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Deactivated NPI 1114999182 Deactivated / Inactive NPI Male Practitioner

Clay Arnold Dark , PA

Physician Assistant • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Clay Dark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2006
NPI Deactivation Date April 07, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Clay Dark, PA was a registered Physician Assistant practicing in Tulsa, OK. Throughout an active medical career spanning 15 years, Clay Dark provided care at the practice location at 6475 S YALE AVE until profile deactivation on 2021-04-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, x-ray of lower and sacral spine, 2-3 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6475 S Yale Ave
Suite 301

Tulsa, OK 741367816

Telephone 9184949321
Fax 9184949355
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
126 100 $183.16 $60.10
80307 Testing for presence of drug, by chemistry analyzers
73 48 $145.68 $62.14
72100 X-ray of lower and sacral spine, 2-3 views
47 40 $112.98 $29.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 24 $205.65 $87.54
22612 Fusion of spine in lower back
19 19 $1038.67 $200.04
22614 Fusion of additional segment of spine
19 12 $289.45 $52.16
22840 Placement of stabilizing device to back of 1 spine bone in neck
15 15 $500.66 $98.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 14 $139.30 $36.11

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1390

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Lindsey Garrison

Specialist/Technologist - Athletic Trainer

NPI 1093064024
Meredith Wasson , MED, ATC

Specialist/Technologist - Athletic Trainer

NPI 1174910459

Master of Education, Certified Athletic Trainer

Dr. T Emel , MD

Family Medicine - Sports Medicine

NPI 1205836244

Doctor of Medicine (M.D.)

Omar Zaldivar , AT

Specialist/Technologist - Athletic Trainer

NPI 1316970510
Nathan White , PA-C

Physician Assistant

NPI 1336539436

Physician Assistant (Certified)

Molly Cerrito

Specialist/Technologist - Athletic Trainer

NPI 1407256803

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated April 07, 2021

Record deactivated on April 07, 2021

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Updated Business Mailing Address June 04, 2020

Registered at 2488 E 81ST ST STE 290, TULSA, OK 741374265 (Tel: 9184949341)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2020

Physician Assistant (License #1390 in OK)

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Updated Practice Location May 23, 2018

Registered at 6475 S YALE AVE STE 301, TULSA, OK 74136 (Tel: 9184949300)

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Updated Business Mailing Address May 23, 2018

Registered at 6475 S YALE AVE STE 301, TULSA, OK 741367815 (Tel: 9184949341)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2018

Physician Assistant (License #1390 in OK)

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Updated Practice Location May 08, 2018

Registered at 6475 S YALE AVE STE 301, TULSA, OK 741367815 (Tel: 9184949321)

NPI Profile Active November 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 05, 2010

Registered at 6475 S YALE AVE, SUITE 301, TULSA, OK 741367816 (Tel: 9184949321)

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Updated Business Mailing Address November 05, 2010

Registered at 6475 S YALE AVE, SUITE 301, TULSA, OK 741367816 (Tel: 9184949321)

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Provider Name / Credentials Updated November 05, 2010

Recorded as CLAY DARK, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2010

Physician Assistant (License #1390 in OK)

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Initial NPI Registration & Enumeration February 03, 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: 1114999182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: November 05, 2010
Deactivation Date: April 07, 2021

Mailing Address

6475 S Yale Ave, Suite 301

Tulsa, OK 741367816

Phone: 9184949321

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.