Jesse Kay Clark, PA
NPI 1043721129ActiveIndividual· Physician Assistant· Arkadelphia, AR
Physician Assistant (PA) in Arkadelphia, Arkansas, licensed in AR and TX, with an NPI issued in October 2017. 160 Medicare patients in 2024, $15,103 paid; nearly all of their 195 Part D prescriptions were generic (93%).
Overview
| NPI | 1043721129 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 17, 2017 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1067 | AR |
| Physician Assistant, Surgical | 363AS0400X | PA11698 | TX |
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 (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 206 across 10 procedure codes |
| Paid by Medicare | $15,103 |
Part D prescriptions in 2024
| Prescriptions (claims) | 195 · 198 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $3,040 |
| Generic share | 93% of claims |
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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