DR. LESLEY CLARK-LOESER (M.D.) – Specialist, NPI 1265429583

DR. LESLEY CLARK-LOESER (M.D.) is a healthcare provider. based in Davie, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. ME92842 (FL). The NPI Number for DR. LESLEY CLARK-LOESER (M.D.) is 1265429583

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LESLEY CLARK-LOESER (M.D.)
NPI
1265429583
Phone
(954) 998-0345
Address
3501 S UNIVERSITY DR
Enumeration Date
3 October 2005
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9549980345
Graduation Year
1998 (28 years ago)
PAC ID
0244262731
Group Practice PAC ID
5991102154
Professional Enrollment ID
I20050906000708
Address ID
FL333282001DA3501XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. LESLEY CLARK-LOESER (M.D.)

  • 3501, South University Drive, Davie, Broward County, Florida, 33328, United States

    SUITE 5

    DAVIE, FL 333282001

    Phone: (954) 998-0345

    Fax: (954) 998-0344

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $3,640.

Total Amount is formed as General ($3,640) + Research ($0) + Ownership ($0) = $3,640.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($737).

Total Amount

$3,640

General + Research + Ownership

Payments

162

Total payment records

General Amount

$3,640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050906000708IDermatologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes269165$0
99214Established patient office or other outpatient visit, 30-39 minutes143102$0
11102Biopsy of related skin growth, first growth11789$0
17110Destruction of skin growth, 1-14 growths10077$0
17003Destruction of precancer skin growth, 2-14 growths6722$0
View full utilization report →

Insurance plans in this area (ZIP 33328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991102154View full group profile
NameSpecialtyState
Physician AssistantFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Physician AssistantFL

Reviews

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Frequently asked questions

Does DR. LESLEY CLARK-LOESER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LESLEY CLARK-LOESER (M.D.) uses 1265429583.
Does the file indicate DR. LESLEY CLARK-LOESER (M.D.) is practicing under active NPI?
Directory data currently reports DR. LESLEY CLARK-LOESER (M.D.) as active.
What is DR. LESLEY CLARK-LOESER (M.D.) best known for clinically?
Directory data describes DR. LESLEY CLARK-LOESER (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LESLEY CLARK-LOESER (M.D.)?
DR. LESLEY CLARK-LOESER (M.D.)'s geographic hint is Davie, Florida in our summary view.
Why does DR. LESLEY CLARK-LOESER (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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