ALAN W CLARK (PA-C) – Physician Assistant, NPI 1538196134
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for ALAN W CLARK (PA-C)
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Type: Mailing
1401, South LaVenture Road, Mount Vernon, Skagit County, Washington, 98274, United States
MOUNT VERNON, WA 982746033
Phone: (360) 424-2400
Fax: (360) 424-2418
Type: Location
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: 2009-05-15
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 |
|---|---|---|---|---|
| I20090515000036 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| J7331 | Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | 580 | 14 | $0 |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 336 | 11 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 217 | 37 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 95 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 63 | $0 |
Insurance plans in this area (ZIP 98104)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NC | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| - | WA | |
| U R O L O G Y | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Family Practice | PA | |
| - | WA | |
| Physician Assistant | WA |
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