DR. CLARENCE W. JR. BROWN (M.D.) – Dermatology Physician, NPI 1386654390
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for DR. CLARENCE W. JR. BROWN (M.D.)
8780 W Golf Rd Ste 303
Niles, IL 607145611
Phone: (847) 229-1044
Fax: (847) 299-0425
Type: Location
2740 W Foster Ave Ste 105
Chicago, IL 606253547
Phone: (773) 999-5010
Fax: (773) 942-6318
Type: Location
1836 SOUTH AVE
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Mailing
2570, Niles Road, Vineland, Saint Joseph Charter Township, Berrien County, Michigan, 49085, United States
SAINT JOSEPH, MI 490853203
Phone: (269) 985-0021
Fax: (269) 281-0281
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $19 |
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: 2023-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20091014000328 | I | Dermatology | MI | TBD |
| I20100226000130 | I | Dermatology | IL | TBD |
| I20220719000796 | I | Dermatology | WI | TBD |
| I20231109002009 | I | Dermatology | MN | 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 | 330 | 90 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 291 | 249 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 182 | 141 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 180 | 180 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 164 | 152 | $0 |
Insurance plans in this area (ZIP 60714)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MI | 11101 | Biopsy of each additional growth of skin and/or tissue | 116 | 80 |
| DERMATOLOGY | MI | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 76 | 76 |
| DERMATOLOGY | MI | 17003 | Destruction of 2-14 skin growths | 478 | 120 |
| DERMATOLOGY | MI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 26 | 19 |
| DERMATOLOGY | MI | 88342 | Tissue or cell analysis by immunologic technique | 61 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| - | IL | |
| - | WI | |
| Gastroenterology, Internal Medicine | WI |
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