Jacob Clark
NPI 1013614304 · Medical Physician Assistant · Peoria, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Clark is a Medical Physician Assistant provider in Peoria, IL (NPI 1013614304).
Provider details
- NPI number
- 1013614304
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
15 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 15 | $41 |
Typical Medicare-allowed amounts for these services range $41–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Frequently asked questions
- What is Jacob Clark's NPI number?
- Jacob Clark's National Provider Identifier (NPI) is 1013614304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Clark's specialty?
- Jacob Clark is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Clark located?
- Jacob Clark's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Jacob Clark's phone number?
- The practice phone number listed in the NPPES registry for Jacob Clark is (309) 655-2000.
- Does Jacob Clark accept Medicare?
- Jacob Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Clark's NPI active?
- Yes — Jacob Clark's NPI (1013614304) is active in the NPPES registry as of the last update on 2023-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.