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Active NPI 1093777047 Individual Practitioner Male Practitioner

Bryan A Clark , PA-C

Physician Assistant - Surgical • Sandy, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bryan Clark, PA-C is a certified Physician Assistant - Surgical practicing in Sandy, UT. With approximately 25 years of clinical experience since completing medical education in 2001, Bryan Clark delivers high-quality medical care to the local community at 9844 S 1300 E.

Bryan Clark is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9844 S 1300 E
Ste 275

Sandy, UT 840944692

Telephone 8015717061
Fax 8015719277
Associated Practice Facility / Clinic
🏢 Wasatch Imaging Llc Facility NPI 1679645139

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 - Surgical in Sandy, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +7.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Sandy, UT (146 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (25 Years) 25 Yrs
Sandy Specialty Average (18.0 Years) 18.0 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 13 $129.00 $45.51

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License UT 3231151206

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License UT 3231151206

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
999000116008 (UT)
Commercial Insurance / Payer ID Intermountain Health
107021850101 (UT)

Hospital & Practice Group Affiliations

Ihc Health Services Inc

700 S Hwy 99, Fillmore, UT 846315137

Phone: 8013574600

Ihc Health Services Inc

2075 University Park Blvd, Layton, UT 840411611

Phone: 8013876200

Ihc Health Services Inc

9660 S 1300, Sandy, UT 840943762

Phone: 8015012600

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945559

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017764444

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015073500

Ihc Health Services Inc

9660 S 1300, Sandy, UT 840943762

Phone: 8015012155

Ihc Health Services Inc

3723 W 12600, Riverton, UT 840657295

Phone: 8012852482

Ihc Health Services Inc

2075 N 1200, Layton, UT 840411611

Phone: 8017796200

Ihc Health Services Inc

9450 S 1300, Sandy, UT 840945555

Phone: 8015016250

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Gordon Kimball , MD

Orthopaedic Surgery

NPI 1578545919

Doctor of Medicine (M.D.)

NPI 1720433006

Doctor of Osteopathic Medicine (D.O.)

Dr. Donald Schmidt , MD

Orthopaedic Surgery

NPI 1811979255

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 April 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2016

Registered at 9844 S 1300 E, STE 275, SANDY, UT 840944692 (Tel: 8015717061)

📍
Updated Business Mailing Address April 22, 2016

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8015717061)

👤
Provider Name / Credentials Updated April 22, 2016

Recorded as BRYAN CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Physician Assistant (License #3231151206 in UT)

🟢
Initial NPI Registration & Enumeration April 05, 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: 1093777047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: April 22, 2016
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8015717061

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.