Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174608137 Individual Practitioner Female Practitioner

Dr. S Kathleen Clark , MD

Dermatology • Murfreesboro, TN

Professional Overview & Biography Verified Profile Summary

Dr. S Clark, MD is a registered healthcare professional specializing in Dermatology in Murfreesboro, TN. Practice services are available at 1132 DOW ST under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

1132 Dow St

Murfreesboro, TN 371302486

Telephone 6158962617

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Murfreesboro, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Murfreesboro, TN (241 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
1,685 250 $4.87 $4.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
639 484 $102.22 $100.62
17000 Destruction of skin growth
468 346 $61.87 $48.03
17110 Destruction of up to 14 skin growths
198 160 $104.11 $102.36
11100 Biopsy of single growth of skin and/or tissue
196 158 $99.70 $87.55
99213 Established patient office or other outpatient visit, typically 15 minutes
98 80 $69.00 $68.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
75 57 $41.20 $40.68
17004 Destruction of precancer skin growth, 15 or more growths
45 28 $134.92 $132.99
11101 Biopsy of each additional growth of skin and/or tissue
42 33 $30.59 $30.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
32 32 $101.20 $99.99
99202 New patient office or other outpatient visit, typically 20 minutes
20 20 $76.20 $69.83
11200 Removal of skin tag, 1-15 skin tags
12 12 $83.74 $62.01

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TN MD0000015766

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License TN MD0000015766

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3032646 (TN)
Commercial Insurance / Payer ID Tennessee Blue Cross Blue
0018534 (TN)
Commercial Insurance / Payer ID Railroad Medicare
110025193 (TN)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 22, 2019

Registered at 1132 DOW ST, MURFREESBORO, TN 371302486 (Tel: 6158962617)

📍
Updated Business Mailing Address January 22, 2019

Registered at 135 CHERRY LN, MURFREESBORO, TN 371303935 (Tel: 6158962617)

NPI Profile Active July 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2012

Registered at 1132 DOW STREET, MURFREESBORO, TN 37130 (Tel: 6158980600)

📍
Updated Business Mailing Address July 25, 2012

Registered at 1132 DOW STREET, MURFREESBORO, TN 37130 (Tel: 6158980600)

👤
Provider Name / Credentials Updated July 25, 2012

Recorded as S CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2012

Dermatology (License #MD0000015766 in TN)

🟢
Initial NPI Registration & Enumeration October 26, 2006

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: 1174608137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: January 22, 2019
Sole Proprietor: Yes

Mailing Address

135 Cherry Ln

Murfreesboro, TN 371303935

Phone: 6158962617

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.