Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669410924 Individual Practitioner Male Practitioner

Charles Joseph Clancy , PA-C

Physician Assistant • Fort Walton Beach, FL

Professional Overview & Biography Verified Profile Summary

Charles Clancy, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Walton Beach, FL. Practice services are available at 1005 MAR WALT DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1005 Mar Walt Dr
Immediate Care Department

Fort Walton Beach, FL 325476707

Telephone 8508638219
Fax 8508638249
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Walton Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
44 Specialists

Practicing in Fort Walton Beach, FL (10376 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.0% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
32 32 $191.66 $91.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $147.21 $91.47

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9103700

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL PA9103700

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
292457900 (FL)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Shawn Lee , ACNP-BC, FNP

Nurse Practitioner

NPI 1043285091

ACNPBC, Family Nurse Practitioner

Julie Powell , FNP-BC

Nurse Practitioner - Family

NPI 1053605857

Family Nurse Practitioner (Board Certified)

Dr. Chinh Van , MD

Family Medicine

NPI 1124336839

Doctor of Medicine (M.D.)

Dr. John Mills , MD

Family Medicine

NPI 1437134301

Doctor of Medicine (M.D.)

Scott Zastrow , PA

Physician Assistant

NPI 1457681991

Physician Assistant

Max Dawkins , PA-C

Physician Assistant

NPI 1629053442

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2010

Registered at 1005 MAR WALT DR, IMMEDIATE CARE DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638219)

📍
Updated Business Mailing Address November 15, 2010

Registered at 1005 MAR WALT DRIVE, IMMEDIATE CARE DEPARTMENT, FORT WALTON BEACH, FL 325476796 (Tel: 8508638219)

👤
Provider Name / Credentials Updated November 15, 2010

Recorded as CHARLES CLANCY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2010

Emergency Medicine (License #PA9103700 in FL)

🟢
Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Charles Clancy. Be the first to share your experience!

Sign in to leave a review for Charles Clancy

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1669410924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: November 15, 2010
Sole Proprietor: No

Mailing Address

1005 Mar Walt Drive, Immediate Care Department

Fort Walton Beach, FL 325476796

Phone: 8508638219

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.