Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clark C Otley, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1578535506

Clark C Otley, MD is a Micrographic Dermatologic Surgery (Mds) in Rochester, Minnesota. Graduated from Duke University School of Medicine in 1991, 35 years ago. Practices with Mayo Clinic, a 4,796-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
35
Trained at
Duke University School of Medicine
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 38287 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 38287 (MN)

Record details

NPI number1578535506
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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