ANNA IRENE CLARK (MD) – Dermatology Physician, NPI 1457705733
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for ANNA IRENE CLARK (MD)
222 S Woods Mill Rd Ste 480
Chesterfield, MO 630173625
Phone: (314) 306-3818
Type: Location
480, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630173625
Phone: (314) 306-3818
Type: Mailing
J Clyde Morris Boulevard, Bayberry, Newport News, Newport News City, Virginia, 23601, United States
NEWPORT NEWS, VA 236011929
Phone: (314) 306-3818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 470 Open Payments records for all available years, with a total value of $7,673.
Total Amount is formed as General ($7,673) + Research ($0) + Ownership ($0) = $7,673.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,376).
Total Amount
$7,673
General + Research + Ownership
Payments
470
Total payment records
General Amount
$7,673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,376 |
| Dermavant Sciences, Inc. | $687 |
| Amgen Inc. | $426 |
| LEO Pharma Inc. | $367 |
| Regeneron Healthcare Solutions, Inc. | $270 |
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: 2021-01-06
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 |
|---|---|---|---|---|
| I20210106002828 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 3,800 | 17 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,464 | 222 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 757 | 442 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 507 | 303 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 400 | 281 | $0 |
Insurance plans in this area (ZIP 63017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Physician Assistant | MO | |
| - | MO | |
| D E R M A T O L O G Y | MO |
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