Stacey Clark, PA
NPI 1710968763ActiveIndividual· Physician Assistant· Penacook, NH
Physician Assistant (PA) with Concord Hospital Inc, practicing in Penacook, New Hampshire. Their prescriptions cost Medicare Part D more than their services did: $274,781 for 2,221 claims, against $25,493 paid for services in 2024. Boston Scientific Corporation reported $35.20 in payments in 2025, mostly food and beverage. Lists Concord Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1710968763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 8, 2005 |
| Last updated in NPPES | Sep 30, 2022 |
| Certified by provider | Sep 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0622 | NH |
| Physician Assistant, Medical | 363AM0700X | 2511 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 413 across 13 procedure codes |
| Paid by Medicare | $25,493 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,221 · 4,799 30-day fills |
|---|---|
| Patients | 225 |
| Total drug cost | $274,781 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Concord Hospital IncConcord, NH · 567 clinicians
Hospital affiliations
- Concord HospitalConcord, NH
- Concord Hospital- FranklinFranklin, NH
Other facilities
- Granite Vna, IncHome health agency · Concord, NH
Industry payments (Open Payments)
- 2025$35.20 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $35.20 | 1 |
What the 2025 payments were for
- Food and Beverage$35.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Penacook
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