JASON CLARK (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1508033747

JASON CLARK (M.D.) is a healthcare provider. based in Sitka, Kentucky. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 41626 (KY). The NPI Number for JASON CLARK (M.D.) is 1508033747

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
JASON CLARK (M.D.)
NPI
1508033747
Phone
(606) 792-6220
Address
601 DANIELS BR
Enumeration Date
15 May 2008
Last Update Date
10 September 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8592789513
Graduation Year
2008 (18 years ago)
PAC ID
9537302393
Group Practice PAC ID
4688573900
Professional Enrollment ID
I20130826000753
Address ID
KY416539113PR5000X321X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

228 PATHOLOGY in KY

Provider Addresses for JASON CLARK (M.D.)

  • 601 DANIELS BR

    SITKA, KY 412558925

    Phone: (606) 792-6220

    Type: Mailing

  • 290 BIG RUN RD

    LEXINGTON, KY 405032903

    Phone: (859) 278-9513

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($98).

Total Amount

$119

General + Research + Ownership

Payments

6

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2013-08-26

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130826000753IPathologyKYTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity2,8791,443$0
88112Cell examination of specimen, selective cellular enhancement technique606445$0
88341Special stained specimen slides to examine tissue, each additional procedure593150$0
88173Evaluation of fine needle aspirate with interpretation and report268173$0
88342Special stained specimen slides to examine tissue, initial procedure218193$0
View full utilization report →

Insurance plans in this area (ZIP 41255)

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Provider's Procedures

JASON CLARK (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYKY88304Pathology examination of tissue using a microscope, moderately low complexity10599
PATHOLOGYKY88307Pathology examination of tissue using a microscope, moderately high complexity5446
PATHOLOGYKY88312Special stained specimen slides to identify organisms including interpretation and report1511
PATHOLOGYKY88342Tissue or cell analysis by immunologic technique9384

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: 4688573900View full group profile
NameSpecialtyState
P A T H O L O G YKY
-KY
P A T H O L O G YKY
P A T H O L O G YTX
P A T H O L O G YKY
-KY
P A T H O L O G YMI
P A T H O L O G YKY
P A T H O L O G YKY
P A T H O L O G YNY

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Frequently asked questions

What federal number belongs to JASON CLARK (M.D.)?
The federal identifier for JASON CLARK (M.D.) is NPI 1508033747.
Does this profile mean JASON CLARK (M.D.) is currently active?
Yes — JASON CLARK (M.D.) appears active in the national provider directory.
What field does JASON CLARK (M.D.) work in?
You can think of JASON CLARK (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JASON CLARK (M.D.)?
The page summarizes Sitka, Kentucky for JASON CLARK (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.