KATELYN CLARK – Medical Physician Assistant, NPI 1972165496
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for KATELYN CLARK
719, Portage Road, Summit, Cresson Township, Cambria County, Pennsylvania, 16630, United States
CRESSON, PA 166301503
Phone:
Type: Mailing
UPMC Bedford, 10455, Lincoln Highway, Penn Wood, Everett, Bedford County, Pennsylvania, 15537, United States
EVERETT, PA 155377046
Phone: (814) 623-6161
Type: Location
800 HOWARD AVE STE 1
ALTOONA, PA 166014728
Phone: (814) 889-2708
Type: Location
107 FOREST ST
GALLITZIN, PA 166411115
Phone:
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: 2019-08-28
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 |
|---|---|---|---|---|
| I20190828000579 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 46 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 29 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 16630)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | PA | |
| Medical Oncology, Hematology/Oncology, Internal Medicine | PA | |
| Medical Oncology, Hematology | PA | |
| Nurse Practitioner | PA | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Medical Oncology, Internal Medicine | PA | |
| Physician Assistant | PA | |
| Medical Oncology, Hematology, Internal Medicine | PA |
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