DR. JUSTIN WAYNE CLARK (MD) – Dermatology Physician, NPI 1639164098
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,287 DERMATOLOGY in TX
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Provider Addresses for DR. JUSTIN WAYNE CLARK (MD)
Lubbock Dermatology and Skin Cancer Center, 3601, 22nd Street, Lubbock, Lubbock County, Texas, 79430, United States
LUBBOCK, TX 794101309
Phone: (806) 796-7193
Fax: (806) 796-0034
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $1,840.
Total Amount is formed as General ($1,840) + Research ($0) + Ownership ($0) = $1,840.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Amgen Inc. ($473).
Total Amount
$1,840
General + Research + Ownership
Payments
97
Total payment records
General Amount
$1,840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $473 |
| ABBVIE INC. | $326 |
| LEO Pharma Inc. | $276 |
| E.R. Squibb & Sons, L.L.C. | $202 |
| Novartis Pharmaceuticals Corporation | $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: 2010-07-20
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 |
|---|---|---|---|---|
| I20100720000156 | I | Dermatology | TX | 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 | 4,957 | 842 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,510 | 1,191 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,309 | 1,043 | $0 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 470 | 335 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 366 | 314 | $0 |
Insurance plans in this area (ZIP 79410)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | TX | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 25 | 23 |
| DERMATOLOGY | TX | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 21 | 21 |
| DERMATOLOGY | TX | 17003 | Destruction of 2-14 skin growths | 5740 | 804 |
| DERMATOLOGY | TX | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 25 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX |
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