npidexNPI registry + Medicare data

CLARK OTLEY, M.D.

MOHS-Micrographic Surgery Physician · ROCHESTER, MN

Individual Active NPI 1578535506

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243131,147$1,454,115$183,118$141,332
20232861,079$1,223,950$158,764$121,551
20223181,140$1,352,705$177,474$138,873

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks252$281$212
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks103$186$150
17003Destruction of precancer skin growth, 2-14 growths64$2$2
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm62$129$97
12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm59$99$80
11102Biopsy of related skin growth, first growth34$21$16
12034Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm34$123$95
17000Destruction of precancer skin growth, 1 growth30$34$27
11603Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm29$155$111
88342Special stained specimen slides to examine tissue, initial procedure27$35$28
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks24$261$208
12042Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm18$102$74

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
MOHS-Micrographic Surgery Physician207ND0101X✓38287MN
Dermatology Physician207N00000X38287MN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other MOHS-Micrographic Surgery Physician providers in Minnesota

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.