STACI LEIGH CLUTTER PA-C NPI 1679054464

NPI Information

  • NPI: 1679054464
  • Provider Name: STACI LEIGH CLUTTER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 801 MEDICAL DR STE A
    LIMA, OH
    ZIP 45804
  • Phone: (419) 222-6622

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NPI Details

Staci Leigh Clutter, PA-C is a surgical physician assistant in Lima, OH with 12 years of experience. Staci Leigh Clutter, PA-C NPI is 1679054464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 MEDICAL DR STE A
LIMA, OH
ZIP 45804-030
Phone: (419) 222-6622
Fax: (419) 224-0015

The NPI 1679054464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)

The enumeration date for this NPI number is 8/28/2018 and was last updated on 2/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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