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Active NPI 1457098154 Individual Practitioner Male Practitioner

Clark Kellogg

Anesthesiologist Assistant • Mansfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Clark Kellogg is a certified Anesthesiologist Assistant practicing in Mansfield, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Clark Kellogg delivers high-quality medical care to the local community at 799 LEXINGTON AVE.

Clark Kellogg is affiliated with Anesthesia Associates Of Mansfield, Inc 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 other procedure on urinary system through urethra. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

799 Lexington Ave

Mansfield, OH 449071906

Telephone 4197565133
Fax 4197749707
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Mansfield, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -1.8 yrs vs City Avg
City Avg: 5.8 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Mansfield, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellogg (4 Years) 4 Yrs
Mansfield Specialty Average (5.8 Years) 5.8 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
25 25 $318.80 $64.60
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
22 22 $345.45 $69.46
00910 Anesthesia for other procedure on urinary system through urethra
15 15 $344.00 $69.49
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
11 11 $750.45 $151.46

Medical Specialties & State Licenses

CMS Verified: 2023-01-09
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License OH 32698321

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

Anesthesia Associates Of Mansfield, Inc

799 Lexington Ave, Mansfield, OH 449071906

Phone: 4197565133

Practice Associates & Co-Workers

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

28 Associated Practitioners
Esther Baumann , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013903319

Certified Registered Nurse Anesthetist

Shannon Oyster , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023593787

Certified Registered Nurse Anesthetist

NPI 1033103684

Doctor of Medicine (M.D.)

Amy Secor , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043611197

Certified Registered Nurse Anesthetist

NPI 1053722322

Doctor of Medicine (M.D.)

Bethany Biddle , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134424591

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Anesthesiologist Assistant (License #32698321 in OH)

📍
Updated Practice Location November 04, 2022

Registered at 799 LEXINGTON AVE, MANSFIELD, OH 449071906 (Tel: 4197565133)

NPI Profile Active May 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2022

Registered at 335 GLESSNER AVE, MANSFIELD, OH 449032269 (Tel: 4195268000)

📍
Updated Business Mailing Address May 16, 2022

Registered at 5910 BLUESTONE WAY, LEWIS CENTER, OH 430357550 (Tel: 6143012639)

👤
Provider Name / Credentials Updated May 16, 2022

Recorded as CLARK KELLOGG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Anesthesiologist Assistant

🟢
Initial NPI Registration & Enumeration May 16, 2022

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: 1457098154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: January 09, 2023
Sole Proprietor: Yes

Mailing Address

5910 Bluestone Way

Lewis Center, OH 430357550

Phone: 6143012639

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.