Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MELANIE ANNE CLARK M.D.
NPI 1033464185
Dermatology - MOHS-Micrographic Surgery in Wauwatosa, WI

Q: What is Melanie Clark's NPI number?

The NPI number for Melanie Clark is 1033464185. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Q: What is Melanie Clark's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Clark was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2012PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

10000 W BLUEMOUND RD, WAUWATOSA, WI 53226(414) 454-8000(414) 805-3808 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, May 1, 2026, Jul 26, 2022 and 3 more (6 updates tracked since 2017).

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About Dr. Melanie Anne Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELANIE ANNE CLARK M.D. (NPI 1033464185) is an individual mohs-micrographic surgery provider in Wauwatosa, Wisconsin, licensed in Wisconsin (67202-20) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1033464185

Entity TypeIndividualFemale

Primary Taxonomy207ND0101X

Provider Legal NameDR. MELANIE ANNE CLARKCredential: M.D.

Location Address10000 W BLUEMOUND RDWauwatosa, WI 53226-4321

Mailing Address10000 W Bluemound RdWauwatosa, WI 53226-4321 · (414) 454-8000 · Fax (414) 805-3808

Phone(414) 454-8000

Fax(414) 805-3808

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2012

Enumeration DateJuly 16, 2012

Last NPPES UpdateJuly 10, 20266 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1033464185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in WI · 67202-20

Definition

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.

Also ListedDermatologyTaxonomy 207N00000X · License 67202-20 (WI)

10000 W BLUEMOUND RD, Wauwatosa, WI 53226

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Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5320 · Fax (414) 805-5323

Other Identifiers 1

Medicaid1033464185WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Melanie Anne Clark M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880980093

PECOS Enrollment IDI20171005002219

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

182 services147 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

91 services66 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

36 services28 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services31 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

26 services26 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.24

Promoting Interoperability

100

Improvement Activities

Cost

68.64

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARIE DENTON APNP

Nurse Practitioner (Family)