Kristen J. Clark, P.A.
NPI 1578527545ActiveIndividual· Physician Assistant· Winter Park, FL
Physician Assistant (P.A.) with The Ear Nose and Throat Surgical Associates PA, practicing in Winter Park, Florida. 142 Medicare patients in 2024, $15,485 paid; nearly all of their 203 Part D prescriptions were generic (97%). Lists Adventhealth Orlando as a hospital affiliation.
Overview
| NPI | 1578527545 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Apr 14, 2006 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 004548 | GA |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 142 |
|---|---|
| Services billed | 282 across 21 procedure codes |
| Paid by Medicare | $15,485 |
Part D prescriptions in 2024
| Prescriptions (claims) | 203 · 246 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $3,108 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- The Ear Nose and Throat Surgical Associates PAAltamonte Sprgs, FL · 47 clinicians
Hospital affiliation
- Adventhealth OrlandoOrlando, FL
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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