Clark Otley, M.D.
NPI 1578535506 · MOHS-Micrographic Surgery Physician · Rochester, MN
Enrolled with Medicare as Practitioner - Micrographic Dermatologic Surgery (mds) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clark Otley, M.D. is a MOHS-Micrographic Surgery Physician provider in Rochester, MN (NPI 1578535506).
Provider details
- NPI number
- 1578535506
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 38287 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
829 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Removal and Microscopic Exam of Growth of Head, Neck, Hands, Feet, Or Genitals, 1-5 Tissue Blocks17311 | 252 | $281 |
| Removal and Microscopic Exam of Growth of Head, Neck, Hands, Feet, Or Genitals, Each Additional Stage, 1-5 Tissue Blocks17312 | 103 | $186 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 64 | $2 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 62 | $129 |
| Intermediate Repair of Wound of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5.0 Cm12052 | 59 | $99 |
| Biopsy of Related Skin Growth, First Growth |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Frequently asked questions
- What is Clark Otley's NPI number?
- Clark Otley's National Provider Identifier (NPI) is 1578535506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Otley's specialty?
- Clark Otley is listed in the NPPES registry with a primary specialty of MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Clark Otley located?
- Clark Otley's practice location on file with NPPES is 200 1st St Sw, Rochester, MN 55905-0001.
- What is Clark Otley's phone number?
- The practice phone number listed in the NPPES registry for Clark Otley is (507) 284-2511.
- Does Clark Otley accept Medicare?
- Clark Otley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clark Otley's NPI active?
- Yes — Clark Otley's NPI (1578535506) is active in the NPPES registry as of the last update on 2021-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.