Timothy Clark

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NPI Number Detailed Information

Provider Information:

Name:	Timothy Clark
Gender:	M
Provider License Number If Given:	10708

NPI Information:

NPI:	1629027974
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/6/2006
Last Update Date:	1/11/2023

Provider Business Mailing Address:

Address:	P O BOX 505 North Chili, NY 14514
Phone Number:	5855945995
Fax Number:	5855945425

Provider Business Practice Location Address:

Address:	4201 BUFFALO ROAD North Chili, NY 14514
Phone Number:	5855945995
Fax Number:	5855945425

Provider Taxonomy:

Primary:	363A00000X
Secondary (if any):
State:	NY

Top Doctors in NY

About Timothy Clark

Timothy Clark ( TIMOTHY CLARK ) is A Physician Assistant Physician in North Chili, NY. The NPI Number for Timothy Clark is 1629027974.

The current location address for Timothy Clark is 4201 BUFFALO ROAD North Chili, NY 14514 and the contact number is 5855945995 and fax number is 5855945425. The mailing address for Timothy Clark is P O BOX 505 North Chili, NY 14514- 5855945995 (mailing address contact number - 5855945995).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Business Location on Map

FAQs:

What is the NPI Number for Timothy Clark ?

Answer: The NPI Number for Timothy Clark is 1629027974

Where is Timothy Clark located?

Answer: Timothy Clark is located at 4201 BUFFALO ROAD North Chili, NY 14514.

What is the specialty for Timothy Clark ?

Answer: The Specialty of Timothy Clark is A Physician Assistant Physician.

Are there any online reviews for Timothy Clark ?

Answer: Not yet!

Are there any other health care providers in North Chili, NY?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Timothy Clark

Number of HCPCS	31
Number of Medicare Beneficiaries	74
Number of Services	454
Total Submitted Charge Amount	60155.08
Total Medicare Allowed Amount	38506.86
Total Medicare Payment Amount	29242.1
Total Medicare Standardized Payment Amount	29144.64
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	6
Number of Medicare Beneficiaries With Drug Services	23
Number of Drug Services	34
Total Drug Submitted Charge Amount	2145
Total Drug Medicare Allowed Amount	1846.13
Total Drug Medicare Payment Amount	1830.25
Total Drug Medicare Standardized Payment Amount	1793.63
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	25
Number of Medicare Beneficiaries With Medical	74
Number of Medical Services	420
Total Medical Submitted Charge Amount	58010.08
Total Medical Medicare Allowed Amount	36660.73
Total Medical Medicare Payment Amount	27411.85
Total Medical Medicare Standardized Payment Amount	27351.01
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	28
Number of Beneficiaries Age 75 to 84	22
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	33
Number of Male Beneficiaries	41
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.34
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.18
Percent (%) of Beneficiaries Identified With Diabetes	0.24
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.55
Percent (%) of Beneficiaries Identified With Hypertension	0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.3
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.24
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0537

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	5498
Number of Standardized 30-Day Fills	12339.466667
Aggregate Cost Paid for All Claims	475948.09
Number of Day's Supply for All Claims	363581
Number of Medicare Beneficiaries	438
Number of Claims, Including Refills, for Beneficiaries Age 65+	4954
Including Refills, for Beneficiaries Age 65+	11234.1
Beneficiaries Age 65+	407444.24
Number of Day's Supply for All Claims for Beneficaries Age 65+	331127
Number of Medicare Beneficiaries Age 65+	412
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	593
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	4854
Aggregate Cost Paid for Generic Drugs	128688.61
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	51
Aggregate Cost Paid for Other Drugs	3377.75
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	4596
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	381459.39
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	902
Aggregate Cost Paid for Claims Filled by	94488.7
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	773
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	116866.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	4725
by Low-Income Subsidy	359081.84
Total Claims of Opioid Drugs, Including	215
Aggregate Cost Paid for Opioid Drugs	7047.17
Opioid Claims	39
Opioid_Tot_Clms divided by the Tot_Clms	3.9105129138
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	122
Aggregate Cost Paid for Antibiotic Drugs	2781.3
Antibiotic Claims	57
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	54
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	1262.17
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	74.52283105
Number of Beneficiaries Age Less Than 65	26
Number of Beneficiaries Age 65 to 74	213
Number of Beneficiaries Age 75 to 84	130
Number of Female Beneficiaries	195
Number of Male Beneficiaries	243
Number of Non-Hispanic White	402
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	21
Only Entitlement	407
Average Hierarchical Condition Category	0.9670484161

More Providers in North Chili , NY

Timothy Clark
Physician Assistant
NPI Number: 1629027974
Address: 4201 BUFFALO ROAD North Chili, NY 14514 , Phone: 5855945995

Dr. Henry M. Paszko
Family Medicine Physician
NPI Number: 1043260730
Address: 4201 BUFFALO RD BOX 505 North Chili, NY 14514 , Phone: 5855945995

Rachel J Forberg
Registered Nurse
NPI Number: 1497791271
Address: 4201 BUFFALO RD STE 1 North Chili, NY 14514 , Phone: 5855945995

Dr. Nancy Ann Ciavarri
Family Medicine Physician
NPI Number: 1346286614
Address: 4201 BUFFALO ROAD SUITE 1 North Chili, NY 14514 , Phone: 5855945995

Mr. Jonathan Hager
Internal Medicine Physician
NPI Number: 1114941846
Address: 4201 BUFFFALO ROAD North Chili, NY 14514 , Phone: 5855945995

Dr. Kimberly Ann Richards
General Practice Dentistry
NPI Number: 1588677041
Address: 4415 BUFFALO RD North Chili, NY 14514 , Phone: 5855949177

Carol Coy
Nurse Practitioner
NPI Number: 1841304656
Address: 4201 BUFFALO ROAD, SUITE 1 North Chili, NY 14514 , Phone: 5855945995

Christine A. Rodgers
Physician Assistant
NPI Number: 1871696401
Address: 4201 BUFFALO RD North Chili, NY 14514 , Phone: 5855945995

Dr. Mark Anthony Klier
Pediatrics Physician
NPI Number: 1801992771
Address: 4415 BUFFALO RD SUITE 1B North Chili, NY 14514 , Phone: 5855949254

Mrs. Crystal Bateman
Pediatric Nurse Practitioner
NPI Number: 1972609709
Address: 4415 BUFFALO RD SUITE 1B North Chili, NY 14514 , Phone: 5855949254

Dr. Charles Lewis Bruehl
Pediatrics Physician
NPI Number: 1306942123
Address: 4415 BUFFALO RD SUITE 1B North Chili, NY 14514 , Phone: 5855949254

Eckerd Corporation
Durable Medical Equipment & Medical Supplies
NPI Number: 1215036561
Address: 4374 BUFFALO ROAD North Chili, NY 14514 , Phone: 5855948700

Dr. Kathryn Teresa Vullo
Clinical Psychologist
NPI Number: 1184724841
Address: 3965 UNION ST North Chili, NY 14514 , Phone: 5854245980

Dr. William J O'Neal
General Practice Dentistry
NPI Number: 1962586081
Address: 4415 BUFFALO RD North Chili, NY 14514 , Phone: 5855949166

H. Douglas Jones JR.
Dentist
NPI Number: 1831305549
Address: 4415 BUFFALO RD STE. 10 North Chili, NY 14514 , Phone: 5855944334

Isgoohi Washington
Registered Nurse
NPI Number: 1710196837
Address: 9 TYNEDALE WAY North Chili, NY 14514 , Phone: 5855034573

Churchville-Chili Family Medicine, Llc
Clinic/Center
NPI Number: 1326231291
Address: 4201 BUFFALO RD BOX 505 North Chili, NY 14514 , Phone: 5855945995

Dr. Ryan Bailey Swain
General Practice Dentistry
NPI Number: 1316130214
Address: 3258 UNION ST North Chili, NY 14514 , Phone: 5855940606

Philip Douglas Graham
Surgical Physician Assistant
NPI Number: 1922289107
Address: 4201 BUFFALO ROAD SUITE 1 North Chili, NY 14514 , Phone: 5855945995

Walgreen Co
Durable Medical Equipment & Medical Supplies
NPI Number: 1235386756
Address: 4366 BUFFALO RD North Chili, NY 14514 , Phone: 5855945689

Karley Smith
Registered Nurse
NPI Number: 1538304530
Address: 113 PARKWAY North Chili, NY 14514 , Phone: 5855943070

Mrs. Shondell Lynette Peoples
Licensed Practical Nurse
NPI Number: 1750526695
Address: 125 MEADOW FARM N North Chili, NY 14514 , Phone: 5855940354

Mrs. Melissia Amanda Torres
Registered Nurse
NPI Number: 1679717102
Address: 61 W HAM CIR North Chili, NY 14514 , Phone: 5855714186

Dr. Jacob W Phillips
General Practice Physician
NPI Number: 1730317868
Address: 4201 BUFFALO ROAD, SUITE 1 North Chili, NY 14514 , Phone: 5855945995

Kristi Lyn Rood
Clinical Social Worker
NPI Number: 1821226663
Address: 4201 BUFFALO RD North Chili, NY 14514 , Phone: 5855945995

Mrs. Colleen Irene Kurdziel
Pharmacist
NPI Number: 1790916682
Address: 4366 BUFFALO RD North Chili, NY 14514 , Phone: 5855945689

Jessica M. Logan
Speech-Language Pathologist
NPI Number: 1306179742
Address: 3 SPRINGBROOK DR North Chili, NY 14514 , Phone: 5852082192

Michelle Lynn Matt
Pharmacist
NPI Number: 1598087397
Address: 4366 BUFFALO RD North Chili, NY 14514 , Phone: 5855945689

Rite Aid Corp.
Community/Retail Pharmacy
NPI Number: 1306168042
Address: 4374 BUFFALO RD North Chili, NY 14514 , Phone: 5855948700

Sigrun Hannelore Miller
Pharmacist
NPI Number: 1528381142
Address: 4374 BUFFALO RD North Chili, NY 14514 , Phone: 5855948700

Ms. Claudia Coke
Licensed Practical Nurse
NPI Number: 1346561347
Address: 46 RIO GRANDE DR North Chili, NY 14514 , Phone: 5858899232

Rainbow Medical Home Pediatrics, Llc
Pediatrics Physician
NPI Number: 1215243449
Address: 4415 BUFFALO RD North Chili, NY 14514 , Phone: 5855945008

Mrs. Janel Jacelyn Davis Hunley
Licensed Practical Nurse
NPI Number: 1437453586
Address: 75 MEADOW FARM S North Chili, NY 14514 , Phone: 5856152467

Dr. Christopher Khamphoune
Internal Medicine Physician
NPI Number: 1457641557
Address: 4201 BUFFALO RD North Chili, NY 14514 , Phone: 5855945995

Janet Stevens
Registered Nurse
NPI Number: 1063705564
Address: 81 WEST HAM CIR North Chili, NY 14514 , Phone: 5858899011

Dr. Gretchen Ann Mims
School Social Worker
NPI Number: 1639455348
Address: 81 BOLTON TRL North Chili, NY 14514 , Phone: 5858896429

Ms. Orlee Stekel-Perna
Clinical Social Worker
NPI Number: 1518230218
Address: 4370 BUFFALO RD North Chili, NY 14514 , Phone: 5857393983

Hui Ruth Cai
Family Medicine Physician
NPI Number: 1982978110
Address: 4201 BUFFALO RD North Chili, NY 14514 , Phone: 5855945995

Patricia Ciulla
Home Health Registered Nurse
NPI Number: 1588924302
Address: 46 ARTHURIAN WAY North Chili, NY 14514 , Phone: 5852694104

Mrs. Deborah Baran
Specialist
NPI Number: 1063775294
Address: 41 GILEAD HILL RD North Chili, NY 14514 , Phone: 5855061111

Mrs. Nicole Sue Smith
Registered Nurse
NPI Number: 1780934547
Address: 41 ARTHURIAN WAY North Chili, NY 14514 , Phone: 8102755533

Dr. Kelsey A Lunt
Chiropractor
NPI Number: 1427394907
Address: 4332 BUFFALO RD North Chili, NY 14514 , Phone: 5855940026

Shahid Ali Np Psychiatry And Family Medicine Pc
Primary Care Clinic/Center
NPI Number: 1851736466
Address: 4370 BUFFALO RD North Chili, NY 14514 , Phone: 5856838515

Robert Patrick Lawler
Physician Assistant
NPI Number: 1528495777
Address: 4201 BUFFALO RD North Chili, NY 14514 , Phone: 5855945995

Natalia Enid Reyes
Licensed Practical Nurse
NPI Number: 1154752061
Address: 51 SUNNYSIDE LN North Chili, NY 14514 , Phone: 5853553151

Mrs. Jenny Seaburg
Community Health Registered Nurse
NPI Number: 1336561422
Address: 142 CHRISTINA DR North Chili, NY 14514 , Phone: 5856906669

Elizabeth Dingus
School Psychologist
NPI Number: 1669897633
Address: 16 LIVERPOOL HTS North Chili, NY 14514 , Phone: 5858800403

Mark Myers
Athletic Trainer
NPI Number: 1992125496
Address: 7 LINNEA LN North Chili, NY 14514 , Phone: 5853145638

Ms. Tinisha Yvette Baxter
Registered Nurse
NPI Number: 1053710335
Address: 17 TYNEDALE WAY North Chili, NY 14514 , Phone: 5853699633

Mary E Tisdale
Licensed Practical Nurse
NPI Number: 1639570898
Address: 215 MEADOW FARM S North Chili, NY 14514 , Phone: 5856943472

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