Micah Lynn Ann Clutter
Physician Assistant โข Rockford, IL
324 Roxbury Rd
Rockford, IL 611075090
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 25, 2020; this date does not establish years in practice.
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Published CMS data list 191 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J0702 โ Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 61 service units.
- 99213 โ Established patient outpatient office visit: 44 service units.
- 99203 โ New patient outpatient office visit: 24 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 97 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 97 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Rockford, IL (2024, 61 clinicians with data). Median for this group: 292. Middle half: 113 to 671.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 69 in 2022 to 191 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
324 Roxbury Rd
Rockford, IL 611075090
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Orthopaedic Associates Of Wisconsin Sc. 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
2020
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
96 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $8,427 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $6,358 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 โ by Provider and Service, 2024.
30-day fills
97 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
$349 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $13.42 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2020
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Micah Clutter 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.
Can order Medicare-covered services
CMS lists Micah Clutter 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Rockford and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Rockford, IL (2024, 61 clinicians with data). Median for this group: 292. Middle half: 113 to 671.
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
A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Rockford, IL (2024, 61 clinicians with data). Median for this group: $19,063. Middle half: $7,861 to $32,260.
A lower Medicare-allowed amount than 65% of 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 70% of clinicians listed under Physician Assistant in Rockford, IL (2024, 61 clinicians with data). Median for this group: $14,273. Middle half: $5,960 to $23,508.
A lower Medicare payment amount than 65% of 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
Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Rockford, IL (2024, 69 clinicians with data). Median for this group: 213. Middle half: 95 to 675.
Fewer Part D prescriptions than 65% 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 lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Rockford, IL (2024, 69 clinicians with data). Median for this group: $1,303. Middle half: $506 to $21,994.
A lower Part D drug cost than 80% 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.
115 active clinicians are listed under Physician Assistant with a practice address in Rockford, IL (4,929 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Rockford
5.2% of these 115 clinicians have the CMS telehealth indicator.
67.8% of these 115 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 177% from 69 in 2022 to 191 in 2024.
- 2022: 69
- 2023: 97
- 2024: 191
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Medicare-allowed amount
Medicare-allowed amount increased 188% from $2,928 in 2022 to $8,427 in 2024.
- 2022: $2,928
- 2023: $4,149
- 2024: $8,427
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Paid by Medicare
Paid by Medicare increased 179% from $2,277 in 2022 to $6,358 in 2024.
- 2022: $2,277
- 2023: $3,201
- 2024: $6,358
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 49% from 65 in 2022 to 97 in 2024.
- 2022: 65
- 2023: 71
- 2024: 97
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30-day fills
30-day fills increased 49% from 65 in 2022 to 97 in 2024.
- 2022: 65
- 2023: 71
- 2024: 97
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Part D drug cost
Part D drug cost went from $308 in 2022 to $349 in 2024.
- 2022: $308
- 2023: $269
- 2024: $349
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $46.14 in 2021 to $13.42 in 2023.
- 2021: $46.14
- 2022: $18.06
- 2023: $13.42
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $13.42.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| KCI USA, Inc. |
Food and Beverage
Cash or cash equivalent
|
PREVENA | General | $13.42 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 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 โ by Provider and Service data, 2022โ2024; 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 |
|---|---|---|---|---|
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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61 | 24 | $10.40 | $7.01 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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44 | 38 | $209.77 | $70.93 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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24 | 24 | $297.50 | $88.20 |
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73110
X-ray of wrist, minimum of 3 views
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20 | 15 | $140.00 | $31.26 |
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73080
X-ray of elbow, minimum of 3 views
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18 | 17 | $128.89 | $26.23 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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13 | 13 | $306.92 | $102.31 |
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73030
X-ray of shoulder, minimum of 2 views
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11 | 11 | $130.91 | $30.42 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 97 | 169 | $349.01 | 87 |
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
Self-certified to NPPES: 2020-07-30NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 2255A2300X
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20211202002134
WI
0345665071
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
Orthopaedic Associates Of Wisconsin Sc
N15w28300 Golf Rd, Pewaukee, WI 530724800
Phone: 2623035055
Orthopaedic Associates Of Wisconsin Sc
285 S Moorland Rd, Brookfield, WI 530054207
Phone: 2623035055
Orthopaedic Associates Of Wisconsin Sc
1231 S Rochester St, Mukwonago, WI 531499040
Phone: 2623035055
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Rheumatology
Doctor of Osteopathic Medicine (D.O.)
Physical Therapist
Doctor of Physical Therapy
Nurse Practitioner
Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Physical Therapist
Doctor of Physical Therapy
Physical Therapist
Doctor of Physical Therapy
Podiatrist
Doctor of Podiatric Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 324 ROXBURY RD, ROCKFORD, IL 611075090 (Tel: 8153989491)
Registered at BOX 78534, MILWAUKEE, WI 532788534 (Tel: 8153989491)
NPI status registered as active in NPPES database
Registered at 625 ENTERPRISE DR, OAK BROOK, IL 605238813 (Tel: 8154944360)
Registered at 134 RUDDER RD, MACHESNEY PARK, IL 611154012 (Tel: 8154944360)
Recorded as MICAH CLUTTER
Specialist/Technologist
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Rockford
- Arnaud Brisard, PA-C
- Gregory Campbell, PA-C
- Matthew Schwabero, PA-C
- Thomas Hans, PA-C
- Matthew Morris, PA-C
- Carlie Combs, PA-C
More public profiles in Illinois
Directory navigation, in NPI number order.
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- Daniel Levin, MD Pain Medicine - Pain Medicine ยท Gurnee
- Kurt Bloomstrand, MD Emergency Medicine ยท Urbana
- Jennifer Chu, OD Optometrist ยท Coal City
- Mira Dvivedi, MD Family Medicine ยท Decatur
- Paul Lantz, DPM Podiatrist - Foot & Ankle Surgery ยท Chicago
- Ali Anwar, DO Psychiatry & Neurology - Psychiatry ยท Elgin
- Mariam Mafee, MD Dermatology - MOHS-Micrographic Surgery ยท Naperville
- Randi Hahn, FNP Nurse Practitioner - Family ยท Joliet
Mailing Address
Box 78534
Milwaukee, WI 532788534
Phone: 8153989491