Active NPI 1801415864 Individual Practitioner Male Practitioner

Kyle R Clark , PA-C

Physician Assistant • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Clark, PA-C is a certified Physician Assistant practicing in Rockford, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Kyle Clark delivers high-quality medical care to the local community at 5666 E STATE ST.

Kyle Clark is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5666 E State St

Rockford, IL 611082425

Telephone 8152262000

Associated Practice Facility / Clinic

🏢 Rockford Radiology Assoc Facility NPI 1740247535

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

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

7 Yrs -3.6 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

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (7 Years) 7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	403	$293.78	$103.68
81003 Automated urinalysis test	420	349	$15.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	398	322	$56.94	$10.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	74	$225.00	$64.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$423.80	$136.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	52	$371.00	$107.61
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$207.70	$72.98
51700 Simple bladder irrigation and/or instillation	43	30	$419.00	$24.99
51702 Simple insertion of temporary bladder tube	24	18	$337.63	$49.42

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	402	340	$282.00	$103.65
81003 Automated urinalysis test	347	300	$15.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	325	276	$54.00	$9.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	66	$197.00	$65.71
99213 Established patient office or other outpatient visit, typically 15 minutes	57	56	$200.00	$73.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$410.00	$131.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$374.00	$108.32
51702 Simple insertion of temporary bladder tube	23	20	$329.00	$49.51
51700 Simple bladder irrigation and/or instillation	18	12	$407.00	$25.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	569	461	$13.55	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	468	384	$271.13	$104.99
51798 Ultrasound measurement of bladder capacity after voiding	464	370	$51.15	$9.75
99213 Established patient office or other outpatient visit, typically 15 minutes	157	152	$191.94	$74.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$396.54	$137.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	54	$190.27	$58.51
51702 Simple insertion of temporary bladder tube	32	26	$319.38	$50.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$362.95	$112.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	299	$171.14	$75.51
81003 Automated urinalysis test	109	106	$13.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	81	$266.00	$105.33
51798 Ultrasound measurement of bladder capacity after voiding	76	76	$50.00	$9.64
81002 Urinalysis, manual test	66	63	$25.82	$3.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$391.00	$136.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$114.00	$46.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$257.95	$93.56
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	16	16	$99.00	$35.33
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$49.00	$16.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	89	$167.00	$61.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$258.92	$87.86
81002 Urinalysis, manual test	29	28	$26.00	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$114.00	$37.63

Medical Specialties & State Licenses

CMS Verified: 2020-04-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.007488

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

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Practice Associates & Co-Workers

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

40 Associated Practitioners

Balarama Surapaneni

Internal Medicine

NPI 1003311648

Anthony Enrico

Nurse Anesthetist, Certified Registered

NPI 1003499278

Tyler Rafferty , FNP-BC

Nurse Practitioner - Family

NPI 1003596263

Family Nurse Practitioner (Board Certified)

Christopher Vittore

Radiology - Diagnostic Radiology

NPI 1003873886

Angela Giardono , FNP

Nurse Practitioner - Family

NPI 1013318500

Family Nurse Practitioner

Dr. Laura Carroll , PT, DPT

Physical Therapist

NPI 1013454057

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 10, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location April 10, 2020

Registered at 5666 E STATE ST, ROCKFORD, IL 611082425 (Tel: 8152262000)

📍

Updated Business Mailing Address April 10, 2020

Registered at 1395 JAY ST, FREEPORT, IL 610328424 (Tel: 8152914052)

👤

Provider Name / Credentials Updated April 10, 2020

Recorded as KYLE CLARK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Physician Assistant (License #085.007488 in IL)

🟢

Initial NPI Registration & Enumeration April 10, 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: 1801415864

Entity Type:

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

Enumeration Date: April 10, 2020

Last Update: April 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1395 Jay St

Freeport, IL 610328424

Phone: 8152914052

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.