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DR. CLINZO P. MICKLE II M.D.
NPI 1104096361
Dermatology in Washington, DC

Active since March 04, 2008PECOS EnrolledAccepts Medicare Assignment
650 PENNSYLVANIA AVE SE, SUITE 420, WASHINGTON, DC 20003(202) 547-9001 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Clinzo P. Mickle Ii M.d. NPPES

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

DR. CLINZO P. MICKLE II M.D. (NPI 1104096361) is an individual dermatology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD036757) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2002).

NPPES Registry Identity

NPI1104096361
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. CLINZO P. MICKLE IICredential: M.D.
Location Address650 PENNSYLVANIA AVE SE, SUITE 420Washington, DC 20003-4318
Mailing Address2400 16th St Nw, Apt. 243Washington, DC 20009-6646 · (202) 332-2802
Phone(202) 547-9001
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2002
Enumeration DateMarch 4, 2008
Last NPPES UpdateApril 6, 2011
✔ NPI 1104096361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in DC · MD036757
Definition
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.
650 PENNSYLVANIA AVE SE, Washington, DC 20003
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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. Clinzo P. Mickle Ii 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 ID6406027564
PECOS Enrollment IDI20121018000352
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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
635 services86 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services149 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
147 services104 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.
133 services106 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
125 services97 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
70 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20003 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

PRESSLEY RIDGE
Community/Behavioral Health
650 PENNSYLVANIA AVE SE, SUITE C100
WASHINGTON, DC 20003
District of Columbia (202) 544-2906
MILAJURINE TYWANKA LINDSAY P.A.
Physician Assistant
650 PENNSYLVANIA AVE SE, SUITE 50
WASHINGTON, DC 20003
District of Columbia (202) 787-5702
MISS JACQUELINE DENISE LIPSCOMB MSW, LICSW
Social Worker (Clinical)
650 PENNSYLVANIA AVE SE, 440
WASHINGTON, DC 20003
District of Columbia (202) 422-1802
MEMUNATU KAMARA
Case Manager/Care Coordinator
650 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
District of Columbia (240) 459-9162
MR. IROROME EJIYERE
Case Manager/Care Coordinator
650 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
District of Columbia (202) 864-4184
DARREN LEE VANDYKE
Chiropractor (Sports Physician)
650 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
District of Columbia (202) 858-5214
BARBARA JEAN BROWN PHD
Psychologist (Clinical)
650 PENNSYLVANIA AVE SE, SUITE 440
WASHINGTON, DC 20003
District of Columbia (202) 544-5440
DR. ANTHONY AARON FLOOD M.D.
Family Medicine
650 PENNSYLVANIA AVE SE, SUITE 420
WASHINGTON, DC 20003
District of Columbia (202) 547-9001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinzo Mickle's NPI number?

The NPI number for Clinzo Mickle is 1104096361. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Clinzo Mickle located?

Clinzo Mickle practices at 650 Pennsylvania Ave SE Suite 420, Washington, DC 20003. The listed phone number is (202) 547-9001.

What is Clinzo Mickle's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Clinzo Mickle enrolled in Medicare?

Yes. Clinzo Mickle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Clinzo Mickle was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.