Dr. Patrick Lynn Boler , MD
Dermatology • Clinton, MS
815 Highway 80 E
Clinton, MS 390565252
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 12, 2012; this date does not establish years in practice.
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Published CMS data list 5,663 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 1,570 service units.
- 99213 — Established patient outpatient office visit: 874 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 704 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 35 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,189 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Betamethasone Diprop Augmented (Betamethasone/Propylene Glyc) — 167 prescription fills, including refills.
- Ketoconazole — 106 prescription fills, including refills.
- Triamcinolone Acetonide — 101 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 33 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Dermatology in Mississippi (2024, 57 clinicians with data). Median for this group: 4,354. Middle half: 2,498 to 8,190.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 4,039 in 2020 to 5,663 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
815 Highway 80 E
Clinton, MS 390565252
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Magnolia 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
University Of Mississippi School Of Medicine
2012
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,028 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $323,766 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2024.
Paid by Medicare
About $230,534 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2024.
30-day fills
1,379 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
$304,166 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $30,369.55 across 206 records.
By nature of payment (3 largest of 4)
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $25,800.00 across 7 records.
- Food and Beverage: $4,112.75 across 195 records.
- Travel and Lodging: $345.80 across 2 records.
Reporting-company totals (3 largest of 24)
- Galderma Laboratories, L.P.: $27,080.73 across 33 records.
- ABBVIE INC.: $526.36 across 26 records.
- UCB, Inc.: $349.40 across 18 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2012
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Dr. Boler 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.
Can order Medicare-covered services
CMS lists Dr. Boler 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Clinton and Mississippi
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Dermatology in Mississippi (2024, 57 clinicians with data). Median for this group: 4,354. Middle half: 2,498 to 8,190.
Too few clinicians listed under Dermatology in Clinton have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Dermatology in Mississippi (2024, 57 clinicians with data). Median for this group: $273,014. Middle half: $129,265 to $484,079.
Too few clinicians listed under Dermatology in Clinton have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Dermatology in Mississippi (2024, 57 clinicians with data). Median for this group: $192,738. Middle half: $88,658 to $355,643.
Too few clinicians listed under Dermatology in Clinton have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Dermatology in Mississippi (2024, 71 clinicians with data). Median for this group: 575. Middle half: 318 to 973.
Too few clinicians listed under Dermatology in Clinton have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Dermatology in Mississippi (2024, 71 clinicians with data). Median for this group: $133,382. Middle half: $12,028 to $336,828.
Too few clinicians listed under Dermatology in Clinton have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Dermatology with a practice address in Clinton, MS (89 in Mississippi).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 40% from 4,039 in 2020 to 5,663 in 2024.
- 2020: 4,039
- 2021: 5,741
- 2022: 5,852
- 2023: 5,909
- 2024: 5,663
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Medicare-allowed amount
Medicare-allowed amount increased 45% from $223,322 in 2020 to $323,766 in 2024.
- 2020: $223,322
- 2021: $307,695
- 2022: $340,456
- 2023: $343,144
- 2024: $323,766
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Paid by Medicare
Paid by Medicare increased 50% from $153,712 in 2020 to $230,534 in 2024.
- 2020: $153,712
- 2021: $220,713
- 2022: $242,324
- 2023: $241,014
- 2024: $230,534
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 1,198 in 2020 and 1,189 in 2024.
- 2020: 1,198
- 2021: 1,264
- 2022: 1,095
- 2023: 1,106
- 2024: 1,189
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30-day fills
30-day fills increased 10% from 1,251 in 2020 to 1,379 in 2024.
- 2020: 1,251
- 2021: 1,371
- 2022: 1,256
- 2023: 1,224
- 2024: 1,379
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Part D drug cost
Part D drug cost increased 50% from $202,507 in 2020 to $304,166 in 2024.
- 2020: $202,507
- 2021: $49,979
- 2022: $213,507
- 2023: $250,316
- 2024: $304,166
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 1432% from $1,982.18 in 2021 to $30,369.55 in 2025.
- 2021: $1,982.18
- 2022: $2,830.57
- 2023: $2,846.87
- 2024: $3,767.77
- 2025: $30,369.55
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 206 records totaling $30,369.55.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $5,400.00 |
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $5,400.00 |
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $3,600.00 |
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $3,600.00 |
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $3,600.00 |
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $3,600.00 |
| Galderma Laboratories, L.P. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
NEMLUVIO | General | $600.00 |
| Galderma Laboratories, L.P. |
Travel and Lodging
In-kind items and services
|
NEMLUVIO | General | $175.00 |
| Galderma Laboratories, L.P. |
Travel and Lodging
In-kind items and services
|
NEMLUVIO | General | $170.80 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $137.71 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $128.93 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $127.20 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $123.25 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
CIBINQO | General | $122.47 |
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
|
TREMFYA | General | $99.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $92.80 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $89.28 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $74.09 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $51.86 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
|
ILUMYA | General | $35.60 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
|
DAXXIFY | General | $34.35 |
| Mallinckrodt Hospital Products Inc. |
Food and Beverage
In-kind items and services
|
ACTHAR | General | $33.74 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $32.98 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
|
ILUMYA | General | $32.58 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $31.12 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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1,570 | 346 | $22.88 | $5.75 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
874 | 614 | $102.48 | $81.89 |
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17000
Destruction of precancer skin growth, 1 growth
|
704 | 488 | $129.37 | $44.40 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
378 | 237 | $161.77 | $115.20 |
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11102
Biopsy of related skin growth, first growth
|
354 | 314 | $212.42 | $74.38 |
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17110
Destruction of skin growth, 1-14 growths
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279 | 237 | $225.45 | $93.90 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
165 | 165 | $142.26 | $99.82 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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137 | 56 | $7.91 | $0.98 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
129 | 115 | $86.48 | $50.67 |
|
36415
Insertion of needle into vein for collection of blood sample
|
86 | 48 | $10.00 | $8.46 |
|
J9190
Injection, fluorouracil, 500 mg
|
80 | 47 | $3.25 | $2.67 |
|
96405
Administration of chemotherapy into growth, 1-7
|
79 | 47 | $151.76 | $48.74 |
|
12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
|
76 | 74 | $462.46 | $257.19 |
|
11103
Biopsy of related skin growth, each additional growth
|
74 | 58 | $91.30 | $43.22 |
|
11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
|
73 | 66 | $393.23 | $107.80 |
|
17261
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
|
68 | 49 | $245.98 | $108.36 |
|
11900
Injection into skin growth, 1-7 growths
|
57 | 42 | $99.39 | $42.11 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
54 | 54 | $217.26 | $149.81 |
|
96372
Injection of drug or substance under skin or into muscle
|
51 | 22 | $39.61 | $12.79 |
|
99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
|
31 | 31 | $99.44 | $64.96 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
31 | 14 | $31.37 | $20.34 |
|
11104
Punch biopsy, first skin growth
|
30 | 29 | $254.36 | $104.97 |
|
Q0112
All potassium hydroxide (koh) preparations
|
30 | 24 | $15.00 | $5.71 |
|
12052
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
|
28 | 26 | $496.26 | $272.53 |
|
17271
Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
|
27 | 22 | $288.16 | $122.48 |
(top 25 shown)
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Betamethasone Diprop Augmented | Betamethasone/Propylene Glyc | 167 | 4,069 | $4,710.93 | 94 |
| Ketoconazole | Ketoconazole | 106 | 2,860 | $2,200.51 | 66 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 101 | 2,678 | $1,245.75 | 68 |
| Fluorouracil | Fluorouracil | 72 | 1,804 | $4,721.84 | 66 |
| Mometasone Furoate | Mometasone Furoate | 66 | 1,691 | $1,113.80 | 48 |
| Prednisone | Prednisone | 58 | 758 | $124.77 | 41 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 53 | 1,853 | $1,141.57 | 32 |
| Desonide | Desonide | 43 | 1,172 | $3,400.35 | 30 |
| Fluocinolone Acetonide | Fluocinolone/Shower Cap | 34 | 805 | $1,548.00 | 22 |
| Clobetasol Propionate | Clobetasol Propionate | 31 | 904 | $932.23 | 18 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 30 | 1,442 | $392.51 | 16 |
| Methotrexate | Methotrexate Sodium | 30 | 1,096 | $278.19 | — |
| Fluconazole | Fluconazole | 29 | 1,628 | $485.65 | 13 |
| Mupirocin | Mupirocin | 28 | 468 | $197.16 | 25 |
| Clindamycin Phosphate | Clindamycin Phosphate | 25 | 700 | $682.94 | 18 |
| Minoxidil | Minoxidil | 25 | 1,530 | $180.51 | — |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 25 | 750 | $3,192.38 | — |
| Spironolactone | Spironolactone | 23 | 1,440 | $87.53 | — |
| Montelukast Sodium | Montelukast Sodium | 22 | 720 | $55.00 | — |
| Ciclopirox | Ciclopirox | 22 | 534 | $695.72 | 14 |
| Otezla | Apremilast | 21 | 630 | $101,717.45 | — |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 20 | 990 | $488.42 | — |
| Metronidazole | Metronidazole | 16 | 376 | $558.70 | 14 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | 460 | $94.89 | — |
| Valacyclovir | Valacyclovir Hcl | 16 | 315 | $301.54 | — |
(top 25 shown)
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
NUCC Taxonomy Code: 207N00000X
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.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207N00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - DERMATOLOGY
I20160926000422
MS
6204091788
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
Magnolia Dermatology, Pllc
1659 Lelia Dr, Jackson, MS 392164818
Phone: 6019103004220
Magnolia Dermatology, Pllc
815 Hwy 80 E, Clinton, MS 390565252
Phone: 6019103004
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated June 12, 2012.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
815 Highway 80 E
Clinton, MS 390565252
Phone: 6019103004