KRIS D CLARK (PA) – Physician Assistant, NPI 1154318624
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
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Provider Addresses for KRIS D CLARK (PA)
Patient First, 1260, Temple Avenue, Archer Bluff, Colonial Heights, Virginia, 23834, United States
COLONIAL HEIGHTS, VA 238342984
Phone: (804) 518-2597
Fax: (804) 518-2598
Type: Location
5000 COX RD
GLEN ALLEN, VA 230609263
Phone: (804) 968-5700
Fax: (804) 217-7991
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: 2014-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1011 days ago).
Enrollment records
2
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20080617000410 | I | Physician Assistant | VA | 2023-08-31 |
| I20140709000237 | I | Physician Assistant | DC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 109 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 96 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 80 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 74 | 73 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 73 | 71 | $0 |
Insurance plans in this area (ZIP 23834)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VA | 81002 | Urinalysis, manual test | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| Physician Assistant | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| Internal Medicine | VA | |
| Physician Assistant | DC |
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