Doctor profile · Federal record
Dr. Clark Kellogg
Anesthesiologist Assistant (CMS: Anesthesiology Assistant) · Mansfield, OH
- NPI 1457098154
- Accepts Medicare
- 4 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
799 Lexington Ave
Mansfield, OH 449071906
(419) 756-5133
fax (419) 774-9707 - Mailing address
-
5910 Bluestone Way
Lewis Center, OH 430357550
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- January 9, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 367H00000X — NUCC code
- State license (1)
- Ohio #32698321
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457098154. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
16
Distinct HCPCS
1
Medicare allowed
$1,144
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $71 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 16. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$68
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mindray DS USA, Inc. | 1 | $33.86 | |
| KARL STORZ Endoscopy-America | 1 | $18.05 | |
| Merck Sharp & Dohme LLC | 1 | $15.62 |
By nature of payment
Frequently asked questions
What is Dr. Clark Kellogg's medical specialty?
Dr. Clark Kellogg practices Anesthesiologist Assistant in Mansfield, OH.
Where does Dr. Clark Kellogg practice?
Dr. Clark Kellogg practices at 799 Lexington Ave, Mansfield, OH 449071906. Office phone: 4197565133.
What is Dr. Clark Kellogg's NPI?
Dr. Clark Kellogg's National Provider Identifier (NPI) is 1457098154, issued by NPPES.
Does Dr. Clark Kellogg accept Medicare assignment?
Yes. Dr. Clark Kellogg accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Clark Kellogg commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.