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Active NPI 1184903460 Individual Practitioner Male Practitioner

Ryan Mathew Clark , CRNA

Anesthesiologist Assistant • Bolivar, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Clark, CRNA is a certified Anesthesiologist Assistant practicing in Bolivar, MO. With approximately 15 years of clinical experience since completing medical education in 2011, Ryan Clark delivers high-quality medical care to the local community at 1500 N OAKLAND.

Ryan Clark is affiliated with Citizens Memorial Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure for total knee joint replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 N Oakland

Bolivar, MO 656133099

Telephone 4173287705

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Bolivar, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs Matches City Avg
City Avg: 15.0 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Bolivar, MO (312 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (15 Years) 15 Yrs
Bolivar Specialty Average (15.0 Years) 15.0 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
00811 Anesthesia for procedure on large bowel using an endoscope
14 14 $713.64 $122.65

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License MO 2011022952

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Citizens Memorial Hospital District

1500 N Oakland Ave, Bolivar, MO 656133011

Citizens Memorial Hospital District

1500 N Oakland Ave, Bolivar, MO 656133011

Phone: 4173266000

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 04, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2011

Registered at 1500 N OAKLAND, BOLIVAR, MO 656133099 (Tel: 4173287705)

📍
Updated Business Mailing Address August 04, 2011

Registered at 1500 N OAKLAND, BOLIVAR, MO 656133099 (Tel: 4173287705)

👤
Provider Name / Credentials Updated August 04, 2011

Recorded as RYAN CLARK, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2011

Anesthesiologist Assistant (License #2011022952 in MO)

🟢
Initial NPI Registration & Enumeration August 04, 2011

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: 1184903460
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2011
Last Update: August 04, 2011
Sole Proprietor: No

Mailing Address

1500 N Oakland

Bolivar, MO 656133099

Phone: 4173287705

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.