Physician Profile
Clarence E. Boudreaux, M.D. practices dermatology in Ponte Vedra Beach, FL. Clarence is a 1985 graduate of Louisiana State University School of Medicine in New Orleans. Medicare claims data shows Clarence provided 1,515 services to 1,067 patients. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and pathology examination of tissue using a microscope, intermediate complexity. The provider's National Provider Identifier (NPI) is 1053366211.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
103 SOLANA ROAD SUITE B
Ponte Vedra Beach, FL 32082
Within Dermatology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Acne and follicular disorders
Eczema and inflammatory skin disease
Infections and infestations
Pigment, growths, and benign lesions
Skin cancer
Urticaria, itch, and vascular
Autoimmune and connective tissue
Infections
Rashes & allergy
Skin growths
Most searched procedures
Diagnostic procedures
Lesion treatment
Medical dermatology treatment
Cosmetic
Cosmetic and minor surgery
Cosmetic dermatology
Diagnostic
General dermatology
Infections
Medical dermatology
Nails & hair
Skin cancer surgery
Skin growths
1,515 services · 1,067 patients · 16 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Destruction of precancer skin growth, 2-14 growths | Procedure | 17003 |
431 | As often as other peers in Dermatology |
| Destruction of precancer skin growth, 1 growth | Procedure | 17000 |
160 | As often as other peers in Dermatology |
| Destruction of skin growth, 1-14 growths | Procedure | 17110 |
122 | As often as other peers in Dermatology |
| Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | Procedure | 11642 |
42 | More often than most peers in Dermatology |
| Punch biopsy, first skin growth | Procedure | 11104 |
39 | More often than most peers in Dermatology |
| Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | Procedure | 12052 |
23 | Less often than most peers in Dermatology |
| Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | Procedure | 17262 |
17 | Less often than most peers in Dermatology |
| Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm | Procedure | 17263 |
15 | Less often than most peers in Dermatology |
| Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | Procedure | 12032 |
12 | Less often than most peers in Dermatology |
| Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm | Procedure | 11643 |
11 | Less often than most peers in Dermatology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Clarence E. Boudreaux is a dermatologist (skin doctor) in Ponte Vedra Beach, FL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.
NPI registry
Clarence E. Boudreaux is listed at 103 Solana Road Suite B, Ponte Vedra Beach, FL 32082. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (904) 273-2717. Contact the office directly to confirm availability and scheduling.
NPI registry
Clarence E. Boudreaux's National Provider Identifier is 1053366211. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Clarence E. Boudreaux attended Louisiana State University School of Medicine in New Orleans, graduating in 1985. This comes from the CMS National Downloadable File.
CMS public data
Clarence E. Boudreaux has 41 years experience. Calculated from a graduation year of 1985, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Clarence E. Boudreaux performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and destruction of skin growth, 1-14 growths, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Clarence E. Boudreaux. If this is you, claiming it is free.
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