MR. MARK REID CLUTTER (PA-C) – Physician Assistant, NPI 1245278555

MR. MARK REID CLUTTER (PA-C) is a healthcare provider. based in Mansfield, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.001285 (OH). The NPI Number for MR. MARK REID CLUTTER (PA-C) is 1245278555

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK REID CLUTTER (PA-C)
NPI
1245278555
Phone
(419) 526-8000
Address
335 Glessner Ave
Enumeration Date
2 June 2006
Deactivation Date
23 October 2024
Reactivation Date
5 November 2024
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408098810
Graduation Year
1998 (28 years ago)
PAC ID
3678537842
Group Practice PAC ID
3971985607
Professional Enrollment ID
I20041117000437
Address ID
OH441228400BE3909XPLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MR. MARK REID CLUTTER (PA-C)

  • 335 Glessner Ave

    Mansfield, OH 449032269

    Phone: (419) 526-8000

    Fax: (419) 521-7960

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • Mercy Regional Medical Center, 3700, Kolbe Road, Lorain, Lorain County, Ohio, 44053, United States

    LORAIN, OH 440531611

    Phone: (440) 960-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-17

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
I20041117000437IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes259206$0
99203New patient office or other outpatient visit, 30-44 minutes236236$0
81002Urinalysis, manual test2825$0
81003Automated urinalysis test1616$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1313$0
View full utilization report →

Insurance plans in this area (ZIP 44903)

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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: 3971985607View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantAZ
Physician AssistantOH
Physician AssistantOH
Family PracticeOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Where can patients find MR. MARK REID CLUTTER (PA-C)'s NPI?
You can confirm MR. MARK REID CLUTTER (PA-C) with NPI 1245278555; it appears in the national provider directory.
Does this profile mean MR. MARK REID CLUTTER (PA-C) is currently active?
Yes — MR. MARK REID CLUTTER (PA-C) appears active in the national provider directory.
What does MR. MARK REID CLUTTER (PA-C) treat or focus on?
Patients typically see MR. MARK REID CLUTTER (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. MARK REID CLUTTER (PA-C) practice in Ohio?
You will see Mansfield, Ohio on file for MR. MARK REID CLUTTER (PA-C) alongside any extra practice locations.
How can I contact MR. MARK REID CLUTTER (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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