Individual provider Active NPI

Alexander Chase Clark, PA-C

  • Orthopaedic Surgery of the Spine Physician
  • Wexford, PA
National Provider Identifier
1740068683
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MA064980 Issued in PA
Practice address
12680 Perry Hwy Ste 201
Wexford, PA 15090-8887
Phone
(724) 714-5189
NPI assigned
Sep 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MA064980 PA Primary

Addresses

Primary practice location

12680 Perry Hwy Ste 201
Wexford, PA 15090-8887

Mailing address

12680 Perry Hwy Ste 201
Wexford, PA 15090-8887
Phone (724) 720-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231125000151 PA Practitioner - Physician Assistant 4981052388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

111 Hazel LN
Sewickley, PA 15143-1253
Phone (724) 720-4600

12680 Perry Hwy
Suite 201
Wexford, PA 15090-8887
Phone (412) 782-3990

12680 Perry Hwy 201
Wexford, PA 15090-8887
Phone (866) 804-5282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA064980PAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Oct 10, 2023 Accepting new patients
Upmc Community Medcine Inc CurrentSince Oct 10, 2023 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

400 Oxford Dr
Ste 100
Monroeville, PA 15146
Phone (412) 478-9747

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

111 Hazel Ln
Fl 2
Sewickley, PA 15143

12680 Perry Hwy
Wexford, PA 15090
Phone (724) 720-4500

12680 Perry Hwy
Ste 201
Wexford, PA 15090
Phone (412) 782-3990

Interoperability endpoints

  • Direct secure messaging: alexander.c.clark@upmcdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1740068683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12680 PERRY HWY STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908887",
            "telephone_number": "724-720-4600",
            "fax_number": "724-720-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12680 PERRY HWY STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908887",
            "telephone_number": "724-714-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALEXANDER",
        "middle_name": "CHASE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MA064980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.