SHAUN M CLARKE (PA-C) – Physician Assistant, NPI 1639187230
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for SHAUN M CLARKE (PA-C)
177 N Barlow Rd
Harrisville, MI 487409607
Phone: (989) 736-8157
Type: Location
335 E HOUGHTON AVE
WEST BRANCH, MI 486611127
Phone: (989) 345-8130
Type: Location
177 N BARLOW RD
HARRISVILLE, MI 487409607
Phone: (989) 736-8157
Type: Location
4000 WELLNESS DR
MIDLAND, MI 486702000
Phone:
Type: Mailing
279, Patricktown Road, Sandhill Corner, Jefferson, Lincoln County, Maine, 04348, United States
LINCOLN, MI 487420279
Phone: (989) 736-8157
Type: Mailing
Alcona Health Center, 177, North Barlow Road, Lincoln, Alcona County, Michigan, 48742, United States
LINCOLN, MI 48742
Phone: (989) 736-8157
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($75).
Total Amount
$243
General + Research + Ownership
Payments
13
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $75 |
| AstraZeneca Pharmaceuticals LP | $70 |
| Exact Sciences Corporation | $43 |
| ABBVIE INC. | $36 |
| Astellas Pharma US Inc | $18 |
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: 2005-11-30
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 |
|---|---|---|---|---|
| I20051130000684 | I | Physician Assistant | MI | 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 48740)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 73110 | X-ray of wrist, minimum of 3 views | 13 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Emergency Medicine | MI | |
| Nurse Practitioner | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI |
Reviews
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