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Gregory S. Clark, PA-C

NPI 1164841102ActiveIndividual· Physician Assistant, Surgical· Indianapolis, IN

Physician Assistant, Surgical (PA-C) in Indianapolis, Indiana, trained at Duke University School of Medicine (class of 1987). 42 Medicare patients in 2024, $4,219 paid; all of their 101 Part D prescriptions were generic.

Overview

NPI1164841102
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedApr 7, 2014
Last updated in NPPESJan 3, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X10000165AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients42
Services billed82 across 13 procedure codes
Paid by Medicare$4,219

Part D prescriptions in 2024

Prescriptions (claims)101 · 225 30-day fills
Patients37
Total drug cost$1,010
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolDuke University School of Medicine
Graduation year1987
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

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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