ABIGAIL COLLETT CLARK – Physician Assistant, NPI 1376138289
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,606 PHYSICIAN ASSISTANT in NJ
Provider Addresses for ABIGAIL COLLETT CLARK
301 LIPPINCOTT DR STE 410
MARLTON, NJ 080534197
Phone: (856) 757-3500
Fax: (856) 365-4088
Type: Mailing
1600 HADDON AVE FL 6
CAMDEN, NJ 081033101
Phone: (856) 757-3500
Fax: (856) 365-4088
Type: Location
1406 LINN ST
STATE COLLEGE, PA 168033027
Phone: (814) 380-4595
Type: Location
100 Bowman Dr Lowr Level1
Voorhees, NJ 080439612
Phone: (856) 247-3000
Fax: (856) 247-2597
Type: Location
90 Brick Rd Fl 3
Marlton, NJ 080532177
Phone: (856) 355-6000
Fax: (856) 355-6731
Type: Location
175 Madison Ave
Mount Holly, NJ 080602038
Phone: (609) 914-6000
Fax: (609) 914-6182
Type: Location
218 Sunset Rd Fl 5
Willingboro, NJ 080461110
Phone: (609) 444-0359
Fax: (856) 355-6731
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $725.
Total Amount is formed as General ($725) + Research ($0) + Ownership ($0) = $725.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($594).
Total Amount
$725
General + Research + Ownership
Payments
4
Total payment records
General Amount
$725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $594 |
| Inari Medical, Inc. | $131 |
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: 2022-12-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20221207002366 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 106 | 103 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 08053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine | IL | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NY |
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