Doctor profile · Federal record
Dr. Shanta Clark, P.A.-C
Physician Assistant · Dowagiac, MI
- NPI 1790169688
- MIPS 95.4 / 100 · 2023
- 11 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
58620 Sink RD, Pokagon Health Services
Dowagiac, MI 490479329
(269) 782-4141
Credentials & registration
- NPI registered
- July 2015 — 11 yrs on file
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601007413
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790169688. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15
Distinct HCPCS
1
Medicare allowed
$1,572
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 15 | 12 | $105 |
In context: peer comparison
Among 2 peers in Dowagiac Physician Assistant, average services per provider: 66. This provider delivers 0.2× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
85
Patients
11
Total drug cost
$1,228
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 27 | 11 | $305 |
| Amlodipine Besylate | Generic | 18 | 0 | $311 |
| Cyclobenzaprine Hcl | Generic | 18 | 0 | $273 |
| Losartan Potassium | Generic | 11 | 0 | $286 |
| Pantoprazole Sodium | Generic | 11 | 0 | $54 |
Frequently asked questions
What is Dr. Shanta Clark's medical specialty?
Dr. Shanta Clark practices Physician Assistant in Dowagiac, MI.
Where does Dr. Shanta Clark practice?
Dr. Shanta Clark practices at 58620 Sink RD, Dowagiac, MI 490479329. Office phone: 2697824141.
What is Dr. Shanta Clark's NPI?
Dr. Shanta Clark's National Provider Identifier (NPI) is 1790169688, issued by NPPES.
What procedures does Dr. Shanta Clark commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.