MS. ALYSON L. CLARK (PA-C) – Surgical Physician Assistant, NPI 1245349075
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for MS. ALYSON L. CLARK (PA-C)
PO BOX 7411931
CHICAGO, IL 606741931
Phone: (816) 931-3312
Fax: (816) 531-9862
Type: Mailing
4330 WORNALL RD STE 50
KANSAS CITY, MO 641113201
Phone: (816) 931-3312
Fax: (816) 531-9862
Type: Location
Wornall Road, Indian Village, Kansas City, Jackson County, Missouri, 64114, United States
SUITE 50-II
KANSAS CITY, MO 641115941
Phone: (816) 931-3312
Fax: (816) 531-9862
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-10-06 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($123).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $123 |
| ATRICURE, INC. | $19 |
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: 2005-09-19
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 |
|---|---|---|---|---|
| I20050919000596 | I | Physician Assistant | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60674)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 33533 | Heart artery bypass to repair one artery | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Surgery | MO | |
| Vascular Surgery | KS | |
| Vascular Surgery, Peripheral Vascular Disease | KS | |
| Vascular Surgery | LA | |
| Physician Assistant | MO | |
| Cardiac Surgery | IL | |
| Cardiac Surgery | MS | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | IL |
Reviews
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