Clarence Boudreaux, M.D.
NPI 1053366211 · Dermatology Physician · Ponte Vedra Beach, FL
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarence Boudreaux, M.D. is a Dermatology Physician provider in Ponte Vedra Beach, FL (NPI 1053366211).
Provider details
- NPI number
- 1053366211
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME0055674 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,494 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 431 | $6 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 233 | $90 |
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 218 | $34 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 160 | $48 |
| Destruction of Skin Growth, 1-14 Growths17110 | 122 | $102 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 50 | 32 |
| Triamcinolone Acetonide | 47 | 36 |
| Clobetasol Propionate | 39 | 24 |
| Fluorouracil | 32 | 29 |
| Fluocinolone Acetonide | 17 | — |
| Hydrocortisone | 14 | — |
| Fluocinonide | 14 | 13 |
| Desonide | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$256 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2010-01-15
Frequently asked questions
- What is Clarence Boudreaux's NPI number?
- Clarence Boudreaux's National Provider Identifier (NPI) is 1053366211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clarence Boudreaux's specialty?
- Clarence Boudreaux is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Clarence Boudreaux located?
- Clarence Boudreaux's practice location on file with NPPES is 103 Solana Road Suite B, Ponte Vedra Beach, FL 32082.
- What is Clarence Boudreaux's phone number?
- The practice phone number listed in the NPPES registry for Clarence Boudreaux is (904) 273-2717.
- Does Clarence Boudreaux accept Medicare?
- Clarence Boudreaux is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clarence Boudreaux's NPI active?
- Yes — Clarence Boudreaux's NPI (1053366211) is active in the NPPES registry as of the last update on 2010-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.