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STACIE CLARK M.D.
NPI 1558756833
Dermatology in Rochester Hills, MI

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6700 N ROCHESTER RD STE 112, ROCHESTER HILLS, MI 48306(248) 650-1510 Get Directions Write a Review

NPPES record last updated: January 5, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 5, 2020, Jul 23, 2018 (2 updates tracked since 2018).

About Stacie Clark M.d. NPPES

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

STACIE CLARK M.D. (NPI 1558756833) is an individual dermatology provider in Rochester Hills, Michigan, licensed in Michigan (4301117007) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Michigan State University College Of Human Medicine (2015).

NPPES Registry Identity

NPI1558756833
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSTACIE CLARKCredential: M.D.
Location Address6700 N ROCHESTER RD STE 112Rochester Hills, MI 48306-4378
Mailing Address6700 N Rochester Rd Ste 112Rochester Hills, MI 48306-4378 · (248) 650-1510
Phone(248) 650-1510
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateJanuary 5, 20202 updates tracked since enumeration
✔ NPI 1558756833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301117007
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6700 N ROCHESTER RD STE 112, Rochester Hills, MI 48306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Stacie 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 ID1658663612
PECOS Enrollment IDI20190710003117
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 10

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.
859 services133 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.
313 services228 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.
256 services172 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.
218 services173 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.
206 services104 patients
Ultrasonic guidance for placement of radiation therapy fields G6001
Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
173 services13 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48306 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

DANIELLE NICOLE THOMAS
Nurse Practitioner
6700 N ROCHESTER RD STE 112
ROCHESTER HILLS, MI 48306
Oakland County (248) 650-1510

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 Stacie Clark's NPI number?

The NPI number for Stacie Clark is 1558756833. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Stacie Clark located?

Stacie Clark practices at 6700 N Rochester Rd Ste 112, Rochester Hills, MI 48306. The listed phone number is (248) 650-1510.

What is Stacie Clark's specialty?

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

Is Stacie Clark enrolled in Medicare?

Yes. Stacie 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 Stacie Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Stacie 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 Stacie Clark affiliated with any hospitals?

According to CMS data, Stacie Clark is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Stacie Clark was last updated on January 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.