Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053948521 Individual Practitioner Female Practitioner

Micah Lynn Ann Clutter

Physician Assistant • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Micah Clutter is a certified Physician Assistant practicing in Rockford, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Micah Clutter delivers high-quality medical care to the local community at 324 ROXBURY RD.

Micah Clutter is affiliated with Orthopaedic Associates Of Wisconsin Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

324 Roxbury Rd

Rockford, IL 611075090

Telephone 8153989491
Fax 8153817498
Associated Practice Facility / Clinic
🏢 Orthomidwest, Pllc Facility NPI 1730136474

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockford, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Rockford, IL (4958 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clutter (6 Years) 6 Yrs
Rockford Specialty Average (10.6 Years) 10.6 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
61 24 $10.40 $7.01
99213 Established patient office or other outpatient visit, typically 15 minutes
44 38 $209.77 $70.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $297.50 $88.20
73110 X-ray of wrist, minimum of 3 views
20 15 $140.00 $31.25
73080 X-ray of elbow, minimum of 3 views
18 17 $128.89 $26.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $306.92 $102.31
73030 X-ray of shoulder, minimum of 2 views
11 11 $130.91 $30.42

Medical Specialties & State Licenses

CMS Verified: 2020-07-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-007766

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Hospital & Practice Group Affiliations

Orthopaedic Associates Of Wisconsin Sc

N15w28300 Golf Rd, Pewaukee, WI 530724800

Phone: 2623035055

Orthopaedic Associates Of Wisconsin Sc

285 S Moorland Rd, Brookfield, WI 530054207

Phone: 2623035055

Orthopaedic Associates Of Wisconsin Sc

1231 S Rochester St, Mukwonago, WI 531499040

Phone: 2623035055

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003158403

Doctor of Medicine (M.D.)

Mariola Grzeszczyk , APRN

Nurse Practitioner

NPI 1003425463

Advanced Practice Registered Nurse

NPI 1003856295

Doctor of Medicine (M.D.)

Dr. Douglas Pacaccio , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013005867

Doctor of Podiatric Medicine

Dr. Kelly Brinkman , DPT

Physical Therapist

NPI 1023398179

Doctor of Physical Therapy

Amanda Foit , NP

Nurse Practitioner

NPI 1023426475

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 30, 2020

Registered at 324 ROXBURY RD, ROCKFORD, IL 611075090 (Tel: 8153989491)

📍
Updated Business Mailing Address July 30, 2020

Registered at BOX 78534, MILWAUKEE, WI 532788534 (Tel: 8153989491)

NPI Profile Active March 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2020

Registered at 625 ENTERPRISE DR, OAK BROOK, IL 605238813 (Tel: 8154944360)

📍
Updated Business Mailing Address March 25, 2020

Registered at 134 RUDDER RD, MACHESNEY PARK, IL 611154012 (Tel: 8154944360)

👤
Provider Name / Credentials Updated March 25, 2020

Recorded as MICAH CLUTTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration March 25, 2020

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: 1053948521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2020
Last Update: July 30, 2020
Sole Proprietor: No

Mailing Address

Box 78534

Milwaukee, WI 532788534

Phone: 8153989491

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.