Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063511921 Individual Practitioner Male Practitioner

Michael J Clark , PA

Physician Assistant • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Michael Clark, PA is a registered healthcare professional specializing in Physician Assistant in Clermont, FL. Practice services are available at 1099 CITRUS TOWER BLVD under active NPI credentials.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1099 Citrus Tower Blvd

Clermont, FL 347111947

Telephone 3523944071
Fax 9043460113
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Clermont, FL (10376 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
28 27 $120.00 $7.44

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA0002555

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Max Billingsley , MD

Emergency Medicine - Emergency Medical Services

NPI 1003874363

Doctor of Medicine (M.D.)

David Goins , PA

Physician Assistant

NPI 1003901935

Physician Assistant

Dr. Kenneth Aung-Din , MD

Emergency Medicine

NPI 1003912759

Doctor of Medicine (M.D.)

Dr. Teresa Mazur , MD

Emergency Medicine

NPI 1013002864

Doctor of Medicine (M.D.)

Haley Stinson , APRN

Nurse Practitioner - Pediatrics

NPI 1013671858

Advanced Practice Registered Nurse

Dr. Paul Lucey , MD

Emergency Medicine

NPI 1013959709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1099 CITRUS TOWER BLVD, CLERMONT, FL 347111947 (Tel: 3523944071)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 628296, ORLANDO, FL 328628296 (Tel: 4077419418)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CLARK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA0002555 in FL)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063511921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 628296

Orlando, FL 328628296

Phone: 4077419418

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.