SUMMER CLARK M.D.
NPI 1154736643
Dermatology - MOHS-Micrographic Surgery in Amarillo, TX

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
77.33/100
CMS Quality Rating
1611 WALLACE BLVD, AMARILLO, TX 79106(063) 544-9008 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summer Clark M.d. NPPES

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

SUMMER CLARK M.D. (NPI 1154736643) is an individual mohs-micrographic surgery provider in Amarillo, Texas, licensed in Texas (S1580) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of University Of Oklahoma College Of Medicine (2014).

NPPES Registry Identity

NPI1154736643
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameSUMMER CLARKCredential: M.D.
Location Address1611 WALLACE BLVDAmarillo, TX 79106-1799
Mailing Address1611 Wallace BlvdAmarillo, TX 79106-1799 · (806) 354-4900
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateJune 4, 2019
NPI 1154736643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in TX · S1580
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.
1611 WALLACE BLVD, Amarillo, TX 79106

Accepted 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

Summer 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 ID8123248887
PECOS Enrollment IDI20190819002941
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 35

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.
780 services156 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.
649 services482 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.
551 services415 patients
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.
479 services293 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
344 services198 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.
287 services240 patients

Hospital Affiliations CMS Care Compare

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

77.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.96
Promoting Interoperability97
Improvement Activities40
Cost29.98

Other Providers at the Same Location NPPES 8

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

Dermatology (MOHS-Micrographic Surgery)
1611 WALLACE BLVD
AMARILLO, TX 79106
Clinic/Center (Ambulatory Surgical)
1611 WALLACE BLVD
AMARILLO, TX 79106
Family Medicine
1611 WALLACE BLVD
AMARILLO, TX 79106
Anesthesiology
1611 WALLACE BLVD
AMARILLO, TX 79106
Plastic Surgery
1611 WALLACE BLVD
AMARILLO, TX 79106
Dermatology (MOHS-Micrographic Surgery)
1611 WALLACE BLVD
AMARILLO, TX 79106
Surgery (Plastic and Reconstructive Surgery)
1611 WALLACE BLVD
AMARILLO, TX 79106
Ophthalmology
1611 WALLACE BLVD
AMARILLO, TX 79106

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 Summer Clark's NPI number?

The NPI number for Summer Clark is 1154736643. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Summer Clark located?

Summer Clark practices at 1611 Wallace Blvd, Amarillo, TX 79106. The listed phone number is (063) 544-9008.

What is Summer Clark's specialty?

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

Is Summer Clark enrolled in Medicare?

Yes. Summer Clark 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.

What insurance does Summer Clark accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Summer Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Summer Clark affiliated with any hospitals?

According to CMS data, Summer Clark is affiliated with Bsa Hospital.

When was this NPI record last updated?

The NPPES record for Summer Clark was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.