DR. ANGELA MARIE CLAY (D.O.) – Dermatology Physician, NPI 1669609871

DR. ANGELA MARIE CLAY (D.O.) is a healthcare provider. based in South lyon, Michigan. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101018277 (MI). The NPI Number for DR. ANGELA MARIE CLAY (D.O.) is 1669609871

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA MARIE CLAY (D.O.)
NPI
1669609871
Phone
(248) 479-2200
Address
26036 PONTIAC TRL
Enumeration Date
15 June 2009
Last Update Date
5 November 2015

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2484792200
Graduation Year
2009 (17 years ago)
PAC ID
7012149875
Group Practice PAC ID
2163733288
Professional Enrollment ID
I20140409000768
Address ID
MI481788050SO26036TRLX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Loading map...

Provider Addresses for DR. ANGELA MARIE CLAY (D.O.)

  • Pontiac Trail, South Lyon, Oakland County, Michigan, 48178, United States

    SOUTH LYON, MI 481788050

    Phone: (248) 479-2200

    Fax: (248) 479-2682

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,147.

Total Amount is formed as General ($1,147) + Research ($0) + Ownership ($0) = $1,147.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($263).

Total Amount

$1,147

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2014-04-09

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
I20140409000768IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths40284$0
99213Established patient office or other outpatient visit, 20-29 minutes305251$0
17000Destruction of precancer skin growth, 1 growth133109$0
17110Destruction of skin growth, 1-14 growths124105$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7219$0
View full utilization report →

Insurance plans in this area (ZIP 48178)

Loading plans...

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: 2163733288View full group profile
NameSpecialtyState
Physician AssistantMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. ANGELA MARIE CLAY (D.O.)?
Save NPI 1669609871 if you need a stable reference for DR. ANGELA MARIE CLAY (D.O.).
Is DR. ANGELA MARIE CLAY (D.O.) currently active in the NPI registry?
CMS-published data lists DR. ANGELA MARIE CLAY (D.O.) as an active registrant.
What kind of provider is DR. ANGELA MARIE CLAY (D.O.)?
The page reflects Dermatology Physician for DR. ANGELA MARIE CLAY (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ANGELA MARIE CLAY (D.O.)?
We surface South Lyon, Michigan for DR. ANGELA MARIE CLAY (D.O.) based on available NPPES addresses.
Is DR. ANGELA MARIE CLAY (D.O.) a real provider?
This page reflects official NPPES data for NPI 1669609871. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

TOLEDO CLINIC PLLC

Medical Physician Assistant
1136 Country Club Rd Unit C
NPI: 1700842796

DR. DAVID J KOUBA (MD)

Dermatology Physician
106 S Lafayette St
NPI: 1073561866

SOUTH LYON DERMATOLOGY, PC

Dermatology Physician
26036 PONTIAC TRL
NPI: 1407233323

DR. MUNEEB AKBAR ILYAS (D.O.)

Dermatology Physician
417 4th St
NPI: 1659876308

ROSEMARY BRYANT

Dermatology Physician
341 Trenton Ave
NPI: 1508720525