MISS DORA K. CLARK (PA-C) – Physician Assistant, NPI 1760559033
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
Provider Addresses for MISS DORA K. CLARK (PA-C)
2234, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
176 Cass Ave
Woonsocket, RI 028954712
Phone: (401) 828-7110
Fax: (401) 827-6364
Type: Location
207 QUAKER LN FL 1
WEST WARWICK, RI 028932179
Phone: (401) 828-7110
Fax: (401) 827-6364
Type: Mailing
207 QUAKER LN
WEST WARWICK, RI 028932283
Phone: (401) 828-7110
Fax: (401) 825-6029
Type: Mailing
207, Quaker Lane, Crompton, West Warwick, Kent County, Rhode Island, 02893, United States
WEST WARWICK, RI 028932283
Phone: (401) 828-7110
Fax: (401) 827-6364
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Axonics, Inc. ($113).
Total Amount
$289
General + Research + Ownership
Payments
10
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $113 |
| Sumitomo Pharma America, Inc. | $52 |
| Halozyme Inc | $27 |
| Novo Nordisk Inc | $27 |
| Merck Sharp & Dohme LLC | $21 |
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: 2008-05-12
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 |
|---|---|---|---|---|
| I20080512000156 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 184 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 95 | 90 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 76 | 70 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | 30 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | 24 | $0 |
Insurance plans in this area (ZIP 33907)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.