Active NPI 1962420315 Individual Practitioner Male Practitioner

Dr. Sam P Smith , DO

Dermatology • Gilbert, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sam Smith, DO is a certified Dermatology practicing in Gilbert, AZ. With approximately 25 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2001, Dr. Smith delivers high-quality medical care to the local community at 4915 EAST BASELINE ROAD.

Dr. Smith is affiliated with Sam P Smith Do Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of precancer skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4915 East Baseline Road
Suite 102

Gilbert, AZ 852342966

Telephone 4806468660

Fax 4806468665

Associated Practice Facility / Clinic

🏢 Sam P Smith Do Llc Facility NPI 1710904636

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Gilbert, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +9.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Gilbert, AZ (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (25 Years) 25 Yrs

Gilbert Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,159	320	$11.98	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	2,052	953	$89.93	$87.63
17004 Destruction of precancer skin growth, 15 or more growths	2,012	990	$173.93	$161.00
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	474	355	$138.00	$105.73
17000 Destruction of skin growth	456	339	$87.94	$56.19
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	330	268	$128.86	$125.33
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	212	174	$141.00	$110.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$121.00	$107.64
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	162	130	$237.00	$198.32
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	139	107	$202.00	$171.48
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	133	104	$215.00	$179.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	109	$49.00	$48.27
11102 Tangential biopsy of single skin lesion	113	101	$119.00	$87.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	63	$130.00	$123.77
17110 Destruction of up to 14 skin growths	55	29	$127.00	$106.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	36	$350.00	$291.79
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	38	33	$221.00	$186.33
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	30	29	$162.00	$129.56
69100 Biopsy of ear	30	28	$115.00	$70.12
10060 Simple or single drainage of skin abscess	25	22	$136.00	$122.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$287.00	$117.73
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$166.00	$129.79
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$83.00	$70.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17004 Destruction of precancer skin growth, 15 or more growths	2,279	1,030	$173.91	$166.85
99213 Established patient office or other outpatient visit, typically 15 minutes	2,102	957	$89.93	$88.84
17003 Destruction of precancer skin growth, 2-14 growths	1,387	164	$12.00	$6.59
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	460	356	$137.89	$110.64
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	358	292	$129.00	$128.27
17000 Destruction of skin growth	255	196	$88.00	$57.59
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	210	175	$141.00	$114.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	179	179	$121.00	$110.26
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	151	131	$237.00	$203.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	77	$130.00	$125.85
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	104	89	$215.00	$186.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	93	$49.00	$49.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	100	88	$202.00	$176.68
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	57	42	$221.00	$191.00
11102 Tangential biopsy of single skin lesion	54	51	$119.00	$88.25
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	46	43	$162.00	$131.57
17110 Destruction of up to 14 skin growths	44	26	$127.00	$108.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	39	$350.00	$297.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	36	$287.00	$121.01
69100 Biopsy of ear	32	32	$115.00	$86.56
10060 Simple or single drainage of skin abscess	22	22	$136.00	$124.08
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$166.00	$138.12
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$185.00	$155.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17004 Destruction of precancer skin growth, 15 or more growths	2,518	1,250	$173.96	$165.05
99213 Established patient office or other outpatient visit, typically 15 minutes	2,444	1,217	$89.95	$88.69
17003 Destruction of precancer skin growth, 2-14 growths	1,538	183	$11.93	$6.58
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	439	355	$138.00	$112.79
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	348	294	$129.00	$124.81
17000 Destruction of skin growth	258	226	$87.78	$60.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	202	202	$121.00	$109.46
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	182	158	$141.00	$115.62
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	142	118	$237.00	$201.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	94	$130.00	$125.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	104	95	$202.00	$175.21
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	83	63	$215.00	$183.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	61	$49.00	$48.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$180.00	$164.44
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	56	50	$162.00	$132.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	55	52	$350.00	$297.61
11102 Tangential biopsy of single skin lesion	49	43	$119.00	$99.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	33	$287.00	$119.66
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	33	31	$221.00	$189.55
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	26	$185.00	$153.43
10060 Simple or single drainage of skin abscess	25	25	$136.00	$122.05
17110 Destruction of up to 14 skin growths	25	20	$127.00	$104.16
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	18	$166.00	$138.86
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	15	$341.00	$312.22
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$315.00	$131.98
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$328.00	$136.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,314	1,294	$87.51	$88.53
17004 Destruction of precancer skin growth, 15 or more growths	3,015	1,256	$174.00	$165.06
17003 Destruction of precancer skin growth, 2-14 growths	2,094	186	$12.00	$6.46
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	578	448	$138.00	$116.16
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	376	318	$129.00	$128.75
17000 Destruction of skin growth	313	225	$88.00	$62.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	289	196	$119.54	$120.47
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	209	179	$141.00	$117.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$121.00	$111.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$180.00	$167.45
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	111	96	$237.00	$206.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	95	77	$202.00	$177.32
11102 Tangential biopsy of single skin lesion	73	66	$119.00	$100.06
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	68	61	$213.85	$187.80
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	62	53	$221.00	$193.02
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	60	55	$162.00	$137.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	42	$350.00	$304.82
17110 Destruction of up to 14 skin growths	30	21	$127.00	$113.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	28	$287.00	$123.90
10060 Simple or single drainage of skin abscess	26	26	$136.00	$121.14
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	23	$185.00	$156.51
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	20	19	$241.00	$209.94
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$166.00	$145.10
69100 Biopsy of ear	16	16	$115.00	$77.39
11103 Biopsy of related skin growth, each additional growth	11	11	$60.00	$52.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$328.00	$153.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,348	1,292	$81.00	$74.75
17004 Destruction of precancer skin growth, 15 or more growths	2,863	1,239	$174.00	$157.90
17003 Destruction of precancer skin growth, 2-14 growths	2,389	198	$12.00	$6.00
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	646	490	$138.00	$113.80
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	381	322	$129.00	$128.85
17000 Destruction of skin growth	361	261	$88.00	$60.70
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	217	184	$141.00	$117.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	127	$116.00	$108.40
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	153	129	$237.00	$205.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$121.21	$107.28
11102 Tangential biopsy of single skin lesion	132	119	$119.00	$97.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$180.00	$164.16
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	114	96	$202.00	$176.82
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	82	68	$215.00	$186.35
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	69	59	$221.00	$192.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	60	52	$350.00	$302.27
17110 Destruction of up to 14 skin growths	55	31	$127.00	$110.09
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	49	46	$162.00	$136.47
69100 Biopsy of ear	46	43	$115.00	$85.39
11103 Biopsy of related skin growth, each additional growth	42	41	$60.00	$52.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	35	$287.00	$126.69
10060 Simple or single drainage of skin abscess	30	29	$136.00	$121.21
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	17	16	$241.00	$209.27
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$166.00	$139.77
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$185.00	$159.14
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$328.00	$140.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,763	1,385	$81.00	$73.73
17004 Destruction of precancer skin growth, 15 or more growths	3,249	1,357	$174.00	$151.14
17003 Destruction of precancer skin growth, 2-14 growths	2,414	214	$12.00	$5.58
11102 Tangential biopsy of single skin lesion	793	567	$119.00	$97.12
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	397	343	$138.00	$118.27
17000 Destruction of skin growth	295	243	$88.00	$61.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	266	266	$121.00	$107.40
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	227	212	$129.00	$128.57
11103 Biopsy of related skin growth, each additional growth	200	170	$60.00	$52.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	86	$116.00	$108.04
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	143	115	$237.00	$204.82
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	123	118	$141.00	$120.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	109	101	$202.00	$175.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$180.00	$163.34
17110 Destruction of up to 14 skin growths	81	38	$127.00	$107.65
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	80	70	$215.00	$186.91
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	71	68	$221.00	$191.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	65	64	$350.00	$303.08
69100 Biopsy of ear	63	58	$115.00	$90.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	43	$287.00	$132.35
10060 Simple or single drainage of skin abscess	25	22	$136.00	$118.42
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	18	16	$173.00	$150.69
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$315.00	$135.44
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$166.00	$143.46
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$162.00	$139.45
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$341.00	$299.75
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	13	12	$284.00	$245.18
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$328.00	$141.44
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$192.00	$83.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,493	1,300	$81.00	$71.53
17004 Destruction of precancer skin growth, 15 or more growths	3,074	1,287	$174.00	$141.81
17003 Destruction of precancer skin growth, 2-14 growths	2,875	238	$12.00	$5.16
11100 Biopsy of single growth of skin and/or tissue	1,031	669	$119.00	$102.67
17000 Destruction of skin growth	360	274	$88.00	$59.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	292	292	$121.00	$105.86
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	166	152	$138.00	$116.84
11101 Biopsy of each additional growth of skin and/or tissue	146	117	$38.00	$32.10
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	145	123	$237.00	$200.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	100	86	$202.00	$172.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	69	$116.00	$105.66
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	85	73	$215.00	$183.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$180.00	$161.59
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	63	59	$129.00	$108.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	57	55	$350.00	$296.81
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	55	52	$221.00	$188.05
17110 Destruction of up to 14 skin growths	50	25	$127.00	$108.61
69100 Biopsy of ear	47	45	$115.00	$80.33
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	34	33	$141.00	$118.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	29	$287.00	$122.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	22	$328.00	$139.72
10060 Simple or single drainage of skin abscess	18	18	$136.00	$116.77
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	16	$341.00	$289.19
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	16	15	$173.00	$147.27
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$315.00	$133.37
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$162.00	$138.80
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	12	11	$241.00	$204.03
40490 Biopsy of lip	11	11	$218.00	$126.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	3,332	1,280	$81.00	$72.05
17004 Destruction of precancer skin growth, 15 or more growths	2,952	1,275	$174.00	$148.32
17003 Destruction of precancer skin growth, 2-14 growths	2,576	235	$12.00	$5.55
11100 Biopsy of single growth of skin and/or tissue	981	651	$119.00	$101.37
17000 Destruction of skin growth	350	279	$88.00	$60.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	339	339	$121.00	$106.57
11101 Biopsy of each additional growth of skin and/or tissue	127	105	$38.00	$32.31
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	109	96	$237.00	$202.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	101	91	$202.00	$171.70
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	95	94	$138.00	$117.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	42	$116.00	$105.96
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	68	58	$350.00	$299.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	52	47	$287.00	$124.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$180.00	$162.06
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	46	44	$215.00	$183.94
69100 Biopsy of ear	38	36	$115.00	$89.01
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	37	35	$141.00	$121.14
17110 Destruction of up to 14 skin growths	33	24	$127.00	$107.72
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	33	32	$221.00	$188.44
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	31	30	$129.00	$107.77
10060 Simple or single drainage of skin abscess	20	19	$136.00	$116.31
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	19	18	$173.00	$147.15
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$166.00	$142.39
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$315.00	$143.06
40490 Biopsy of lip	14	14	$218.00	$128.40
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$341.00	$290.40
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$162.00	$140.15
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	11	11	$241.00	$205.61

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 4237

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

117012 (AZ)

Commercial Insurance / Payer ID Caqh

11458639 (AZ)

Hospital & Practice Group Affiliations

Sam P Smith Do Llc

4915 E Baseline Rd, Gilbert, AZ 852342966

Phone: 4806468660

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Samuel Fox , PA-C

Physician Assistant

NPI 1003381633

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 16, 2013

Registered at 4915 EAST BASELINE ROAD, SUITE 102, GILBERT, AZ 852342966 (Tel: 4806468660)

📍

Updated Business Mailing Address August 16, 2013

Registered at 4915 EAST BASELINE ROAD, SUITE 102, GILBERT, AZ 852342966 (Tel: 4806468660)

👤

Provider Name / Credentials Updated August 16, 2013

Recorded as SAM SMITH, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2013

Dermatology (License #4237 in AZ)

🟢

Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962420315

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2006

Last Update: August 16, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4915 East Baseline Road, Suite 102

Gilbert, AZ 852342966

Phone: 4806468660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.