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Active NPI 1215998927 Individual Practitioner Female Practitioner

Lisa Marie Clark , CAA

Anesthesiologist Assistant • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Clark, CAA is a certified Anesthesiologist Assistant practicing in Cleveland, OH. With approximately 23 years of clinical experience since completing medical education in 2003, Lisa Clark delivers high-quality medical care to the local community at 11100 EUCLID AVE.

Lisa Clark maintains professional affiliations with Indiana University Health Care Associates Inc, Iu Health Medical Group Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

11100 Euclid Ave

Cleveland, OH 441061716

Telephone 2168445583
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +11.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
169 Specialists

Practicing in Cleveland, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (23 Years) 23 Yrs
Cleveland Specialty Average (11.5 Years) 11.5 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
50 50 $743.13 $57.98
00142 Anesthesia for lens surgery
25 25 $679.42 $55.08
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
22 22 $799.25 $61.60
00140 Anesthesia for procedure on eye
18 18 $893.17 $71.83
00145 Anesthesia for retinal surgery
18 18 $1160.86 $91.54

Medical Specialties & State Licenses

CMS Verified: 2024-11-25
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License OH 67000102

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.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

State License IN 75000044A

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.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

State License NC 1000-00543

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1215998927 (NC)
Medicaid State Provider ID
2438348 (OH)
Commercial Insurance / Payer ID Anthem Ptan
000001295036 (IN)
Commercial Insurance / Payer ID Anthem Ptan
1102450646 (IN)
Commercial Insurance / Payer ID Anthem Bcbs
377459 (OH)
Commercial Insurance / Payer ID Bcbs
185M9 (NC)
Commercial Insurance / Payer ID Tricare
1215998927 (NC)

Hospital & Practice Group Affiliations

Indiana University Health Care Associates Inc

151 Pennsylvania Pkwy, Carmel, IN 462801379

Phone: 3178171100

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Secondary Practice Locations

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 8884843258

151 Pennsylvania Pkwy

Carmel, IN 462801379

Phone: 3178171100

Practice Associates & Co-Workers

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

3 Associated Practitioners
Alexander Solt , C-AA

Anesthesiologist Assistant

NPI 1336646801

CAA

Christopher Hager , CAA

Anesthesiologist Assistant

NPI 1568038362
Elizabeth Ploskunak , CAA

Anesthesiologist Assistant

NPI 1669302550

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2023

Anesthesiologist Assistant (License #75000044A in IN)

📍
Updated Practice Location July 18, 2019

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 2168445583)

📍
Updated Business Mailing Address July 18, 2019

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 2168445583)

👤
Provider Name / Credentials Updated July 18, 2019

Recorded as LISA CLARK, CAA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Anesthesiologist Assistant (License #67000102 in OH)

NPI Profile Active July 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2014

Registered at 2308 WESVILLE CT, RALEIGH, NC 276072949 (Tel: 9197814311)

📍
Updated Business Mailing Address July 17, 2014

Registered at 3100 SPRING FOREST RD, RALEIGH, NC 276162880 (Tel: 9198739533)

👤
Provider Name / Credentials Updated July 17, 2014

Recorded as LISA CLARK, AAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2014

Anesthesiologist Assistant (License #1000-00543 in NC)

🟢
Initial NPI Registration & Enumeration March 31, 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: 1215998927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: November 25, 2024
Sole Proprietor: No

Mailing Address

11100 Euclid Ave

Cleveland, OH 441061716

Phone: 2168445583

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.