JENNIFER CLARK (P. A.) – Surgical Physician Assistant, NPI 1114479052
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Loading map...
Provider Addresses for JENNIFER CLARK (P. A.)
2138, Prentiss Drive, Prentiss Creek, Downers Grove, DuPage County, Illinois, 60516, United States
DOWNERS GROVE, IL 605165314
Phone: (630) 323-6116
Fax: (630) 794-8620
Type: Mailing
550, West Ogden Avenue, Hinsdale, DuPage County, Illinois, 60521, United States
HINSDALE, IL 605213186
Phone: (630) 323-6116
Fax: (630) 794-8620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 131 Open Payments records for all available years, with a total value of $2,800.
Total Amount is formed as General ($2,800) + Research ($0) + Ownership ($0) = $2,800.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Davol Inc. ($881).
Total Amount
$2,800
General + Research + Ownership
Payments
131
Total payment records
General Amount
$2,800
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 |
|---|---|
| Davol Inc. | $881 |
| NESTLE HEALTHCARE NUTRITION INC. | $566 |
| AIMMUNE THERAPEUTICS, INC. | $532 |
| ABBVIE INC. | $204 |
| Medtronic, Inc. | $165 |
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: 2017-01-09
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 |
|---|---|---|---|---|
| I20170109001122 | I | Physician Assistant | IL | 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 | 94 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 78 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 35 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 34 | 34 | $0 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 24 | 24 | $0 |
Insurance plans in this area (ZIP 60516)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Physician Assistant | IL | |
| General Surgery, Colorectal Surgery (Proctology), Hematology/Oncology | IL | |
| General Surgery | IL | |
| - | CA | |
| General Surgery | IL | |
| General Surgery | IL | |
| Physician Assistant | NV | |
| General Surgery | IL |
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.