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Active NPI 1477288801 Individual Practitioner Male Practitioner

Tanner R Smith , PA

Physician Assistant • Goodyear, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tanner Smith, PA is a certified Physician Assistant practicing in Goodyear, AZ. With approximately 4 years of clinical experience since completing medical education in 2022, Tanner Smith delivers high-quality medical care to the local community at 2620 N 140TH AVE STE 103.

Tanner Smith is affiliated with Clear Sky Dermatology 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 skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2620 N 140th Ave Ste 103

Goodyear, AZ 853952437

Telephone 6232194777
Fax 6232194778
Associated Practice Facility / Clinic
🏢 Clear Sky Dermatology Llc Facility NPI 1306369996

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Goodyear, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.6 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
55 Specialists

Practicing in Goodyear, AZ (3711 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (4 Years) 4 Yrs
Goodyear Specialty Average (8.6 Years) 8.6 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
1,117 212 $9.75 $5.43
99213 Established patient office or other outpatient visit, typically 15 minutes
472 327 $133.54 $73.93
17000 Destruction of skin growth
318 250 $99.41 $44.10
11102 Tangential biopsy of single skin lesion
184 171 $146.94 $78.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
136 136 $163.39 $90.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
56 50 $83.10 $46.46
17110 Destruction of up to 14 skin growths
55 52 $167.08 $92.60
11103 Biopsy of related skin growth, each additional growth
44 31 $73.60 $41.10
17004 Destruction of precancer skin growth, 15 or more growths
34 32 $246.05 $137.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
30 30 $445.63 $242.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
26 25 $358.99 $101.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
26 15 $1.49 $0.98
11104 Punch biopsy, first skin growth
18 18 $183.15 $102.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 13 $188.02 $105.31
11900 Injection into skin growth, 1-7 growths
14 13 $84.41 $40.34
69100 Biopsy of ear
11 11 $139.98 $71.06

Medical Specialties & State Licenses

CMS Verified: 2022-12-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 9328

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Clear Sky Dermatology Llc

2620 N 140th Ave, Goodyear, AZ 853952437

Phone: 6232194777

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Kevin Svancara , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1083052872

Doctor of Osteopathic Medicine (D.O.)

Abby Baker , APRN, NP-C

Nurse Practitioner - Family

NPI 1184187676

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address December 14, 2022

Registered at 2620 N 140TH AVE STE 103, GOODYEAR, AZ 853952437 (Tel: 6232194777)

👤
Provider Name / Credentials Updated December 14, 2022

Recorded as TANNER SMITH, PA

📍
Updated Practice Location November 21, 2022

Registered at 2620 N 140TH AVE STE 103, GOODYEAR, AZ 853952437 (Tel: 6232194777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2022

Physician Assistant (License #9328 in AZ)

NPI Profile Active July 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

📍
Updated Business Mailing Address July 20, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

👤
Provider Name / Credentials Updated July 20, 2022

Recorded as TANNER SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 20, 2022

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: 1477288801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2022
Last Update: December 14, 2022
Sole Proprietor: No

Mailing Address

2620 N 140th Ave Ste 103

Goodyear, AZ 853952437

Phone: 6232194777

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.