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DR. CLARENCE L WILEY SR. M.D.,M.M.S.,F.A.A.D
NPI 1477564797
Dermatology in Oklahoma City, OK

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
1211 N SHARTEL AVE STE 407, OKLAHOMA CITY, OK 73103(405) 278-7911(405) 278-7925 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Clarence L Wiley Sr. M.d.,m.m.s.,f.a.a.d NPPES

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

DR. CLARENCE L WILEY SR. M.D.,M.M.S.,F.A.A.D (NPI 1477564797) is an individual dermatology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (12980) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1977).

NPPES Registry Identity

NPI1477564797
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. CLARENCE L WILEY SR.Credential: M.D.,M.M.S.,F.A.A.D
Location Address1211 N SHARTEL AVE STE 407Oklahoma City, OK 73103-2425
Mailing AddressPo Box 2074Lowell, AR 72745-2074 · (405) 278-7911 · Fax (405) 278-7925
Phone(405) 278-7911
Fax(405) 278-7925
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1977
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 4, 2016
✔ NPI 1477564797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OK · 12980
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.
1211 N SHARTEL AVE STE 407, Oklahoma City, OK 73103
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Other Names 1

Professional Name (2)Dr. Clarence Lapierce Wiley M.d.

Other Identifiers 2

Medicare UPINB69256OK
Other243432400OK · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clarence L Wiley Sr. M.d.,m.m.s.,f.a.a.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 ID8224001086
PECOS Enrollment IDI20040818001354
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.

Medicare Billing Reassignment

Medicare enrollment records show Clarence Wiley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Absentee Shawnee Tribal Health Authority, Inc.
25 mi
Multi-Specialty
15951 LITTLE AXE DR
Norman, OK 73026
  • Reassigned Medicare billing, Oklahoma enrollment
  • 86 clinicians in this Medicare group
NPI 1124152962 (405) 447-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
31 services21 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.
27 services16 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.
20 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73103 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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

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

BEAUTY THRU HEALTH DERMATOLOGY, P.C.
Specialist
1211 N SHARTEL AVE STE 407
OKLAHOMA CITY, OK 73103
Oklahoma County (405) 278-7911

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 Clarence Wiley's NPI number?

The NPI number for Clarence Wiley is 1477564797. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Dr. Clarence Lapierce Wiley M.D..

Where is Clarence Wiley located?

Clarence Wiley practices at 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103. The listed phone number is (405) 278-7911.

What is Clarence Wiley's specialty?

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

Is Clarence Wiley enrolled in Medicare?

Yes. Clarence Wiley 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.

Which organization bills Medicare for Clarence Wiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Wiley reassigns Medicare benefits to Absentee Shawnee Tribal Health Authority, Inc. (Norman, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarence Wiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarence Wiley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Oscar Insurance Company and UnitedHealthcare list Clarence Wiley 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.

When was this NPI record last updated?

The NPPES record for Clarence Wiley was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.