DR. ELIZABETH A CLARK (M.D.) – Dermatology Physician, NPI 1427033463
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ELIZABETH A CLARK (M.D.)
12469, Emerald Coast Parkway West, Miramar Beach, Walton County, Florida, 32550, United States
STE 101
MIRAMAR BEACH, FL 325508305
Phone: (850) 654-3376
Fax: (850) 654-3320
Type: Mailing
4400 E HIGHWAY 20
STE 410
NICEVILLE, FL 325788779
Phone: (850) 654-3376
Fax: (850) 654-3320
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-06-21 • Largest payer in this snapshot: GENZYME CORPORATION ($24).
Total Amount
$89
General + Research + Ownership
Payments
4
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $24 |
| Sun Pharmaceutical Industries Inc. | $23 |
| Amgen Inc. | $23 |
| Regeneron Healthcare Solutions, Inc. | $20 |
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: 2011-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110112000051 | I | Dermatology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 414 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 216 | 182 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 173 | 147 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 105 | 71 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 100 | 91 | $0 |
Insurance plans in this area (ZIP 32550)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 888 | 177 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Plastic And Reconstructive Surgery | OH | |
| D E R M A T O L O G Y | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | AL | |
| D E R M A T O L O G Y | FL |
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