Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Clark Anderson , PA-C

Physician Assistant • Peoria, IL

Active NPI 1750460481 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1001 Main St, Suite 500a
Peoria, IL 616061907

Call 3096724980 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 Main St
Suite 500a

Peoria, IL 616061907

Telephone 3096724980
Fax 3096712979
Organization at the Same NPPES Address or Phone
Peoria Pulmonary Associates, Ltd. Facility NPI 1831143585

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Mason Hospital District; Springfield Clinic, Llp. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2006

Medicare patients

133 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $17,922 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $10,551 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,032 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,972,519 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,022.07 across 87 records.

By nature of payment

  • Food and Beverage: $1,993.11 across 84 records.
  • Education: $28.96 across 3 records.

Reporting-company totals (3 largest of 15)

  • Janssen Pharmaceuticals, Inc: $610.18 across 22 records.
  • ABBVIE INC.: $558.22 across 27 records.
  • Takeda Pharmaceuticals U.S.A., Inc.: $241.54 across 14 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Clark Anderson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Clark Anderson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Peoria and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Peoria, IL (2024, 48 clinicians with data). Median for this group: 294. Middle half: 81 to 843.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Peoria, IL (2024, 48 clinicians with data). Median for this group: $20,694. Middle half: $8,428 to $36,280.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Peoria, IL (2024, 48 clinicians with data). Median for this group: $14,513. Middle half: $6,333 to $25,291.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Peoria, IL (2024, 53 clinicians with data). Median for this group: 293. Middle half: 148 to 886.

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Peoria, IL (2024, 53 clinicians with data). Median for this group: $12,297. Middle half: $1,391 to $69,208.

A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

95 active clinicians are listed under Physician Assistant with a practice address in Peoria, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

10.5% of these 95 clinicians have the CMS telehealth indicator.

64.2% of these 95 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 87 records totaling $2,022.07.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $144.75
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $131.46
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $114.48
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $101.65
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $85.82
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
Livdelzi General $85.29
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $76.96
Aimmune Therapeutics, Inc.
Food and Beverage
In-kind items and services
ZENPEP General $39.00
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $34.46
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $31.22
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $30.96
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $29.25
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $28.11
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $27.45
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
— General $26.97
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $25.74
Ethicon Inc.
Food and Beverage
In-kind items and services
Megadyne General $25.41
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $25.20
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $24.53
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $24.39
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $24.27
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $23.81
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $22.75
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $22.48
Sebela Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
SUFLAVE General $22.37

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
77 73 $284.57 $118.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 17 $751.68 $150.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $665.85 $137.37
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
18 18 $194.28 $84.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $481.54 $93.54

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 90 6,590 $1,423.33 34
Pantoprazole Sodium Pantoprazole Sodium 89 5,976 $1,207.64 28
Stelara Ustekinumab 87 3,536 $2,252,938.06 20
Mesalamine Mesalamine 67 4,230 $17,371.44 19
Famotidine Famotidine 37 2,761 $335.86 13
Dicyclomine Hcl Dicyclomine Hcl 29 354 $295.92 —
Skyrizi On-Body Risankizumab-Rzaa 28 1,568 $611,528.35 —
Linzess Linaclotide 23 1,230 $21,701.03 —
Esomeprazole Magnesium Esomeprazole Magnesium 18 1,200 $555.20 —
Movantik Naloxegol Oxalate 16 449 $6,399.65 —
Colestipol Hcl Colestipol Hcl 15 1,090 $2,150.47 —
Creon Lipase/Protease/Amylase 12 420 $55,738.28 —
Mercaptopurine Mercaptopurine 11 692 $873.49 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085-002809

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20071001000068

Enrollment State Jurisdiction

IL

PECOS Control ID

8628163011

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Springfield Clinic, Llp

1001 Main St, Peoria, IL 616062036

Phone: 2175287541

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Mason Hospital District

615 N Promenade St, Havana, IL 626441243

Phone: 3095438510

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Terry Baldwin , MD

Internal Medicine - Gastroenterology

NPI 1346276284

Doctor of Medicine (M.D.)

Alyssa Carroll , PA-C

Physician Assistant

NPI 1902428808

Physician Assistant (Certified)

Brynn Cinnamon , APN, CNP

Nurse Practitioner

NPI 1154555852

Advanced Practice Nurse, Certified Nurse Practitioner

Amy Durst , APN

Nurse Practitioner - Family

NPI 1174025357

Advanced Practice Nurse

Kristene Flanagan , APRN

Nurse Practitioner - Family

NPI 1629644836

Advanced Practice Registered Nurse

Jennifer Greenwood

Nurse Practitioner - Family

NPI 1316492432

Career & Practice History

NPI enumerated November 03, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1750460481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: December 10, 2014
Sole Proprietor: No

Other Physician Assistants in Peoria

All Physician Assistants in Peoria

Mailing Address

Po Box 365

Morton, IL 615500365

Phone: 3096724980

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.