Doctor profile · Federal record

Dr. Micah Clutter

Physician Assistant · Athletic Trainer · Rockford, IL

  • NPI 1053948521
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
324 Roxbury RD
Rockford, IL 611075090
(815) 398-9491
fax (815) 381-7498
Mailing address
Box 78534
Milwaukee, WI 532788534

Credentials & registration

NPPES · NUCC
NPI registered
March 2020 — 6 yrs on file
Profile last updated
July 30, 2020
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Illinois #085-007766

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053948521. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
97
Distinct HCPCS
5
Medicare allowed
$4,148
HCPCS Description Services Patients Avg allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 31 19 $7
99213 Established patient office or other outpatient visit, 20-29 minutes 24 24 $72
20550 Injection into tendon or ligament 17 14 $43
73140 X-ray of finger, minimum of 2 views 13 11 $31
99203 New patient office or other outpatient visit, 30-44 minutes 12 12 $89

In context: peer comparison

Among 33 peers in this city , average services per provider: 151. This provider delivers 0.6× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
71
Patients
60
Total drug cost
$269
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 71 60 $269

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Micah Clutter's medical specialty?
Dr. Micah Clutter practices Physician Assistant in Rockford, IL.
Where does Dr. Micah Clutter practice?
Dr. Micah Clutter practices at 324 Roxbury RD, Rockford, IL 611075090. Office phone: 8153989491.
What is Dr. Micah Clutter's NPI?
Dr. Micah Clutter's National Provider Identifier (NPI) is 1053948521, issued by NPPES.
Does Dr. Micah Clutter accept Medicare assignment?
Yes. Dr. Micah Clutter accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Micah Clutter commonly perform?
Top Medicare-reported procedures in 2023: Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS J0702); Established patient office or other outpatient visit (HCPCS 99213); Injection into tendon or ligament (HCPCS 20550). Source: CMS Medicare Physician & Other Practitioners file.