MR. TIMOTHY PAT CLARY (PA-C) – Medical Physician Assistant, NPI 1750343695

MR. TIMOTHY PAT CLARY (PA-C) is a healthcare provider. based in Hornton, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15-00296 (KS). The NPI Number for MR. TIMOTHY PAT CLARY (PA-C) is 1750343695

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY PAT CLARY (PA-C)
NPI
1750343695
Phone
(785) 486-2642
Address
240 W. 18th St.
Enumeration Date
5 April 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7855953450
Graduation Year
2000 (26 years ago)
PAC ID
9234177072
Group Practice PAC ID
9830437995
Professional Enrollment ID
I20211124000054
Address ID
KS660944005WH3349XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for MR. TIMOTHY PAT CLARY (PA-C)

  • 240 W. 18th St.

    Hornton, KS 66439

    Phone: (785) 486-2642

    Fax: (785) 486-2736

    Type: Location

  • 5325, Faraon Street, St. Joseph, Buchanan County, Missouri, 64506, United States

    SAINT JOSEPH, MO 645063488

    Phone: (816) 271-6122

    Fax: (816) 271-6019

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180213002924IPhysician AssistantMOTBD
I20211124000054IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample2622$0
99213Established patient office or other outpatient visit, 20-29 minutes2416$0
99214Established patient office or other outpatient visit, 30-39 minutes1412$0
G0008Administration of influenza virus vaccine1414$0
View full utilization report →

Insurance plans in this area (ZIP 66439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830437995View full group profile

Reviews

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Frequently asked questions

Can I verify MR. TIMOTHY PAT CLARY (PA-C) with an NPI only?
You can start verification with NPI 1750343695 for MR. TIMOTHY PAT CLARY (PA-C), then check state licensing separately.
Is MR. TIMOTHY PAT CLARY (PA-C) listed as active for patients and plans?
The listing shows MR. TIMOTHY PAT CLARY (PA-C) as active in the NPI system.
What is MR. TIMOTHY PAT CLARY (PA-C) best known for clinically?
Directory data describes MR. TIMOTHY PAT CLARY (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. TIMOTHY PAT CLARY (PA-C)?
MR. TIMOTHY PAT CLARY (PA-C)'s geographic hint is Hornton, Kansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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