DR. CLAYTON DOUGLAS CONNER (MD) – Dermatology Physician, NPI 1063948438
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. CLAYTON DOUGLAS CONNER (MD)
725 University Blvd
Beavercreek, OH 45324
Phone: (937) 245-7254
Type: Location
7766 EWING BLVD # 100
FLORENCE, KY 410427537
Phone: (859) 283-1033
Type: Location
University Boulevard, Fairborn, Greene County, Ohio, 45433, United States
BEAVERCREEK, OH 453242640
Phone: (937) 245-7254
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 118 Open Payments records for all available years, with a total value of $2,614.
Total Amount is formed as General ($2,614) + Research ($0) + Ownership ($0) = $2,614.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($455).
Total Amount
$2,614
General + Research + Ownership
Payments
118
Total payment records
General Amount
$2,614
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $455 |
| Lilly USA, LLC | $287 |
| Sun Pharmaceutical Industries Inc. | $261 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $199 |
| Incyte Corporation | $165 |
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: 2022-04-21
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 |
|---|---|---|---|---|
| I20220421000888 | 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 | 1,440 | 290 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 482 | 400 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 445 | 384 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 260 | 220 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 182 | 165 | $0 |
Insurance plans in this area (ZIP 45324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | IN | |
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | OH |
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