MATTHEW RYAN CLARK (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1194162230
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
Provider Addresses for MATTHEW RYAN CLARK (M.D.)
815 SW BOND ST
BEND, OR 977023593
Phone: (541) 382-2811
Type: Location
1390 S POTOMAC ST STE 124
AURORA, CO 800124529
Phone: (303) 368-8611
Fax: (303) 368-9791
Type: Mailing
15830 BALLANTYNE MEDICAL PL STE 225
CHARLOTTE, NC 282770760
Phone: (704) 919-1105
Fax: (704) 910-3163
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $610.
Total Amount is formed as General ($610) + Research ($0) + Ownership ($0) = $610.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($235).
Total Amount
$610
General + Research + Ownership
Payments
30
Total payment records
General Amount
$610
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $235 |
| SANOFI-AVENTIS U.S. LLC | $62 |
| Sun Pharmaceutical Industries Inc. | $57 |
| Lilly USA, LLC | $51 |
| ABBVIE INC. | $50 |
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: 2023-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230808003577 | I | Dermatology | SC | TBD |
| I20230822001353 | I | Micrographic Dermatologic Surgery (Mds) | NC | 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 | 494 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 167 | 150 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 162 | 154 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 136 | 123 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 113 | 108 | $0 |
Insurance plans in this area (ZIP 97702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NC | |
| D E R M A T O L O G Y | NC | |
| - | NC |
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