Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Clark Kellogg

Anesthesiologist Assistant โ€ข Mansfield, OH

Active NPI 1457098154 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

799 Lexington Ave
Mansfield, OH 449071906

Call 4197565133 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

799 Lexington Ave

Mansfield, OH 449071906

Telephone 4197565133
Fax 4197749707
Organization at the Same NPPES Address or Phone
Anesthesia Associates Of Mansfield, Inc Facility NPI 1407947815

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 1 group name: Anesthesia Associates Of Mansfield, Inc. 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

2022

Medicare patients

162 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $5,852 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $4,687 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 โ€“ by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $48.77 across 3 records.

By nature of payment

  • Food and Beverage: $48.77 across 3 records.

Reporting-company totals

  • Merck Sharp & Dohme LLC: $34.31 across 2 records.
  • KARL STORZ Endoscopy-America: $14.46 across 1 record.

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

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 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

2022

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, โ€œDoes your provider accept Medicare as full payment?โ€

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 Kellogg 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

Compared with the same specialty in Mansfield and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Anesthesiologist Assistant in Ohio (2024, 202 clinicians with data). Median for this group: 38. Middle half: 18 to 74.

Too few clinicians listed under Anesthesiologist Assistant in Mansfield have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Anesthesiologist Assistant in Ohio (2024, 202 clinicians with data). Median for this group: $3,538. Middle half: $1,726 to $6,954.

Too few clinicians listed under Anesthesiologist Assistant in Mansfield have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Anesthesiologist Assistant in Ohio (2024, 202 clinicians with data). Median for this group: $2,839. Middle half: $1,367 to $5,571.

Too few clinicians listed under Anesthesiologist Assistant in Mansfield have Medicare Part B data for 2024 to compare.

6 active clinicians are listed under Anesthesiologist Assistant with a practice address in Mansfield, OH (450 in Ohio).

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

Sources: CMS Medicare Physician & Other Practitioners (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 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

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $48.77.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $19.92
KARL STORZ Endoscopy-America
Food and Beverage
In-kind items and services
โ€” General $14.46
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $14.39

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 ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“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 โ€“ by Provider and Service data, 2023โ€“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
00811 Anesthesia for other procedure on large bowel using an endoscope
25 25 $318.80 $64.60
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
22 22 $345.45 $69.46
00910 Anesthesia for other procedure on urinary system through urethra
15 15 $344.00 $69.49
00790 Anesthesia for other procedure on upper abdomen
11 11 $750.45 $151.46

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-09
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

License # reported to NPPES OH 32698321

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

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: State Medical Board of Ohio.
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 - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20230103002254

Enrollment State Jurisdiction

OH

PECOS Control ID

5799155032

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

Anesthesia Associates Of Mansfield, Inc

799 Lexington Ave, Mansfield, OH 449071906

Phone: 4197565133

Clinicians Sharing This Practice Address or Phone

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

24 listed
Emile Abouhassan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1962707323

Certified Registered Nurse Anesthetist

Joel Baker

Anesthesiologist Assistant

NPI 1831546142
Esther Baumann , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013903319

Certified Registered Nurse Anesthetist

Garrett Bennett

Nurse Anesthetist, Certified Registered

NPI 1326768300
Bethany Biddle , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134424591

Certified Registered Nurse Anesthetist

NPI 1508270323

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Anesthesiologist Assistant (license number reported to NPPES: OH 32698321)

๐Ÿ“
Updated Practice Location November 04, 2022

Registered at 799 LEXINGTON AVE, MANSFIELD, OH 449071906 (Tel: 4197565133)

โœ…
NPI Profile Active May 16, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 16, 2022

Registered at 335 GLESSNER AVE, MANSFIELD, OH 449032269 (Tel: 4195268000)

๐Ÿ“
Business Mailing Address (Initial Record) May 16, 2022

Registered at 5910 BLUESTONE WAY, LEWIS CENTER, OH 430357550 (Tel: 6143012639)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 16, 2022

Recorded as CLARK KELLOGG

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Anesthesiologist Assistant

๐ŸŸข
Initial NPI Registration & Enumeration May 16, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1457098154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: January 09, 2023
Sole Proprietor: Yes

Other Anesthesiologist Assistants in Mansfield

Healthcare providers in Mansfield

Mailing Address

5910 Bluestone Way

Lewis Center, OH 430357550

Phone: 6143012639

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.