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Active NPI 1629027974 Individual Practitioner Male Practitioner

Timothy Clark , RPA-C

Physician Assistant • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Timothy Clark, RPA-C is a certified Physician Assistant practicing in Springfield, OH. With approximately 25 years of clinical experience since completing medical education in 2001, Timothy Clark delivers high-quality medical care to the local community at 1200 VESTER AVE.

Timothy Clark is affiliated with Urgent Care Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Vester Ave

Springfield, OH 455031304

Telephone 9378282051
Fax 9378282052
Associated Practice Facility / Clinic
🏢 Urgent Care Specialists, Llc Facility NPI 1114957123

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +14.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
52 Specialists

Practicing in Springfield, OH (5376 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (25 Years) 25 Yrs
Springfield Specialty Average (10.1 Years) 10.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
28 28 $322.00 $140.96
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
24 24 $90.00 $40.55
87804 Detection test by immunoassay with direct visual observation for influenza virus
22 11 $31.91 $16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $212.00 $108.38

Medical Specialties & State Licenses

CMS Verified: 2025-05-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.007543RX

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

Urgent Care Specialists, Llc

1301 W 1st St, Springfield, OH 455041920

Phone: 9373226222

Urgent Care Specialists, Llc

1200 Vester Ave, Springfield, OH 455031304

Phone: 9378282051

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. George Varghese , MD

Internal Medicine - Nephrology

NPI 1306839899

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location May 02, 2025

Registered at 1200 VESTER AVE, SPRINGFIELD, OH 455031304 (Tel: 9378282051)

📍
Updated Business Mailing Address May 02, 2025

Registered at 1430 OAK CT STE 100, BEAVERCREEK, OH 454301064 (Tel: 9374041101)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2025

Physician Assistant (License #50.007543RX in OH)

NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2017

Registered at 4201 BUFFALO ROAD, NORTH CHILI, NY 14514 (Tel: 5855945995)

📍
Updated Business Mailing Address June 02, 2017

Registered at P O BOX 505, NORTH CHILI, NY 14514 (Tel: (585) 594-5995)

👤
Provider Name / Credentials Updated June 02, 2017

Recorded as TIMOTHY CLARK, RPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Physician Assistant (License #010708 in NY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2 S MAIN ST, CHURCHVILLE, NY 144289562 (Tel: 5852939190)

📍
Updated Business Mailing Address July 08, 2007

Registered at 148 GARY DR, BROCKPORT, NY 144202660

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY CLARK, RPA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #010708 in NY)

🟢
Initial NPI Registration & Enumeration May 06, 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: 1629027974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2006
Last Update: May 02, 2025
Sole Proprietor: No

Mailing Address

1430 Oak Ct Ste 100

Beavercreek, OH 454301064

Phone: 9374041101

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.