CAROLINE SHAFFNER CLARK PA-C
NPI 1992189237
Physician Assistant in Charlotte, NC

Active since July 16, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2001 RANDOLPH RD, CHARLOTTE, NC 28207(704) 323-2000 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 18, 2018, Mar 6, 2018, Nov 9, 2015 (3 updates tracked since 2015).

About Caroline Shaffner Clark Pa-c NPPES

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

CAROLINE SHAFFNER CLARK PA-C (NPI 1992189237) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-07961) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Novant Health Matthews Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1992189237
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE SHAFFNER CLARKCredential: PA-C
Location Address2001 RANDOLPH RDCharlotte, NC 28207-1215
Mailing Address4601 Park Rd Ste 300Charlotte, NC 28209-2290 · (704) 323-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 16, 2015
Last NPPES UpdateApril 18, 20183 updates tracked since enumeration
NPI 1992189237 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 · 0010-07961
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.

2001 RANDOLPH RD, Charlotte, NC 28207

Other Names 1

Former Name (1)Caroline A. Shaffner Pa-c

Secondary Practice Location 1

Location 12 Medical Park Rd, Suite 104Columbia, SC 29203-6808 · Phone (803) 434-6812 · Fax (803) 434-7306

Other Identifiers 3

Medicaid2293PASC
Other2355SC · Medical License #
Other0397730004NC · Nsc #

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

Caroline Shaffner 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 ID5991015752
PECOS Enrollment IDI20180524002240
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services136 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
95 services87 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.
92 services73 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
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.

Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Physical Medicine & Rehabilitation (Pain Medicine)
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Physician Assistant
2001 RANDOLPH RD
CHARLOTTE, NC 28207

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 Caroline Clark's NPI number?

The NPI number for Caroline Clark is 1992189237. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Caroline Clark located?

Caroline Clark practices at 2001 Randolph Rd, Charlotte, NC 28207. The listed phone number is (704) 323-2000.

What is Caroline Clark's specialty?

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

Is Caroline Clark enrolled in Medicare?

Yes. Caroline 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 Caroline Clark accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC, Molina Healthcare and UnitedHealthcare list Caroline 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 Caroline Clark affiliated with any hospitals?

According to CMS data, Caroline Clark is affiliated with Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Clark was last updated on April 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.