CLARK ANDERSON (PA-C) – Physician Assistant, NPI 1750460481
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for CLARK ANDERSON (PA-C)
PO BOX 365
MORTON, IL 615500365
Phone: (309) 672-4980
Fax: (309) 671-2979
Type: Mailing
1001, Main Street, Peoria, Peoria County, Illinois, 61606, United States
SUITE 500A
PEORIA, IL 616061907
Phone: (309) 672-4980
Fax: (309) 671-2979
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 246 Open Payments records for all available years, with a total value of $5,048.
Total Amount is formed as General ($5,048) + Research ($0) + Ownership ($0) = $5,048.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,820).
Total Amount
$5,048
General + Research + Ownership
Payments
246
Total payment records
General Amount
$5,048
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,820 |
| Janssen Biotech, Inc. | $951 |
| Takeda Pharmaceuticals U.S.A., Inc. | $907 |
| Celgene Corporation | $330 |
| Madrigal Pharmaceuticals | $162 |
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: 2007-10-01
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 |
|---|---|---|---|---|
| I20071001000068 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 232 | 151 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 110 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 61550)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL |
Reviews
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