Ryan Mathew Clark, CRNA
NPI 1184903460ActiveIndividual· Anesthesiologist Assistant· Bolivar, MO
Anesthesiologist Assistant (CRNA) with Citizens Memorial Hospital District, practicing in Bolivar, Missouri. Medicare paid $15,542 for services to 106 patients in 2024. Merck Sharp & Dohme LLC was the largest of 2 companies reporting payments in 2024, $45.83 in all, mostly food and beverage. Lists Citizens Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1184903460 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Aug 4, 2011 |
| Last updated in NPPES | Aug 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 2011022952 | MO |
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 - Certified Registered Nurse Anesthetist (CRNA) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 138 across 39 procedure codes |
| Paid by Medicare | $15,542 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Citizens Memorial Hospital DistrictBolivar, MO · 54 clinicians
Hospital affiliation
- Citizens Memorial HospitalBolivar, MO
Industry payments (Open Payments)
- 2024$45.83 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $24.23 | 1 |
| Pacira Pharmaceuticals Incorporated | $21.60 | 1 |
What the 2024 payments were for
- Food and Beverage$45.83 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records