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Active NPI 1811569270 Individual Practitioner Female Practitioner

Shannon Whitney Clark , PHYSICIAN ASSISTANT

Physician Assistant • Enid, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Clark, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Enid, OK. With approximately 5 years of clinical experience since completing medical education in 2021, Shannon Clark delivers high-quality medical care to the local community at 600 S MONROE ST.

Shannon Clark is affiliated with Oliver Street 5.01(A) Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 S Monroe St

Enid, OK 737017211

Telephone 5802332300
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 Enid, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Enid, OK (1911 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (5 Years) 5 Yrs
Enid Specialty Average (12.5 Years) 12.5 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
17003 Destruction of precancer skin growth, 2-14 growths
2,158 332 $23.00 $5.08
99213 Established patient office or other outpatient visit, typically 15 minutes
853 512 $309.00 $71.12
17000 Destruction of skin growth
559 416 $231.00 $39.89
17110 Destruction of up to 14 skin growths
292 232 $388.00 $84.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
249 249 $379.00 $87.68
11102 Tangential biopsy of single skin lesion
217 192 $341.00 $64.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
204 128 $435.00 $99.17
17004 Destruction of precancer skin growth, 15 or more growths
183 122 $570.00 $128.71
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
140 113 $51.00 $13.04
11103 Biopsy of related skin growth, each additional growth
59 46 $171.00 $38.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
46 46 $567.00 $131.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
31 25 $608.00 $119.77
17111 Destruction of skin growth, 15 or more growths
26 25 $453.00 $100.39
11104 Punch biopsy, first skin growth
20 20 $425.00 $91.72
69100 Biopsy of ear
18 16 $325.00 $57.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 12 $192.00 $44.21
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
11 11 $643.00 $145.75

Medical Specialties & State Licenses

CMS Verified: 2021-09-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 4606

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OK 4606

Definition to come...

Hospital & Practice Group Affiliations

Oliver Street 5.01(A) Inc

1329 S Sangre Rd, Stillwater, OK 740741854

Phone: 4055333376

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1043249493

Doctor of Medicine (M.D.)

Dr. Jonathan Vanhooser , MD

Radiology - Diagnostic Radiology

NPI 1053377002

Doctor of Medicine (M.D.)

Paul Hutson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063654580

Certified Registered Nurse Anesthetist

Nathan Hollenbeck , NP

Nurse Practitioner - Family

NPI 1083283329

Nurse Practitioner

Linda Mcilwee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083643183

Certified Registered Nurse Anesthetist

Dr. William Moore , MD

Obstetrics & Gynecology

NPI 1134173800

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2021

Registered at 600 S MONROE ST, ENID, OK 737017211 (Tel: 5802332300)

📍
Updated Business Mailing Address July 14, 2021

Registered at 5833 HUERFANO DR, COLORADO SPRINGS, CO 809233436 (Tel: 3165733088)

👤
Provider Name / Credentials Updated July 14, 2021

Recorded as SHANNON CLARK, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Physician Assistant (License #4606 in OK)

🟢
Initial NPI Registration & Enumeration July 14, 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: 1811569270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2021
Last Update: September 30, 2021
Sole Proprietor: No

Mailing Address

5833 Huerfano Dr

Colorado Springs, CO 809233436

Phone: 3165733088

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.