DR. ROBERT EARL CLARK M.D. PHD NPI 1982600789

NPI Information

  • NPI: 1982600789
  • Provider Name: DR. ROBERT EARL CLARK, M.D., PHD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 WELLESLEY TRADE LN
    CARY, NC
    ZIP 27519
  • Phone: (919) 363-7546

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NPI Details

DR. Robert Earl Clark, M.D., PHD is a mohs-micrographic surgery dermatology in Cary, NC with 41 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Robert Earl Clark, M.D., PHD NPI is 1982600789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1985

The provider's business location address is:

200 WELLESLEY TRADE LN
CARY, NC
ZIP 27519-576
Phone: (919) 363-7546
Fax: (919) 363-3616

The NPI 1982600789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Complicated repair of wound of trunk, each additional 5.0 cm or less (HCPCS:13102)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS:14020)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/27/2005 and was last updated on 9/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology31121NORTH CAROLINANo
2207ND0101XDermatologyMOHS-Micrographic Surgery31121NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
181690OTHERNORTH CAROLINAMEDCOST
28911591MEDICAIDNORTH CAROLINA
39715177001OTHERNORTH CAROLINACIGNA HEALTHCARE
413123OTHERNORTH CAROLINAPARTNERS
513334OTHERNORTH CAROLINADOCTOR'S HEALTH PLAN
62046860OTHERNORTH CAROLINAAETNA HMO
70354066OTHERNORTH CAROLINAUNITED HEALTHCARE
811591OTHERNORTH CAROLINABCBS
9259852OTHERNORTH CAROLINAMAMSI
10070012681OTHERNORTH CAROLINARETIRED RAILROAD MEDICARE
114347967OTHERNORTH CAROLINAAETNA PPO
12562070218COTHERNORTH CAROLINACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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