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MR. CLARK DOUGLAS BRANDT PA-C
NPI 1952809188
Physician Assistant - Surgical in Orlando, FL

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
217 HILLCREST ST, ORLANDO, FL 32801(407) 425-1566(407) 422-0166 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2020, Aug 3, 2018 (2 updates tracked since 2018).

About Mr. Clark Douglas Brandt Pa-c NPPES

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

MR. CLARK DOUGLAS BRANDT PA-C (NPI 1952809188) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9110707) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952809188
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CLARK DOUGLAS BRANDTCredential: PA-C
Location Address217 HILLCREST STOrlando, FL 32801-1211
Mailing Address217 Hillcrest StOrlando, FL 32801-1211 · (407) 425-1566 · Fax (407) 422-0166
Phone(407) 425-1566
Fax(407) 422-0166
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 23, 2018
Last NPPES UpdateFebruary 7, 20202 updates tracked since enumeration
✔ NPI 1952809188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9110707
217 HILLCREST ST, Orlando, FL 32801
Open in Google Maps ↗

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

Mr. Clark Douglas Brandt 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 ID1254692577
PECOS Enrollment IDI20180301002634
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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services59 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
29 services29 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

ALYSSA MADANICK PA
Physician Assistant
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 834-9120
PAUL ALLEN THOMPSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 425-1566
CYNTHIA A. PAULIKAS APRN
Nurse Practitioner (Acute Care)
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 425-1566
LAWRENCE S LEE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 425-1566
PHILLIP BERNHARD LEE PA-C
Physician Assistant
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 425-1566
DR. ERIN O'NEILL D.P.M, PA-C
Physician Assistant (Surgical)
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (843) 422-3308
SOFIA T MAHKAMOVA PHYCICIAN ASSISTANT
Physician Assistant (Surgical)
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 425-1566
LORI ANN HADAS ARNP
Nurse Practitioner (Acute Care)
217 HILLCREST ST
ORLANDO, FL 32801
Orange County (407) 425-1566

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 Clark Brandt's NPI number?

The NPI number for Clark Brandt is 1952809188. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Clark Brandt located?

Clark Brandt practices at 217 Hillcrest St, Orlando, FL 32801. The listed phone number is (407) 425-1566.

What is Clark Brandt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Clark Brandt enrolled in Medicare?

Yes. Clark Brandt 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.

Is Clark Brandt affiliated with any hospitals?

According to CMS data, Clark Brandt is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Clark Brandt was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.