Active NPI 1760559033 Individual Practitioner Female Practitioner

Dora K. Clark , PA-C

Physician Assistant • West Warwick, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dora Clark, PA-C is a certified Physician Assistant practicing in West Warwick, RI. With approximately 20 years of clinical experience since graduating from Duke University School Of Medicine in 2006, Dora Clark delivers high-quality medical care to the local community at 207 QUAKER LN.

Dora Clark accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 Quaker Ln

West Warwick, RI 028932283

Telephone 4018287110

Fax 4018276364

Associated Practice Facility / Clinic

🏢 Joseph C Cambio Md Ltd Facility NPI 1679555395

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +6.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

2 Specialists

Practicing in West Warwick, RI (687 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (20 Years) 20 Yrs

West Warwick Specialty Average (14.0 Years) 14.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	98	97	$100.00	$75.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	58	$170.00	$104.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	36	$100.00	$64.82
51798 Ultrasound measurement of bladder capacity after voiding	30	30	$25.00	$11.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$300.00	$144.76
99443 Telephone medical discussion with physician, 21-30 minutes	20	20	$300.00	$109.87
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$300.00	$77.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$80.00	$41.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	184	$109.84	$78.06
51798 Ultrasound measurement of bladder capacity after voiding	95	90	$25.00	$11.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	70	$170.00	$111.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	30	$100.00	$67.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	24	$80.00	$42.54
99443 Telephone medical discussion with physician, 21-30 minutes	27	26	$300.00	$110.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$150.00	$110.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$300.00	$148.81
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$125.00	$71.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	186	$118.48	$79.23
51798 Ultrasound measurement of bladder capacity after voiding	58	56	$52.93	$11.09
99443 Telephone medical discussion with physician, 21-30 minutes	48	44	$287.50	$112.44
99442 Telephone medical discussion with physician, 11-20 minutes	44	42	$216.14	$79.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	26	$89.60	$33.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$234.50	$116.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	22	$134.93	$61.60
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$182.60	$86.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$148.13	$112.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	107	$137.00	$77.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	43	$231.00	$63.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	69	$85.00	$33.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	62	$428.00	$119.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	37	$122.00	$33.71
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$317.00	$88.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	12	$646.00	$175.97
51703 Complicated insertion of bladder tube	13	12	$438.00	$67.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	130	$170.32	$57.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	101	$85.95	$25.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	28	$226.85	$63.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	39	$425.75	$121.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	27	$122.46	$34.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$229.56	$80.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	63	$122.97	$34.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	61	$423.49	$120.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	28	$221.90	$63.76
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$223.24	$65.41
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$311.39	$88.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$621.39	$177.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	99	67	$122.97	$34.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	54	$423.49	$118.69
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$223.24	$64.67
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$311.39	$89.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$221.90	$64.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	63	$122.97	$33.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	66	$423.49	$117.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	21	$221.90	$62.82
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$223.24	$64.03
81003 Automated urinalysis test	13	13	$8.33	$2.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$621.39	$176.30

Medical Specialties & State Licenses

CMS Verified: 2025-09-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA00430

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Mcr

P01280388 (RI)

Commercial Insurance / Payer ID Aetna

7674984 (RI)

Commercial Insurance / Payer ID Coventry

2509391 (RI)

Commercial Insurance / Payer ID Neighborhood Health Plan

1760559033 (RI)

Secondary Practice Locations

176 Cass Ave

Woonsocket, RI 028954712

Phone: 4018287110

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Vincent Catallozzi , MD

Urology

NPI 1174528699

Doctor of Medicine (M.D.)

Dr. Joseph Cambio , MD

Urology

NPI 1346245305

Doctor of Medicine (M.D.)

Ashley Coughlin

Nurse Practitioner

NPI 1386515757

Dr. Atip Chatsudthipong , MD

Urology

NPI 1508126590

Doctor of Medicine (M.D.)

Dr. Joseph Cambio , DO

Urology

NPI 1558428540

Doctor of Osteopathic Medicine (D.O.)

Dr. Bruce Kilstein , DO

Urology

NPI 1710994686

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address September 24, 2025

Registered at 207 QUAKER LN FL 1, WEST WARWICK, RI 028932179 (Tel: 4018287110)

📍

Updated Business Mailing Address June 17, 2022

Registered at 207 QUAKER LN, WEST WARWICK, RI 028932283 (Tel: 4018287110)

✅

NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2014

Registered at 207 QUAKER LN, WEST WARWICK, RI 028932283 (Tel: 4018287110)

📍

Updated Business Mailing Address July 10, 2014

Registered at 2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated July 10, 2014

Recorded as DORA CLARK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Physician Assistant (License #PA00430 in RI)

🟢

Initial NPI Registration & Enumeration November 29, 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: 1760559033

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 29, 2006

Last Update: September 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

207 Quaker Ln Fl 1

West Warwick, RI 028932179

Phone: 4018287110

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.