Jimmy Clark Jr., P.A. - C
NPI 1891164372ActiveIndividual· Physician Assistant· Madison, WI
Physician Assistant (P.A. - C) with Stoughton Hospital Association, practicing in Madison, Wisconsin. 79 Medicare patients in 2024, $5,577 paid; nearly all of their 157 Part D prescriptions were generic (90%). Lists Stoughton Hospital as a hospital affiliation.
Overview
| NPI | 1891164372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. - C |
| Sole proprietor | No |
| NPI issued | Sep 15, 2015 |
| Last updated in NPPES | Jun 9, 2026 |
| Certified by provider | Jun 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3614 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 84 across 17 procedure codes |
| Paid by Medicare | $5,577 |
Part D prescriptions in 2024
| Prescriptions (claims) | 157 · 158 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $4,590 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Stoughton Hospital AssociationStoughton, WI · 66 clinicians
Hospital affiliation
- Stoughton HospitalStoughton, WI
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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All 396 physician assistants in Madison · All physician assistants in Wisconsin