Active NPI 1750460481 Individual Practitioner Male Practitioner

Clark Anderson , PA-C

Physician Assistant • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Clark Anderson, PA-C is a certified Physician Assistant practicing in Peoria, IL. With approximately 20 years of clinical experience since completing medical education in 2006, Clark Anderson delivers high-quality medical care to the local community at 1001 MAIN ST.

Clark Anderson maintains professional affiliations with Mason Hospital District, Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 Main St
Suite 500a

Peoria, IL 616061907

Telephone 3096724980

Fax 3096712979

Associated Practice Facility / Clinic

🏢 Peoria Pulmonary Associates, Ltd. Facility NPI 1831143585

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +7.9 yrs vs City Avg

City Avg: 12.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate

10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (20 Years) 20 Yrs

Peoria Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	77	73	$284.57	$118.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	17	$751.68	$150.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$665.85	$137.37
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$194.28	$84.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$481.54	$93.54

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	232	151	$212.00	$121.60
99213 Established patient office or other outpatient visit, typically 15 minutes	119	110	$150.00	$86.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$200.00	$77.37

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	253	204	$212.00	$123.75
99213 Established patient office or other outpatient visit, typically 15 minutes	150	142	$150.00	$88.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	39	$100.00	$55.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$328.00	$162.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$200.00	$69.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$109.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	188	$150.00	$89.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	122	$100.00	$54.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	51	$212.00	$126.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$250.00	$111.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$200.00	$68.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	222	$158.42	$63.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	100	$236.29	$95.62
99442 Telephone medical discussion with physician, 11-20 minutes	48	47	$107.00	$63.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$326.07	$119.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	19	$184.77	$61.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$251.87	$92.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	17	$111.95	$33.93
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$141.00	$91.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$387.31	$141.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	206	$150.00	$61.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	134	$225.00	$90.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$236.00	$90.53

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	301	283	$224.04	$88.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	55	$318.35	$119.95
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$150.00	$60.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$234.52	$89.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$366.83	$127.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	493	462	$125.00	$59.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	214	$189.87	$87.93
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	51	41	$262.00	$58.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$310.00	$135.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$205.00	$89.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$400.00	$170.25

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-002809

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.

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

1001 Main St, Peoria, IL 616062036

Phone: 2175287541

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Mason Hospital District

615 N Promenade St, Havana, IL 626441243

Phone: 3095438510

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Eliathamby Kuganeswaran , MD

Internal Medicine - Gastroenterology

NPI 1073555488

Doctor of Medicine (M.D.)

Brynn Cinnamon , APN, CNP

Nurse Practitioner

NPI 1154555852

Advanced Practice Nurse, Certified Nurse Practitioner

Amy Durst , APN

Nurse Practitioner - Family

NPI 1174025357

Advanced Practice Nurse

Dr. Michael Treanor , MD

Internal Medicine - Gastroenterology

NPI 1255375200

Doctor of Medicine (M.D.)

Dr. Wasim Ellahi , MD

Internal Medicine - Gastroenterology

NPI 1285678599

Doctor of Medicine (M.D.)

Jennifer Greenwood

Nurse Practitioner - Family

NPI 1316492432

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2014

Registered at 1001 MAIN ST, SUITE 500A, PEORIA, IL 616061907 (Tel: 3096724980)

📍

Updated Business Mailing Address December 10, 2014

Registered at PO BOX 365, MORTON, IL 615500365 (Tel: 3096724980)

👤

Provider Name / Credentials Updated December 10, 2014

Recorded as CLARK ANDERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2014

Physician Assistant (License #085-002809 in IL)

🟢

Initial NPI Registration & Enumeration November 03, 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: 1750460481

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 03, 2006

Last Update: December 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 365

Morton, IL 615500365

Phone: 3096724980

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.