SCOTT CLARK (PA) – Physician Assistant, NPI 1255440475
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for SCOTT CLARK (PA)
2893 Enterprise Rd Ste 100
Debary, FL 327132784
Phone: (386) 789-8600
Fax: (386) 789-0219
Type: Location
1918 SE 17th St # 300
Ocala, FL 344714120
Phone: (352) 620-2420
Fax: (352) 620-2935
Type: Location
600 W Plymouth Ave
Deland, FL 327203260
Phone: (386) 738-8000
Fax: (386) 738-0929
Type: Location
1816 Salk Ave
Tavares, FL 327784300
Phone: (352) 343-2461
Fax: (352) 343-5968
Type: Location
725 W Granada Blvd Ste 44
Ormond Beach, FL 321749406
Phone: (386) 898-0547
Fax: (386) 898-0551
Type: Location
Southhall Lane, Maitland, Orange County, Florida, 32810, United States
MAITLAND, FL 327517172
Phone: (407) 875-2080
Fax: (407) 650-3455
Type: Mailing
Buenos Aires Boulevard, Spanish Springs, The Villages, Sumter County, Florida, 32159, United States
THE VILLAGES, FL 321596825
Phone: (352) 753-2812
Fax: (352) 753-0537
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ABBVIE INC. ($70).
Total Amount
$108
General + Research + Ownership
Payments
6
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $70 |
| ConvaTec Inc. | $23 |
| Lilly USA, LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050312000001 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 340 | 322 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 203 | 193 | $0 |
| 29580 | Strapping, unna boot | 99 | 73 | $0 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 98 | 97 | $0 |
| 14061 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm | 53 | 52 | $0 |
Insurance plans in this area (ZIP 32713)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 237 | 225 |
| PHYSICIAN ASSISTANT | FL | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 30 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL |
Reviews
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