Nicole Clark
NPI 1720606130ActiveIndividual· Physician Assistant· Berlin, VT
Physician Assistant with Central Vermont Medical Center Inc, practicing in Berlin, Vermont. In 2024 Medicare paid $60,463 for 311 patients, and Part D covered 518 of their prescriptions, 88% of them generic. Boston Scientific Corporation reported $25.28 in payments in 2025, mostly food and beverage. Lists Central Vermont Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1720606130 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 13, 2020 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 055-0031682 | VT |
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 (PA); Practitioner - Physician Assistant (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 311 |
|---|---|
| Services billed | 834 across 16 procedure codes |
| Paid by Medicare | $60,463 |
Part D prescriptions in 2024
| Prescriptions (claims) | 518 · 555 30-day fills |
|---|---|
| Patients | 171 |
| Total drug cost | $34,594 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Central Vermont Medical Center IncBarre, VT · 232 clinicians
Hospital affiliations
- Central Vermont Medical CenterBarre, VT
- Univ. of Vermont - Fletcher Allen Health CareBurlington, VT
Industry payments (Open Payments)
- 2025$25.28 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $25.28 | 1 |
What the 2025 payments were for
- Food and Beverage$25.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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