Jevin Clark, MD
NPI 1912698648ActiveIndividual· Pediatrics· Providence, RI
Pediatrics (MD) in Providence, Rhode Island, licensed in RI, with an NPI issued in May 2023. Part D covered 82 prescriptions written in 2024, 72% of them generic.
Overview
| NPI | 1912698648 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 15, 2023 |
| Last updated in NPPES | Jun 23, 2023 |
| Certified by provider | Jun 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | CLP05853 | RI |
| Internal Medicine | 207R00000X | CLP05853 | RI |
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 Order and Referring Only - Pediatric Medicine (RI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 82 · 155 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $21,135 |
| Generic share | 72% of claims |
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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