Active NPI 1225162753 Individual Practitioner Male Practitioner

Robert Brooks Clarke , PA

Physician Assistant • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Robert Clarke, PA is a registered healthcare professional specializing in Physician Assistant in Tyler, TX. Practice services are available at 520 E DOUGLAS BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 E Douglas Blvd

Tyler, TX 757028307

Telephone 9035931721

Associated Practice Facility / Clinic

🏢 Trinity Clinic Facility NPI 1366671216

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

99 Specialists

Practicing in Tyler, TX (11140 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	95	$249.05	$81.29
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$180.42	$53.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$266.96	$108.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	215	$236.00	$83.13
99213 Established patient office or other outpatient visit, typically 15 minutes	58	55	$161.00	$55.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$252.00	$111.14
99442 Telephone medical discussion with physician, 11-20 minutes	25	25	$161.00	$56.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$373.00	$141.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	173	$163.88	$42.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	114	$220.31	$65.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$231.00	$97.04
99442 Telephone medical discussion with physician, 11-20 minutes	34	33	$158.91	$43.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$349.75	$143.57
99496 Transitional care management services for problem of high complexity	12	11	$575.33	$138.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	201	$206.00	$65.58
99213 Established patient office or other outpatient visit, typically 15 minutes	269	218	$168.00	$42.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$207.62	$94.09
99495 Transitional care management services for problem of at least moderate complexity	17	13	$480.00	$92.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	206	$206.00	$64.55
99213 Established patient office or other outpatient visit, typically 15 minutes	245	190	$168.00	$42.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$207.00	$95.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$83.00	$21.11
99495 Transitional care management services for problem of at least moderate complexity	13	12	$480.00	$91.50
99496 Transitional care management services for problem of high complexity	12	12	$678.00	$133.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	251	$206.00	$64.43
99213 Established patient office or other outpatient visit, typically 15 minutes	225	180	$168.00	$41.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$311.00	$107.82
99496 Transitional care management services for problem of high complexity	19	19	$678.00	$131.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$306.00	$139.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$198.00	$60.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$207.00	$93.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$83.00	$20.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$30.00	$10.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA01650

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

Medicaid State Provider ID

200344401 (TX)

Commercial Insurance / Payer ID Tricare Lindale Location

TIN PLUS 028 (TX)

Commercial Insurance / Payer ID Tricare Douglas Location

TIN PLUS 007 (TX)

Commercial Insurance / Payer ID Tricare Canton Location

TIN PLUS 001 (TX)

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Mark Vig , MD

Internal Medicine

NPI 1023251527

Doctor of Medicine (M.D.)

Dr. Antoinette Lenton , MD

Psychiatry & Neurology - Psychiatry

NPI 1063825024

Doctor of Medicine (M.D.)

Marcia Green , FNP

Nurse Practitioner

NPI 1134163868

Family Nurse Practitioner

Dr. William Miller , MD

Obstetrics & Gynecology - Gynecology

NPI 1164496907

Doctor of Medicine (M.D.)

Dr. Lee Ridenour , MD

Internal Medicine

NPI 1205801966

Doctor of Medicine (M.D.)

Dr. Glen Sorrentino , MD

Internal Medicine

NPI 1265407654

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 October 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2014

Registered at 520 E DOUGLAS BLVD, TYLER, TX 757028307 (Tel: 9035931721)

📍

Updated Business Mailing Address October 10, 2014

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

👤

Provider Name / Credentials Updated October 10, 2014

Recorded as ROBERT CLARKE, PA

🎓

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

Physician Assistant (License #PA01650 in TX)

🟢

Initial NPI Registration & Enumeration March 15, 2007

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: 1225162753

Entity Type:

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

Enumeration Date: March 15, 2007

Last Update: October 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246450

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.