Dominique Clark
NPI 1700255726ActiveIndividual· Physician Assistant· Greenbelt, MD
Physician Assistant with Columbia Associates in Psychiatry PC and 1 other group, practicing in Greenbelt, Maryland. Their prescriptions cost Medicare Part D more than their services did: $17,805 for 557 claims, against $10,757 paid for services in 2024.
Overview
| NPI | 1700255726 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2015 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Dec 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | C0005875 | MD |
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 (DC); Practitioner - Physician Assistant (MD); Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 133 across 3 procedure codes |
| Paid by Medicare | $10,757 |
Part D prescriptions in 2024
| Prescriptions (claims) | 557 · 769 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $17,805 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Columbia Associates in Psychiatry PCAldie, VA · 149 clinicians
- Families First Counseling and Psychiatry LLCOlney, MD · 25 clinicians
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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