Meredith Clark
NPI 1023609278ActiveIndividual· Physician Assistant, Surgical· Glenview, IL
Physician Assistant, Surgical with Endeavor Health Medical Group, practicing in Glenview, Illinois. Mostly services rather than prescriptions: Medicare paid $3,668 for 61 patients in 2024, with only 22 Part D claims. Lists Northshore University Healthsystem - Evanston Hospital as a hospital affiliation.
Overview
| NPI | 1023609278 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 31, 2021 |
| Last updated in NPPES | May 23, 2022 |
| Certified by provider | May 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 085008899 | IL |
| Physician Assistant | 363A00000X | 085008899 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 64 across 8 procedure codes |
| Paid by Medicare | $3,668 |
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 24 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $321.73 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Endeavor Health Medical GroupEvanston, IL · 3,350 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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