Active NPI
Mark Reid Clutter, PA-C
- Physician Assistant
- Lorain, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50001285
- Practice address
- 3700 Kolbe Rd
Lorain, OH 44053-1611 - Phone
- (440) 960-3000
- NPI assigned
- Jun 2, 2006
- Reactivated
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50001285 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 50.001285 | OH |
Addresses
Primary practice location
3700 Kolbe Rd
Lorain, OH 44053-1611
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Park Centre Dr
Suite 304
Wadsworth, OH 44281-9482
Phone (330) 334-4620
16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500
1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500
2209 Crocker Rd
Suite D
Westlake, OH 44145-6727
Phone (440) 249-6060
303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444
3574 Ctr Rd
Brunswick, OH 44212-3618
Phone (330) 225-8886
3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810
6836 Ridge Rd
Parma, OH 44129-5627
Phone (216) 490-1120
716 N Court St
Medina, OH 44256-1748
Phone (330) 426-8700
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
900 N Leavitt Rd
Amherst, OH 44001-1137
Phone (440) 375-5280
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.78 of 100
- Quality
- 89.46
- Promoting interoperability
- 99.02
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 84.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.001285 | OH | MD | Emergency Medicine Physician |
| 50001285 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wooster Clinic, LLC | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Samaritan Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Emergency Professionals of Ohio, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Interoperability endpoints
- mclutter28503@ehrdirect.uhhospitals.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Urgent Care Clinic/Center
- Beachwood, OH
- NPI 1124765052
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1881164010
-
- Family Medicine Physician
- Avon, OH
- NPI 1184428336
-
- Nurse Practitioner
- Athens, OH
- NPI 1750313854
Physician Assistant
-
- Emergency Medicine Physician
- Bryan, OH
- NPI 1699165621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1245278555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KOLBE RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531611",
"telephone_number": "440-960-3000"
}
],
"practiceLocations": [
{
"address_1": "335 Glessner Ave",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032269",
"country_code": "US",
"telephone_number": "419-526-8000",
"fax_number": "419-521-7960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLUTTER",
"first_name": "MARK",
"middle_name": "REID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2024-11-05",
"deactivation_date": "2024-10-23",
"reactivation_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50001285",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "50.001285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.