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

Matthew Ryan Clark, MD

Individual provider Dermatology Physician · NPI 1194162230

Matthew Ryan Clark, MD is a Micrographic Dermatologic Surgery (Mds) in Bend, Oregon. Graduated from University of Florida College of Medicine in 2013, 13 years ago. Practices with Dermatologic Surgery of the Carolinas LLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina, Oregon and South Carolina.

Years since qualifying
13
Trained at
University of Florida College of Medicine
Licensed in
NC, OR, SC
In the registry since
2013
Specialties on file
5
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

2353 NE Conners Ave
Bend, OR 97701-6068
Phone: (541) 323-7546
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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 MD195653 (OR)
Dermatology Physician Taxonomy 207N00000X · Licence MMD89666MD (SC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MMD89666MD (SC)
Dermatology Physician Taxonomy 207N00000X · Licence 2023-00924 (NC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 2023-00924 (NC)

Record details

NPI number1194162230
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2013
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address2353 Ne Conners Ave, Bend, OR 97701-6068

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Dermatologic Surgery Of The Carolinas Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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