Roy Ellis Clark, M.S., CCC-A
NPI 1285808188ActiveIndividual· Audiologist· Columbus, IN
Audiologist (M.S., CCC-A) with Otolaryngology Specialty Care LLC, practicing in Columbus, Indiana. Medicare paid $3,151 for services to 84 patients in 2024.
Overview
| NPI | 1285808188 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-A |
| Sole proprietor | Yes |
| NPI issued | Apr 22, 2008 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | May 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 23002042 | IN |
| Audiologist-Hearing Aid Fitter | 237600000X | 23002042 | IN |
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 - Qualified Audiologist (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 152 across 5 procedure codes |
| Paid by Medicare | $3,151 |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Otolaryngology Specialty Care LLCBatesville, IN · 3 clinicians
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