MR. STEPHEN ALEXANDER CLARK (CAA) – Anesthesiology Physician, NPI 1609465772
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
204 ANESTHESIOLOGY ASSISTANT in IN
Provider Addresses for MR. STEPHEN ALEXANDER CLARK (CAA)
7904 MEYER LOOP
SELLERSBURG, IN 471722842
Phone: (812) 207-0316
Type: Mailing
4023 Reas Ln
New Albany, IN 471502228
Phone: (812) 206-7660
Type: Location
1850 STATE ST
NEW ALBANY, IN 471504990
Phone: (812) 944-7701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($39).
Total Amount
$39
General + Research + Ownership
Payments
3
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $39 |
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: 2021-02-02
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 |
|---|---|---|---|---|
| I20210202001740 | I | Anesthesiology Assistant | IN | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 82 | 82 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 63 | 63 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 32 | 32 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 27 | 25 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 24 | 24 | $0 |
Insurance plans in this area (ZIP 47172)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | IN | |
| A N E S T H E S I O L O G Y | IN | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| - | IN | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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