Kenneth Clark, PA
NPI 1417903287 · Physician Assistant · Salisbury, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Clark, PA is a Physician Assistant provider in Salisbury, NC (NPI 1417903287).
Provider details
- NPI number
- 1417903287
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 103056 (NC)
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
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
120 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 43 | $137 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 32 | $56 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 31 | $72 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 14 | $160 |
Typical Medicare-allowed amounts for these services range $56–$160 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 103 | 68 |
| Amoxicillin | 70 | 43 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 68 | 35 |
| Ondansetron Hcl | 68 | 64 |
| Methylprednisolone | 35 | 31 |
| Tramadol Hcl | 35 | 21 |
| Meloxicam | 30 | 18 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Frequently asked questions
- What is Kenneth Clark's NPI number?
- Kenneth Clark's National Provider Identifier (NPI) is 1417903287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Clark's specialty?
- Kenneth Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Clark located?
- Kenneth Clark's practice location on file with NPPES is 810 Mitchell Ave, Salisbury, NC 28144-6253.
- What is Kenneth Clark's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Clark is (704) 603-1403.
- Does Kenneth Clark accept Medicare?
- Kenneth Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Clark's NPI active?
- Yes — Kenneth Clark's NPI (1417903287) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.