Active NPI 1720624166 Individual Practitioner Female Practitioner

Kimberly Nicole Clark , MMS, PA-C

Physician Assistant • Elgin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Clark, MMS, PA-C is a certified Physician Assistant practicing in Elgin, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Kimberly Clark delivers high-quality medical care to the local community at 1600 N RANDALL RD STE 400.

Kimberly Clark is affiliated with Derick Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 N Randall Rd Ste 400

Elgin, IL 601237805

Telephone 8473818899

Associated Practice Facility / Clinic

🏢 Derick Dermatology, Pllc Facility NPI 1497792618

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elgin, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -1.9 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

90 Specialists

Practicing in Elgin, IL (4958 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (7 Years) 7 Yrs

Elgin Specialty Average (8.9 Years) 8.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	882	158	$25.00	$5.75
17000 Destruction of skin growth	360	250	$190.00	$43.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	303	238	$85.38	$49.66
11102 Tangential biopsy of single skin lesion	274	240	$230.00	$78.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	185	$200.00	$112.16
99213 Established patient office or other outpatient visit, typically 15 minutes	228	206	$135.00	$79.66
17110 Destruction of up to 14 skin growths	212	157	$255.00	$99.01
11103 Biopsy of related skin growth, each additional growth	122	80	$130.00	$44.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$310.00	$147.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$205.00	$98.58
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$140.00	$63.44
17004 Destruction of precancer skin growth, 15 or more growths	20	15	$415.00	$147.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	661	147	$25.00	$5.89
17000 Destruction of skin growth	270	212	$190.00	$44.35
99213 Established patient office or other outpatient visit, typically 15 minutes	229	209	$135.00	$80.07
11102 Tangential biopsy of single skin lesion	219	208	$230.00	$78.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	147	$85.00	$50.26
17110 Destruction of up to 14 skin growths	171	133	$255.00	$101.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	133	$200.00	$111.95
11103 Biopsy of related skin growth, each additional growth	147	89	$130.00	$44.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$310.00	$148.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$205.00	$100.36
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$140.00	$61.57
17004 Destruction of precancer skin growth, 15 or more growths	14	12	$415.00	$152.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	449	101	$25.00	$6.08
17000 Destruction of skin growth	214	148	$190.00	$45.38
99213 Established patient office or other outpatient visit, typically 15 minutes	184	150	$135.00	$81.21
11102 Tangential biopsy of single skin lesion	175	158	$230.00	$80.13
11103 Biopsy of related skin growth, each additional growth	138	71	$130.00	$46.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	111	$85.00	$51.25
17110 Destruction of up to 14 skin growths	117	89	$255.00	$103.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	77	$200.00	$112.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$205.00	$101.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$310.00	$150.94
17004 Destruction of precancer skin growth, 15 or more growths	18	12	$415.00	$153.44
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$140.00	$65.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	267	51	$25.00	$5.91
17000 Destruction of skin growth	89	61	$190.00	$42.78
11102 Tangential biopsy of single skin lesion	77	71	$230.00	$84.33
11103 Biopsy of related skin growth, each additional growth	74	36	$130.00	$48.68
99213 Established patient office or other outpatient visit, typically 15 minutes	64	57	$135.00	$81.84
17110 Destruction of up to 14 skin growths	52	38	$255.00	$101.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	35	$85.00	$50.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$310.00	$149.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$205.00	$102.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$200.00	$113.52
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$140.00	$66.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	235	41	$25.00	$5.25
11103 Biopsy of related skin growth, each additional growth	114	51	$130.00	$49.11
11102 Tangential biopsy of single skin lesion	97	92	$230.00	$79.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	74	$200.00	$97.81
17000 Destruction of skin growth	69	57	$190.00	$38.88
17110 Destruction of up to 14 skin growths	56	42	$255.00	$100.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$205.00	$98.29
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$140.00	$69.50
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$135.00	$68.27
99201 New patient office or other outpatient visit, typically 10 minutes	26	26	$80.00	$41.87
11104 Punch biopsy, first skin growth	13	13	$290.00	$115.50

Medical Specialties & State Licenses

CMS Verified: 2021-12-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.007399

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Derick Dermatology Pllc

1531 S Grove Ave, Barrington, IL 600105250

Phone: 8473818899

Derick Dermatology Pllc

525 E Congress Pkwy, Crystal Lake, IL 600146271

Phone: 8473818899

Derick Dermatology Pllc

230 Commons Dr, Geneva, IL 601342522

Phone: 8473818899

Derick Dermatology Pllc

85 W Algonquin Rd, Arlington Heights, IL 600054423

Phone: 8473818899

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Reshma Haugen , MD

Dermatology

NPI 1083947238

Doctor of Medicine (M.D.)

Christine Rodriguez , PA-C

Physician Assistant

NPI 1104150382

Physician Assistant (Certified)

Stephanie Nagarwalla , FNP

Nurse Practitioner

NPI 1104329036

Family Nurse Practitioner

Matthew Mcgowan , PA-C

Physician Assistant

NPI 1104460062

Physician Assistant (Certified)

Kendall Kane

Physician Assistant

NPI 1104708361

Michelle Bate , NP

Nurse Practitioner - Family

NPI 1134164270

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address December 16, 2021

Registered at 0N331 ETHEL ST, WINFIELD, IL 601901051 (Tel: 6308902775)

✅

NPI Profile Active November 20, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2019

Registered at 1600 N RANDALL RD STE 400, ELGIN, IL 601237805 (Tel: 8473818899)

📍

Updated Business Mailing Address November 20, 2019

Registered at 55 KENSINGTON CIR APT 102, WHEATON, IL 601892958 (Tel: 6308902775)

👤

Provider Name / Credentials Updated November 20, 2019

Recorded as KIMBERLY CLARK, MMS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Physician Assistant (License #085.007399 in IL)

🟢

Initial NPI Registration & Enumeration November 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720624166

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 20, 2019

Last Update: December 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

0n331 Ethel St

Winfield, IL 601901051

Phone: 6308902775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.