KAREN ANN SCLAMA (PA-C) – Physician Assistant, NPI 1144297698
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for KAREN ANN SCLAMA (PA-C)
640 GEORGE WASHINGTON HWY
BLDG A, SUITE 102
LINCOLN, RI 02865
Phone: (401) 921-7900
Fax: (401) 921-6959
Type: Location
455 TOLL GATE RD
PRC AND CREDENTIALING
WARWICK, RI 028862759
Phone: (401) 273-0641
Fax: (401) 273-2919
Type: Mailing
180 CORLISS ST STE B
PROVIDENCE, RI 029042602
Phone: (401) 793-8400
Fax: (401) 793-8402
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,562.
Total Amount is formed as General ($1,562) + Research ($0) + Ownership ($0) = $1,562.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($342).
Total Amount
$1,562
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,562
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $342 |
| AstraZeneca Pharmaceuticals LP | $193 |
| Novo Nordisk Inc | $168 |
| ViiV Healthcare Company | $96 |
| Merck Sharp & Dohme LLC | $70 |
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: 2008-04-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080417000230 | I | Physician Assistant | RI | 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 | 129 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 71 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 60 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 02865)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI |
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