Michael Dean Clark , PA-C
Physician Assistant • Racine, WI
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, Michael Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Michael Clark, PA-C was a registered Physician Assistant practicing in Racine, WI. Throughout an active medical career spanning 21 years, Michael Clark provided care at the practice location at 3805B SPRING ST until profile deactivation on 2026-06-04.
Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
3805b Spring St
Racine, WI 534051641
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Racine, WI
Practicing in Racine, WI (3517 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99285
Emergency department visit for life threatening or functioning severity
|
109 | 103 | $876.42 | $138.29 |
|
99284
Emergency department visit with moderate level of medical decision making
|
52 | 51 | $586.00 | $95.27 |
|
99283
Emergency department visit with low level of medical decision making
|
23 | 21 | $394.74 | $50.21 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Nurse
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 04, 2026
NPI status registered as active in NPPES database
Registered at 3805B SPRING ST, RACINE, WI 534051641 (Tel: 2626874201)
Registered at 2629 FOX RIVER PKWY, WAUKESHA, WI 531897876 (Tel: 2625211674)
Recorded as MICHAEL CLARK, PA-C
Physician Assistant (License #420-023 in WI)
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
Mailing Address
2629 Fox River Pkwy
Waukesha, WI 531897876
Phone: 2625211674
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.