Scott Clark, MD
NPI 1366447740ActiveIndividual· Dermatology· Longmont, CO
Dermatology (MD) in Longmont, Colorado, trained at Baylor College of Medicine (class of 1980). 467 Medicare patients in 2024, $78,477 paid; nearly all of their 439 Part D prescriptions were generic (92%).
Overview
| NPI | 1366447740 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 14, 2005 |
| Last updated in NPPES | Mar 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 25764 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 467 |
|---|---|
| Services billed | 1,927 across 48 procedure codes |
| Paid by Medicare | $78,477 |
Part D prescriptions in 2024
| Prescriptions (claims) | 439 · 585 30-day fills |
|---|---|
| Patients | 188 |
| Total drug cost | $94,970 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1980 |
| Medicare specialty | Dermatology |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliation
- Longs Peak HospitalLongmont, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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