Dr. Lark Greenwald Guss, MD

  • Spokane, WA
  • Mohs-micrographic surgery physician
NPI1275973398PAC ID2163646605
Medicare services, 2024
1,483
Medicare patients, 2024
498
Part D claims, 2024
99
Publications
6
Clinical trials
1
Practice address
510 S Cowley St Ste 201, Spokane, WA 99202
Practice phone
Call (509) 456-8444
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Clinic 5C

Surgery Center - Medicare-Certified · Spokane, Washington

See all 3 affiliations

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Dr. Lark Greenwald Guss is a mohs-micrographic surgery physician in Spokane, Washington

Dr. Guss practices at Clinic 5C in Spokane, Washington.

Dr. Guss' NPI, 1275973398, was assigned on July 3, 2013. Dr. Guss graduated from Johns Hopkins University School of Medicine in 2013. Dr. Guss holds Washington license MD60840220.

NPI and contact details
Medicare PAC ID
2163646605
NPI enumeration date
July 3, 2013
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(509) 456-8444
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
39
Medical school graduation
2013

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Lark Greenwald Guss practices at Clinic 5C in Spokane, Washington

Dr. Guss' primary practice is Clinic 5C, at 510 S Cowley St Ste 201, Spokane, WA 99202. The practice phone is (509) 456-8444.

  • Clinic 5C
    510 S Cowley St Ste 201, Spokane, WA 99202Phone(509) 456-8444

Source: Dmand AI Affiliation Data

Dr. Lark Greenwald Guss is affiliated with 2 sites of care and 1 medical group

Dr. Guss' primary practice is Clinic 5C in Spokane, Washington. The medical group on file is Dermatology Specialists of Spokane. Dmand AI also links Dr. Guss to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dr. Guss

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Lark Greenwald Guss' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Guss practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Clinic 5CAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Lark Greenwald Guss is one of 27 mohs-micrographic surgery physicians in Washington

Mohs-micrographic surgery is Dr. Guss' primary specialty in the NPI Registry, under taxonomy code 207ND0101X. Dmand AI has Dr. Guss' licenses on file in 3 states: Washington, California and Montana.

Specialties and state licenses

  • Mohs-micrographic surgery, WashingtonPrimaryLicense MD60840220 · taxonomy 207ND0101X
  • California licenseLicense 148774
  • Dermatology, MontanaLicense 79073 · taxonomy 207N00000X

Mohs-micrographic surgery physicians near Dr. Guss

Counts of mohs-micrographic surgery physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Lark Greenwald Guss billed Medicare for 1,483 services in 2024

CMS data shows 1,483 Medicare services from Dr. Guss across 25 procedure codes in 2024, for 498 Medicare patients. Medicare paid $432,557 for them. Every service was in an office.

Medicare services, 20241,483
Medicare patients498
Paid by Medicare$432,557
Procedure codes25

Dr. Guss' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 1,3342024: 1,3491%
Office and hospital visits
2023: 1802024: 13426%

Dr. Guss compared with the Washington median for mohs-micrographic surgery physicians, 2024

  • Dr. Guss
  • Washington median
Medicare services
1,483vs 1,30214% above
Medicare patients
498vs 498Close to median
Part D claims
34vs 23285% below

Medians across 29 mohs-micrographic surgery physicians in Washington with Dmand AI profiles that report each measure.

Dr. Guss' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Guss

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Lark Greenwald Guss treated 498 Medicare patients in 2024, average age 78

CMS counts 498 Medicare patients who saw Dr. Guss in 2024. The largest group is 75 to 84, with 216 patients. 65% of them have high cholesterol, and 63% have high blood pressure. 2% are also on Medicaid. Their average risk score is 1.15, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Guss' median patient age at 74, with 47% women.

Medicare patients, 2024498
Average age78
Average risk score1.15
Also on Medicaid2%

Dr. Guss' Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Guss' Medicare patients by sex, 2024

  • Women23146%
  • Men26754%

Chronic conditions among Dr. Guss' Medicare patients, 2024

  1. High cholesterol65%
  2. High blood pressure63%
  3. Arthritis46%
  4. Ischemic heart disease23%
  5. Atrial fibrillation20%
  6. Chronic kidney disease20%
  7. Diabetes20%
  8. Mood disorders17%

Share of Medicare patients with each condition. A patient can have several.

Dr. Guss' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 74

Patient panel by sex, all payers

  • Women47%
  • Men52%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Lark Greenwald Guss wrote 99 Medicare Part D claims in 2024

In 2024, Dr. Guss wrote 99 Medicare Part D claims for 69 patients. 99% of them were for generic drugs. CMS names the drug for 34 of them, across 2 drugs with 11 or more claims each, at $268 in total drug cost. In 2023, CMS named 50 claims across 3 drugs.

Part D claims, 202499
Drugs named by CMS2
Total drug cost$268
Part D patients69

Dr. Guss' Part D claims by kind of drug, 2024

  • Generic98 claims99%
  • Brand-name and other1 claims1%

Dr. Guss' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Guss' Part D claims, 2024

  • Opioids11%11 of 99 claims
  • Antibiotics32%32 of 99 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 502024: 3432%

Drugs named by CMS: 2 in 2024, 3 in 2023.

See all prescribing by Dr. Guss

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Lark Greenwald Guss scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Guss for performance year 2024, reported as part of a group. Dr. Guss accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 205 procedures of melanoma (skin cancer) excision by Dr. Guss, more than 97% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Guss' MIPS scores, performance year 2024

  • 96of 100Final score
  • 100of 100Quality
  • 40of 100Improvement Activities
  • 86of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Guss ranks in Medicare procedure volume

Removal of skin cancer
74th percentile724 procedures
Melanoma (skin cancer) excision
97th percentile205 procedures
Removal of skin lesions
68th percentile28 procedures
Skin biopsy
62nd percentile18 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Lark Greenwald Guss has 6 publications on record

Dmand AI links 6 papers to Dr. Guss, published from 2016 to 2019. The most frequent topics are Laser Therapy, Rejuvenation and Skin Aging. Dr. Guss has published most often in Dermatol Surg. Dr. Guss' most frequent co-authors are Joanna Grace Bolton, MD, Sabrina Guillen Fabi, MD and Mitchel Paul Goldman, MD.

Papers6
Years published2016 to 2019

Dr. Guss' papers by year, 2016 to 2019

Topics Dr. Guss writes about most

  • Laser Therapy
  • Rejuvenation
  • Skin Aging
  • Skin Pigmentation

Dr. Guss' most frequent co-authors

Recent publications by Dr. Guss

See all 6 publications and co-authors

See who Dr. Guss researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Guss works with, so you can find a warm path to the right mohs-micrographic surgery physicians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Lark Greenwald Guss has worked on 1 clinical trial

Dmand AI links Dr. Guss to 1 clinical trial. Conditions studied include Pachyonychia Congenita and Epidermolysis Bullosa Simplex.

Conditions in Dr. Guss' trials

  • Pachyonychia Congenita
  • Epidermolysis Bullosa Simplex

Investigators on the most trials with Dr. Guss

Recent clinical trials with Dr. Guss

Sources: Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)

Dr. Lark Greenwald Guss received $1,439 in industry payments from 2017 to 2025

CMS Open Payments shows 71 general payments to Dr. Guss from 22 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 99% of the total. Abbvie Inc. paid the most, $352.

General payments to Dr. Guss by program year, 2017 to 2025

General payments to Dr. Guss by kind, 2017 to 2025

$1.4Kin total
  • Food and beverage$1,43299%
  • Education$71%

Companies that paid Dr. Guss the most, 2017 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Guss

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Lark Greenwald Guss graduated from Johns Hopkins University School of Medicine

Dr. Guss graduated from Johns Hopkins University School of Medicine in 2013.

  1. Medical schoolJohns Hopkins University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Lark Greenwald Guss's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Clinical trials and co-investigatorsDmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Lark Greenwald Guss

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Lark Greenwald Guss' NPI number?

Dr. Lark Greenwald Guss' NPI number is 1275973398. It was assigned on July 3, 2013, and it is active in the NPI Registry.

What kind of doctor is Dr. Lark Greenwald Guss?

Dr. Lark Greenwald Guss is a mohs-micrographic surgery physician in Spokane, Washington. The primary specialty in the NPI Registry is MOHS-Micrographic Surgery Physician (taxonomy code 207ND0101X).

Where does Dr. Lark Greenwald Guss practice?

Dr. Guss practices at 510 S Cowley St Ste 201, Spokane, WA 99202. Dr. Guss' primary practice is Clinic 5C in Spokane, Washington. Dmand AI also links Dr. Guss to 1 group practice or clinic.

What is Dr. Lark Greenwald Guss' office phone number?

The practice phone on file for Dr. Guss is (509) 456-8444.

What is Dr. Lark Greenwald Guss' medical license number?

Dr. Guss holds Washington license MD60840220, one of the licenses on file in 3 states.

Which states has Dr. Lark Greenwald Guss been licensed in?

Dmand AI has state licenses on file for Dr. Guss in Washington, California and Montana.

What medical group is Dr. Lark Greenwald Guss part of?

Dr. Guss is linked to Dermatology Specialists of Spokane.

Does Dr. Lark Greenwald Guss accept Medicare?

Yes. CMS data shows Dr. Guss billed Medicare for 1,483 services in 2024, and Dr. Guss accepts Medicare assignment.

What is Dr. Lark Greenwald Guss' MIPS score?

Dr. Guss' MIPS final score for performance year 2024 is 96 out of 100, reported as part of a group.

How many Medicare patients does Dr. Lark Greenwald Guss see?

CMS counts 498 Medicare patients who saw Dr. Guss in 2024, with an average age of 78.

Show 7 more questionsShow fewer questions

What services does Dr. Lark Greenwald Guss bill to Medicare?

In 2024, Dr. Guss' most billed Medicare services were surgery: skin and soft tissue (17311), surgery: skin and soft tissue (17312) and surgery: skin and soft tissue (12032).

Where did Dr. Lark Greenwald Guss go to medical school?

Dr. Guss graduated from Johns Hopkins University School of Medicine in 2013.

What drugs does Dr. Lark Greenwald Guss prescribe most?

In 2024 Medicare Part D data, Dr. Guss' most prescribed drugs by claims were Doxycycline Hyclate and Mupirocin.

Has Dr. Lark Greenwald Guss received payments from drug or device companies?

CMS Open Payments shows $1,439 in general payments to Dr. Guss from 22 companies from 2017 to 2025. The largest total came from Abbvie Inc.

How long has Dr. Lark Greenwald Guss been practicing?

Dr. Guss graduated from medical school in 2013, 13 years ago.

Does Dr. Lark Greenwald Guss do research?

Dmand AI links 6 publications to Dr. Guss, published from 2016 to 2019. Dr. Guss has worked on 1 clinical trial.

Who does Dr. Lark Greenwald Guss publish with?

Dr. Guss' most frequent co-authors are Joanna Grace Bolton, MD (1 shared paper), Sabrina Guillen Fabi, MD (1 shared paper) and Mitchel Paul Goldman, MD (1 shared paper).

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