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
1275 YORK AVE
NEW YORK, NY 10065
Pathology (Anatomic Pathology & Clinical Pathology)
1275 YORK AVE
NEW YORK, NY 10065
Radiology (Radiation Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Infectious Disease)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Pulmonary Disease)
1275 YORK AVE
NEW YORK, NY 10065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881226462, enumerated as an "individual" on February 11, 2020.

The provider is located at 1275 YORK AVE NEW YORK, NY 10065 and the phone number is (212) 639-2000.

Physician Assistant with taxonomy code 363A00000X.