TODD V CLARK (M.D.) – Dermatology Physician, NPI 1205078664
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 DERMATOLOGY in KY
Provider Addresses for TODD V CLARK (M.D.)
249 E BRANNON RD
NICHOLASVILLE, KY 403568059
Phone: (859) 354-5455
Fax: (859) 203-8833
Type: Mailing
250, Fountain Court, Lexington, Fayette County, Kentucky, 40509, United States
ATTN: LAUREN BRYANT
LEXINGTON, KY 405091888
Phone: (859) 263-4444
Fax: (859) 254-1814
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 324 Open Payments records for all available years, with a total value of $6,830.
Total Amount is formed as General ($6,830) + Research ($0) + Ownership ($0) = $6,830.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,460).
Total Amount
$6,830
General + Research + Ownership
Payments
324
Total payment records
General Amount
$6,830
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,460 |
| Janssen Biotech, Inc. | $1,266 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $708 |
| Sun Pharmaceutical Industries Inc. | $499 |
| Amgen Inc. | $461 |
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: 2022-11-14
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 |
|---|---|---|---|---|
| I20221114001986 | I | Dermatology | KY | 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 | 694 | 126 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 257 | 189 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 128 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 154 | 127 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 149 | 149 | $0 |
Insurance plans in this area (ZIP 40356)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | KY | 11101 | Biopsy of each additional growth of skin and/or tissue | 364 | 218 |
| DERMATOLOGY | KY | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 31 | 30 |
| DERMATOLOGY | KY | 17003 | Destruction of 2-14 skin growths | 2184 | 380 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Physician Assistant | KY |
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