MATTHEW LEWIS CLARK (MD) – Dermatology Physician, NPI 1902288806
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for MATTHEW LEWIS CLARK (MD)
8245 HOLLY RD STE 101
GRAND BLANC, MI 484392443
Phone: (810) 606-7500
Fax: (810) 606-9600
Type: Mailing
1000 W UNIVERSITY DR STE 314
ROCHESTER, MI 483071876
Phone: (245) 375-4033
Fax: (248) 375-4034
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 164 Open Payments records for all available years, with a total value of $2,702.
Total Amount is formed as General ($2,702) + Research ($0) + Ownership ($0) = $2,702.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($643).
Total Amount
$2,702
General + Research + Ownership
Payments
164
Total payment records
General Amount
$2,702
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $643 |
| Novartis Pharmaceuticals Corporation | $440 |
| ABBVIE INC. | $401 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $182 |
| UCB, Inc. | $77 |
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: 2019-07-15
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 |
|---|---|---|---|---|
| I20190715001423 | I | Dermatology | MI | 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 | 259 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 168 | 142 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 96 | 89 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 93 | 93 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 86 | 74 | $0 |
Insurance plans in this area (ZIP 48439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI |
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