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Active NPI 1730170796 Individual Practitioner Male Practitioner

Gregory P Clark , PA

Physician Assistant • Powell, WY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Gregory Clark, PA is a certified Physician Assistant practicing in Powell, WY. With approximately 28 years of clinical experience since completing medical education in 1998, Gregory Clark delivers high-quality medical care to the local community at 777 AVENUE H.

Gregory Clark is affiliated with Holistic Pain Management Of Wyoming Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

777 Avenue H
Powell Valley Healthcare Inc

Powell, WY 82435

Telephone 3077543405
Fax 3077541207
Associated Practice Facility / Clinic
🏢 Powell Valley Health Care Inc Facility NPI 1497753115

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Powell, WY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +10.3 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Powell, WY (263 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
94.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (28 Years) 28 Yrs
Powell Specialty Average (17.7 Years) 17.7 Yrs

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
27447 Replacement of knee joint, both sides of knee
22 22 $2916.87 $174.35

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WY 203

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
115812100 (WY)

Hospital & Practice Group Affiliations

Holistic Pain Management Of Wyoming Llc

401 S 15th St, Worland, WY 824013530

Phone: 8009286040

Holistic Pain Management Of Wyoming Llc

1001 W Main St, Riverton, WY 825013230

Phone: 8009286040

Holistic Pain Management Of Wyoming Llc

745 Buena Vista Dr, Lander, WY 825203431

Phone: 8009286040

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tari Mcadam , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013648286

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Bradley North , DO

Emergency Medicine

NPI 1023057874

Doctor of Osteopathic Medicine (D.O.)

Chris Hoellwarth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043209406

Certified Registered Nurse Anesthetist

NPI 1043843485

COMMUNITYPARAMEDIC

Mary Neal

Dietitian, Registered

NPI 1073150926
Brett Soloai

Occupational Therapist - Hand

NPI 1073756847

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2015

Registered at 777 AVENUE H, POWELL VALLEY HEALTHCARE INC, POWELL, WY 82435 (Tel: 3077543405)

📍
Updated Business Mailing Address May 13, 2015

Registered at 777 AVENUE H, POWELL, WY 82435 (Tel: 3077543405)

👤
Provider Name / Credentials Updated May 13, 2015

Recorded as GREGORY CLARK, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2015

Physician Assistant (License #203 in WY)

🟢
Initial NPI Registration & Enumeration October 31, 2005

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: 1730170796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: May 13, 2015
Sole Proprietor: No

Mailing Address

777 Avenue H

Powell, WY 82435

Phone: 3077543405

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.