Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790454726 Individual Practitioner Male Practitioner

Kevin Clark , PA-C

Physician Assistant • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kevin Clark, PA-C is a certified Physician Assistant practicing in Boston, MA. With approximately 5 years of clinical experience since completing medical education in 2021, Kevin Clark delivers high-quality medical care to the local community at 55 FRUIT ST.

Kevin Clark is affiliated with New York University and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

55 Fruit St

Boston, MA 021142696

Telephone 6177244100
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boston, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -2.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1664 Specialists

Practicing in Boston, MA (4746 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (5 Years) 5 Yrs
Boston Specialty Average (7.9 Years) 7.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 14 $292.86 $71.47

Medical Specialties & State Licenses

CMS Verified: 2021-10-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

New York University

530 1st Ave, New York, NY 100166402

Phone: 2122637300

New York University

560 1st Ave, New York, NY 100166402

Phone: 2122637300

New York University

550 1st Ave, New York, NY 100166402

Phone: 2122637300

New York University

111 Broadway, New York, NY 100061901

Phone: 2122639700

Practice Associates & Co-Workers

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

40 Associated Practitioners
Meghan Dupre , NP

Nurse Practitioner - Family

NPI 1003206491

Nurse Practitioner

Sara Grosslein , PA

Physician Assistant

NPI 1003486499

Physician Assistant

NPI 1013413301

Doctor of Medicine (M.D.)

Evelyse Geffrard

Nurse Practitioner - Family

NPI 1013540400
Dr. Ashima Chadha , MD

Internal Medicine - Nephrology

NPI 1013595461

Doctor of Medicine (M.D.)

John Ahern , PA-C

Physician Assistant - Medical

NPI 1043682776

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 12, 2021

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 6177244100)

NPI Profile Active September 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2021

Registered at 72 E CONCORD ST, BOSTON, MA 021182642 (Tel: 6173589600)

📍
Updated Business Mailing Address September 13, 2021

Registered at 1675 WASHINGTON ST APT 1, BOSTON, MA 021183485 (Tel: 5182096575)

👤
Provider Name / Credentials Updated September 13, 2021

Recorded as KEVIN CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 13, 2021

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: 1790454726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2021
Last Update: October 12, 2021
Sole Proprietor: Yes

Mailing Address

1675 Washington St Apt 1

Boston, MA 021183485

Phone: 5182096575

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.