Doctor profile · Federal record
Dr. Ryan Clark, CRNA
Anesthesiologist Assistant (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Bolivar, MO
- NPI 1184903460
- Accepts Medicare
- MIPS 95.1 / 100 · 2023
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 N Oakland
Bolivar, MO 656133099
(417) 328-7705
Credentials & registration
- NPI registered
- August 2011 — 15 yrs on file
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 367H00000X — NUCC code
- State license (1)
- Missouri #2011022952
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184903460. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
36
Distinct HCPCS
2
Medicare allowed
$4,787
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $127 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $142 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 18. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$46
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $24.23 | |
| Pacira Pharmaceuticals Incorporated | 1 | $21.60 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Ryan Clark's medical specialty?
Dr. Ryan Clark practices Anesthesiologist Assistant in Bolivar, MO.
Where does Dr. Ryan Clark practice?
Dr. Ryan Clark practices at 1500 N Oakland, Bolivar, MO 656133099. Office phone: 4173287705.
What is Dr. Ryan Clark's NPI?
Dr. Ryan Clark's National Provider Identifier (NPI) is 1184903460, issued by NPPES.
Does Dr. Ryan Clark accept Medicare assignment?
Yes. Dr. Ryan Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ryan Clark commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.