Nicole M. Clark, PA-C
NPI 1114164142ActiveIndividual· Physician Assistant· Saluda, SC
Physician Assistant (PA-C) with Self Medical Group, practicing in Saluda, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $613,947 for 3,138 claims, against $3,264 paid for services in 2024. Corcept Therapeutics was the largest of 19 companies reporting payments in 2025, $1,107 in all, mostly food and beverage. Lists Edgefield County Healthcare An Affiliate of Self R and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1114164142 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 13, 2009 |
| Last updated in NPPES | Dec 21, 2021 |
| Certified by provider | Dec 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2017 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 169 across 16 procedure codes |
| Paid by Medicare | $3,264 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,138 · 6,998 30-day fills |
|---|---|
| Patients | 232 |
| Total drug cost | $613,947 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Self Medical GroupGreenwood, SC · 395 clinicians
Hospital affiliations
- Edgefield County Healthcare An Affiliate of Self REdgefield, SC
- Newberry County Memorial HospitalNewberry, SC
- Self Regional HealthcareGreenwood, SC
Industry payments (Open Payments)
- 2025$1,107 · 51 payments from 19 companies
- 2024$894.20 · 55 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Corcept Therapeutics | $188.91 | 4 |
| Abbvie Inc. | $164.43 | 12 |
| Abbott Laboratories | $72.33 | 3 |
| Xeris Pharmaceuticals, Inc. | $63.21 | 3 |
| Novo Nordisk Inc | $62.05 | 4 |
What the 2025 payments were for
- Food and Beverage$1,107 · 51 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Saluda
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