Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly Nicole Clark , MMS, PA-C

Physician Assistant โ€ข Elgin, IL

Active NPI 1720624166 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1600 N Randall Rd Ste 400
Elgin, IL 601237805

Call 8473818899 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 N Randall Rd Ste 400

Elgin, IL 601237805

Telephone 8473818899
Organization at the Same NPPES Address or Phone
Derick Dermatology, Pllc Facility NPI 1134664402

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Derick Dermatology Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

633 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $144,394 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $100,063 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

506 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$14,987 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kimberly Clark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kimberly Clark as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Elgin and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Elgin, IL (2024, 54 clinicians with data). Median for this group: 1,265. Middle half: 354 to 2,644.

More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Elgin, IL (2024, 54 clinicians with data). Median for this group: $64,844. Middle half: $29,309 to $103,026.

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Elgin, IL (2024, 54 clinicians with data). Median for this group: $48,918. Middle half: $21,727 to $73,164.

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Elgin, IL (2024, 65 clinicians with data). Median for this group: 201. Middle half: 91 to 424.

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Elgin, IL (2024, 65 clinicians with data). Median for this group: $3,244. Middle half: $851 to $14,987.

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

89 active clinicians are listed under Physician Assistant with a practice address in Elgin, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Elgin

6.7% of these 89 clinicians have the CMS telehealth indicator.

66.3% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
882 158 $25.00 $5.75
17000 Destruction of precancer skin growth, 1 growth
360 250 $190.00 $43.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
303 238 $85.38 $49.66
11102 Biopsy of related skin growth, first growth
274 240 $230.00 $78.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
251 185 $200.00 $112.16
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
228 206 $135.00 $79.66
17110 Destruction of skin growth, 1-14 growths
212 157 $255.00 $99.01
11103 Biopsy of related skin growth, each additional growth
122 80 $130.00 $44.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
41 41 $310.00 $147.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
33 33 $205.00 $98.58
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
32 32 $140.00 $63.44
17004 Destruction of precancer skin growth, 15 or more growths
20 15 $415.00 $147.41

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 99 2,831 $953.97 73
Ketoconazole Ketoconazole 97 2,830 $1,603.74 48
Clobetasol Propionate Clobetasol Propionate 71 2,002 $4,673.04 49
Doxycycline Hyclate Doxycycline Hyclate 44 1,063 $751.80 24
Hydrocortisone Hydrocortisone 42 1,110 $207.05 35
Clindamycin Phosphate Clindamycin Phosphate 34 1,197 $1,483.81 21
Mupirocin Mupirocin 31 509 $230.93 26
Tacrolimus Tacrolimus 19 550 $2,405.50 17
Metronidazole Metronidazole 18 590 $1,389.26 16
Ciclopirox Ciclopirox 16 466 $386.50 โ€”
Econazole Nitrate Econazole Nitrate 16 526 $900.98 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.007399

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20200228000522

Enrollment State Jurisdiction

IL

PECOS Control ID

5698102887

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Derick Dermatology Pllc

1531 S Grove Ave, Barrington, IL 600105250

Phone: 8473818899

Derick Dermatology Pllc

525 E Congress Pkwy, Crystal Lake, IL 600146271

Phone: 8473818899

Derick Dermatology Pllc

230 Commons Dr, Geneva, IL 601342522

Phone: 8473818899

Derick Dermatology Pllc

85 W Algonquin Rd, Arlington Heights, IL 600054423

Phone: 8473818899

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Lauren Baruch

Physician Assistant

NPI 1912255514
Michelle Bate , NP

Nurse Practitioner - Family

NPI 1134164270

Nurse Practitioner

Dr. Suzanne Birmingham , MD

Dermatology - Dermatopathology

NPI 1831693597

Doctor of Medicine (M.D.)

Amani Bosley , PA

Physician Assistant - Medical

NPI 1558136390

Physician Assistant

Jenny Brophy , PA-C

Physician Assistant - Medical

NPI 1578935896

Physician Assistant (Certified)

Lucy Buhr , PA-C

Physician Assistant

NPI 1487174249

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address December 16, 2021

Registered at 0N331 ETHEL ST, WINFIELD, IL 601901051 (Tel: 6308902775)

โœ…
NPI Profile Active November 20, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 20, 2019

Registered at 1600 N RANDALL RD STE 400, ELGIN, IL 601237805 (Tel: 8473818899)

๐Ÿ“
Business Mailing Address (Initial Record) November 20, 2019

Registered at 55 KENSINGTON CIR APT 102, WHEATON, IL 601892958 (Tel: 6308902775)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 20, 2019

Recorded as KIMBERLY CLARK, MMS, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Physician Assistant (license number reported to NPPES: IL 085.007399)

๐ŸŸข
Initial NPI Registration & Enumeration November 20, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720624166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2019
Last Update: December 16, 2021
Sole Proprietor: No

Other Physician Assistants in Elgin

All Physician Assistants in Elgin

Mailing Address

0n331 Ethel St

Winfield, IL 601901051

Phone: 6308902775

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.