Active NPI 1235134412 Individual Practitioner Male Practitioner

Dr. Ronald M Glick , DO

Dermatology • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Glick, DO is a certified Dermatology practicing in Mesa, AZ. With approximately 43 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1983, Dr. Glick delivers high-quality medical care to the local community at 3940 E UNIVERSITY DR.

Dr. Glick accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3940 E University Dr

Mesa, AZ 852056945

Telephone 4809249235

Fax 4808325501

Associated Practice Facility / Clinic

🏢 Aap Dermatology & Cosmetic Surgery, P.c. Facility NPI 1174730147

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Mesa, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +18.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

20 Specialists

Practicing in Mesa, AZ (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glick (43 Years) 43 Yrs

Mesa Specialty Average (24.3 Years) 24.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	2,171	1,561	$95.02	$87.71
11102 Tangential biopsy of single skin lesion	742	636	$134.89	$88.79
17003 Destruction of precancer skin growth, 2-14 growths	718	250	$20.00	$6.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	520	424	$60.00	$54.54
88305 Pathology examination of tissue using a microscope, intermediate complexity	495	376	$103.00	$34.98
17000 Destruction of skin growth	489	436	$90.09	$52.02
17110 Destruction of up to 14 skin growths	470	414	$120.00	$108.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	327	$130.00	$123.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	403	403	$112.00	$106.43
11103 Biopsy of related skin growth, each additional growth	273	167	$52.81	$48.09
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	202	14	$200.00	$149.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	174	144	$249.51	$117.17
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	134	120	$500.00	$405.27
11104 Punch biopsy, first skin growth	128	119	$130.00	$118.18
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	120	111	$625.00	$448.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	48	$16.80	$0.95
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	106	98	$275.00	$129.06
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	79	72	$425.00	$355.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$168.23	$159.83
11900 Injection into skin growth, 1-7 growths	60	36	$60.00	$45.17
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	60	57	$425.00	$388.68
96573 Application of light by qualified health care professional to destroy precancer skin growth	57	57	$250.00	$216.67
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	53	48	$265.00	$122.02
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	44	36	$150.00	$121.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	35	$190.00	$148.09
69100 Biopsy of ear	40	38	$131.00	$81.38
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	35	$280.00	$134.14
88304 Pathology examination of tissue using a microscope, moderately low complexity	34	28	$59.00	$10.66
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	32	32	$1050.00	$961.81
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	30	26	$150.00	$114.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	27	$400.00	$276.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	14	$30.00	$13.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	22	$183.00	$154.88
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	22	$250.00	$114.22
10060 Simple or single drainage of skin abscess	21	19	$125.00	$116.85
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	20	19	$190.00	$161.21
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	19	17	$140.00	$111.11
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	17	17	$900.00	$733.13
11105 Punch biopsy, each additional skin growth	17	16	$70.00	$57.16
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$200.00	$165.02
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$236.00	$167.07
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$175.00	$93.47
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$650.00	$475.95
17004 Destruction of precancer skin growth, 15 or more growths	13	12	$236.00	$161.08
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	13	13	$315.00	$142.17
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	11	11	$158.00	$117.54
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1100.00	$741.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,962	1,426	$95.09	$87.25
17003 Destruction of precancer skin growth, 2-14 growths	822	253	$20.00	$6.47
11102 Tangential biopsy of single skin lesion	723	590	$135.00	$90.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	697	523	$60.00	$54.67
88305 Pathology examination of tissue using a microscope, intermediate complexity	595	410	$103.00	$35.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	494	494	$112.00	$107.85
17000 Destruction of skin growth	484	430	$90.00	$51.36
17110 Destruction of up to 14 skin growths	472	401	$120.00	$107.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	344	$130.36	$123.63
11103 Biopsy of related skin growth, each additional growth	309	191	$53.17	$48.83
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	226	14	$200.00	$151.32
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	181	143	$249.59	$118.80
11104 Punch biopsy, first skin growth	172	161	$130.00	$120.93
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	145	129	$500.00	$405.50
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	143	129	$625.00	$456.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	124	106	$274.91	$129.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	107	48	$16.80	$1.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$170.00	$161.37
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	94	84	$425.00	$345.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	80	51	$190.00	$128.04
11900 Injection into skin growth, 1-7 growths	77	38	$60.00	$47.79
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	65	61	$265.00	$123.04
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	49	46	$425.00	$384.79
88304 Pathology examination of tissue using a microscope, moderately low complexity	46	31	$59.00	$10.83
96573 Application of light by qualified health care professional to destroy precancer skin growth	46	46	$250.00	$222.09
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	45	39	$150.00	$113.46
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	43	35	$278.02	$135.50
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	42	36	$183.00	$143.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	40	$400.00	$254.87
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	39	38	$150.00	$123.65
69100 Biopsy of ear	39	36	$131.00	$69.84
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	33	29	$236.00	$161.08
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	26	25	$1050.00	$968.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	12	$30.00	$13.69
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	23	$250.00	$115.17
11105 Punch biopsy, each additional skin growth	24	21	$70.00	$57.50
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	23	19	$140.00	$113.24
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$175.00	$76.83
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	16	$200.00	$154.61
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	19	19	$312.00	$249.51
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	19	14	$205.00	$163.02
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	18	18	$190.00	$163.25
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	18	18	$350.00	$152.88
10060 Simple or single drainage of skin abscess	17	15	$125.00	$121.95
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	17	$325.00	$299.36
40490 Biopsy of lip	17	16	$135.00	$108.82
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	16	15	$158.00	$97.71
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$650.00	$483.59
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$170.00	$145.84
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	14	$900.00	$736.74
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1100.00	$744.95
17004 Destruction of precancer skin growth, 15 or more growths	13	12	$236.00	$164.24
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	12	12	$315.00	$143.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,846	1,377	$95.10	$88.47
17003 Destruction of precancer skin growth, 2-14 growths	886	270	$20.98	$6.56
88305 Pathology examination of tissue using a microscope, intermediate complexity	798	477	$102.91	$36.36
11102 Tangential biopsy of single skin lesion	754	641	$134.77	$92.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	624	493	$60.06	$55.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	530	530	$112.00	$109.40
17000 Destruction of skin growth	487	433	$89.86	$50.58
17110 Destruction of up to 14 skin growths	469	411	$118.26	$107.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	330	$130.10	$125.00
11103 Biopsy of related skin growth, each additional growth	390	223	$53.14	$49.92
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	303	16	$200.00	$153.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	178	143	$249.58	$119.81
11104 Punch biopsy, first skin growth	158	154	$129.65	$122.39
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	152	134	$499.28	$407.09
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	143	128	$625.00	$460.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$170.00	$163.73
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	122	106	$275.00	$131.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	46	$16.80	$1.13
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	87	82	$425.00	$374.09
11900 Injection into skin growth, 1-7 growths	69	37	$60.00	$49.50
69100 Biopsy of ear	59	54	$131.00	$66.88
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	57	55	$265.00	$123.83
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	57	53	$150.00	$125.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	51	39	$190.00	$133.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	48	44	$425.00	$388.70
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	48	45	$278.23	$136.38
96573 Application of light by qualified health care professional to destroy precancer skin growth	44	44	$235.00	$228.09
88304 Pathology examination of tissue using a microscope, moderately low complexity	42	36	$59.00	$11.10
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	39	30	$150.00	$112.74
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	37	37	$1050.00	$970.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	13	$30.00	$13.94
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	32	27	$183.00	$140.88
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	28	27	$250.00	$115.94
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	27	25	$190.00	$165.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	25	$400.00	$287.03
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	25	24	$140.00	$115.12
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	22	$650.00	$489.05
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	17	$175.00	$92.21
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	18	$236.00	$170.37
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	21	$170.00	$143.05
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$200.00	$160.62
17004 Destruction of precancer skin growth, 15 or more growths	19	15	$236.00	$160.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	18	18	$312.00	$260.42
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1100.00	$750.60
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	16	16	$350.00	$154.50
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	16	16	$315.00	$145.55
11105 Punch biopsy, each additional skin growth	15	13	$70.00	$58.19
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	14	$900.00	$740.79
10060 Simple or single drainage of skin abscess	14	14	$125.00	$122.17
40490 Biopsy of lip	14	13	$135.00	$107.84
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$185.00	$102.12
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$195.00	$97.24
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$315.00	$152.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,629	1,231	$93.77	$90.63
88305 Pathology examination of tissue using a microscope, intermediate complexity	788	492	$103.00	$37.40
11102 Tangential biopsy of single skin lesion	748	629	$123.33	$94.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	615	494	$59.56	$55.58
17003 Destruction of precancer skin growth, 2-14 growths	612	210	$20.00	$6.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	382	$127.01	$124.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	396	396	$112.38	$110.84
17000 Destruction of skin growth	388	349	$90.00	$52.64
17110 Destruction of up to 14 skin growths	368	328	$115.00	$108.29
11103 Biopsy of related skin growth, each additional growth	350	189	$54.18	$52.36
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	291	16	$200.00	$161.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	56	$16.80	$1.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	187	143	$250.00	$123.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	175	175	$170.00	$166.72
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	149	129	$500.00	$425.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	149	127	$625.00	$479.92
11104 Punch biopsy, first skin growth	143	133	$130.00	$128.10
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	121	107	$275.00	$136.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	114	101	$425.00	$356.16
11900 Injection into skin growth, 1-7 growths	88	38	$59.66	$47.57
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	61	54	$265.00	$127.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	61	46	$190.00	$129.97
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	55	40	$150.00	$130.27
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	54	50	$280.00	$140.77
69100 Biopsy of ear	50	48	$133.78	$72.15
88304 Pathology examination of tissue using a microscope, moderately low complexity	41	35	$59.00	$11.44
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	39	35	$183.00	$149.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	18	$30.00	$14.02
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	28	$150.00	$114.39
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	29	$425.00	$389.24
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	29	26	$140.00	$119.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	28	$175.00	$98.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	23	$200.00	$159.48
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	25	$1050.00	$962.76
96573 Application of light by qualified health care professional to destroy precancer skin growth	25	25	$232.60	$230.96
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	22	$236.00	$184.42
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	24	22	$190.00	$172.04
40490 Biopsy of lip	19	16	$135.00	$119.13
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	18	18	$250.00	$119.96
17004 Destruction of precancer skin growth, 15 or more growths	18	15	$236.00	$164.78
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	17	17	$350.00	$159.24
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	16	$170.00	$146.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$400.00	$280.74
11105 Punch biopsy, each additional skin growth	17	14	$73.82	$57.21
10060 Simple or single drainage of skin abscess	16	16	$125.00	$123.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$650.00	$507.15
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$1100.00	$764.93
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$312.00	$264.51
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$900.00	$755.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,004	1,429	$90.05	$74.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	898	597	$52.00	$44.92
88305 Pathology examination of tissue using a microscope, intermediate complexity	877	554	$103.00	$38.73
11102 Tangential biopsy of single skin lesion	763	642	$100.00	$91.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	677	677	$110.20	$106.21
17003 Destruction of precancer skin growth, 2-14 growths	496	189	$20.00	$5.95
17000 Destruction of skin growth	373	331	$90.00	$52.85
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	359	12	$200.00	$161.93
17110 Destruction of up to 14 skin growths	356	312	$115.00	$107.30
11103 Biopsy of related skin growth, each additional growth	330	193	$53.00	$52.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	174	141	$250.00	$123.16
11104 Punch biopsy, first skin growth	163	155	$129.56	$122.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	156	137	$500.00	$419.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	144	129	$625.00	$472.99
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	126	112	$275.00	$134.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	46	$16.80	$1.45
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	96	84	$425.00	$374.61
96921 Treatment of inflammatory skin disease using laser, 250.0-500.0 sq cm	80	11	$225.00	$177.07
69100 Biopsy of ear	63	59	$131.00	$72.20
11900 Injection into skin growth, 1-7 growths	62	31	$60.00	$47.82
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	61	56	$265.00	$127.45
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	57	51	$425.00	$389.87
88304 Pathology examination of tissue using a microscope, moderately low complexity	55	40	$59.00	$12.08
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	54	52	$280.00	$140.53
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	52	45	$150.00	$131.61
96573 Application of light by qualified health care professional to destroy precancer skin growth	51	50	$212.00	$208.31
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	38	33	$183.00	$145.33
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	36	36	$1050.00	$976.26
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	35	28	$140.00	$120.00
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	33	31	$236.00	$176.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	27	$190.00	$143.65
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	26	26	$650.00	$505.47
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	25	24	$190.00	$175.59
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	22	$175.00	$91.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	14	$30.00	$14.14
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	21	18	$350.00	$159.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$400.00	$272.17
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	20	20	$315.00	$157.17
40490 Biopsy of lip	20	18	$135.00	$121.60
10060 Simple or single drainage of skin abscess	19	17	$125.00	$114.72
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	18	$150.00	$121.98
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	16	$250.00	$118.94
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	14	$195.00	$105.52
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$200.00	$146.19
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	15	$312.00	$238.53
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$185.00	$107.58
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$325.00	$155.91
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$170.00	$131.76
11105 Punch biopsy, each additional skin growth	12	11	$70.00	$56.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,101	1,557	$89.98	$73.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	896	621	$52.00	$44.40
88305 Pathology examination of tissue using a microscope, intermediate complexity	877	579	$103.00	$38.53
11102 Tangential biopsy of single skin lesion	727	639	$100.07	$91.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	660	660	$110.12	$106.50
17003 Destruction of precancer skin growth, 2-14 growths	610	193	$20.00	$5.48
17000 Destruction of skin growth	378	337	$90.00	$53.42
17110 Destruction of up to 14 skin growths	324	280	$115.00	$106.80
11103 Biopsy of related skin growth, each additional growth	295	194	$53.13	$51.91
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	167	13	$200.00	$161.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	166	151	$625.00	$467.13
11104 Punch biopsy, first skin growth	166	159	$128.48	$121.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	164	142	$250.00	$122.36
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	147	132	$274.46	$133.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	120	113	$500.00	$408.31
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	109	100	$425.00	$357.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	78	70	$425.00	$390.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	37	$16.80	$1.57
96573 Application of light by qualified health care professional to destroy precancer skin growth	66	66	$206.00	$198.04
69100 Biopsy of ear	55	49	$131.00	$75.50
88304 Pathology examination of tissue using a microscope, moderately low complexity	52	40	$59.00	$11.63
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	52	46	$265.00	$129.38
11900 Injection into skin growth, 1-7 growths	51	30	$60.00	$44.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	50	46	$280.00	$135.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	40	$190.00	$133.79
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	37	36	$183.00	$157.96
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	31	30	$1050.00	$983.02
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$175.00	$91.99
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	27	25	$150.00	$131.43
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	27	27	$650.00	$503.98
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	25	$236.00	$169.44
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	26	26	$250.00	$113.98
10060 Simple or single drainage of skin abscess	24	24	$125.00	$113.34
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	23	$150.00	$116.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	22	$400.00	$274.88
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	21	20	$312.00	$213.82
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	21	19	$190.00	$176.10
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	19	18	$140.00	$109.31
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	17	17	$315.00	$148.71
40490 Biopsy of lip	16	15	$135.00	$124.96
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	11	$200.00	$129.84
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$195.00	$102.93
11105 Punch biopsy, each additional skin growth	13	12	$70.00	$60.17
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$350.00	$171.29
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$900.00	$755.55
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1100.00	$770.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,166	1,518	$90.02	$71.43
11100 Biopsy of single growth of skin and/or tissue	898	766	$110.00	$97.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	884	884	$110.09	$105.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	873	594	$52.03	$42.99
88305 Pathology examination of tissue using a microscope, intermediate complexity	863	569	$103.00	$38.59
17003 Destruction of precancer skin growth, 2-14 growths	722	223	$20.00	$5.16
17000 Destruction of skin growth	444	405	$90.00	$53.49
17110 Destruction of up to 14 skin growths	325	277	$114.77	$106.90
11101 Biopsy of each additional growth of skin and/or tissue	293	188	$45.00	$31.92
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	164	132	$250.00	$121.58
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	146	130	$275.00	$134.35
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	137	123	$625.00	$466.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	131	112	$500.00	$406.08
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	103	96	$425.00	$358.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	31	$16.80	$1.77
69100 Biopsy of ear	69	63	$131.00	$78.22
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	69	67	$416.23	$394.79
11900 Injection into skin growth, 1-7 growths	60	29	$60.00	$46.36
96573 Application of light by qualified health care professional to destroy precancer skin growth	59	59	$206.00	$185.10
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	49	47	$280.00	$139.86
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	44	43	$265.00	$126.26
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	41	41	$1050.00	$996.66
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	31	$190.00	$156.29
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	36	33	$150.00	$130.68
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	31	27	$140.00	$119.61
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	30	29	$650.00	$497.32
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	29	28	$183.00	$166.40
88304 Pathology examination of tissue using a microscope, moderately low complexity	26	24	$60.69	$11.40
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	21	$250.00	$121.76
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	22	$236.00	$175.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	20	$150.00	$128.32
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	17	17	$190.00	$175.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$400.00	$261.91
40490 Biopsy of lip	16	15	$135.00	$123.13
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	16	15	$350.00	$167.00
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$175.00	$87.53
17004 Destruction of precancer skin growth, 15 or more growths	15	15	$231.60	$142.37
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	14	14	$315.00	$148.06
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$185.00	$108.65
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	12	12	$900.00	$749.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,974	1,376	$90.00	$71.81
88305 Pathology examination of tissue using a microscope, intermediate complexity	770	494	$102.94	$38.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	740	740	$110.07	$105.98
11100 Biopsy of single growth of skin and/or tissue	722	629	$110.00	$96.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	579	416	$52.00	$42.88
17003 Destruction of precancer skin growth, 2-14 growths	571	162	$20.00	$5.47
17000 Destruction of skin growth	336	306	$90.00	$53.84
11101 Biopsy of each additional growth of skin and/or tissue	272	173	$45.00	$32.22
17110 Destruction of up to 14 skin growths	242	227	$115.00	$106.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	211	25	$34.00	$19.91
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	193	11	$200.00	$153.93
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	140	122	$274.93	$134.12
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	138	118	$625.00	$468.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	117	95	$250.00	$121.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	109	102	$500.00	$406.32
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	78	69	$425.00	$349.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	73	38	$16.80	$1.82
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	64	57	$363.75	$351.87
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	57	57	$145.00	$132.92
69100 Biopsy of ear	54	51	$131.00	$80.33
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	54	51	$265.00	$126.67
11900 Injection into skin growth, 1-7 growths	54	35	$60.00	$44.80
88304 Pathology examination of tissue using a microscope, moderately low complexity	41	34	$60.07	$11.18
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	39	39	$1050.00	$1003.26
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	35	34	$280.00	$140.01
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	34	34	$650.00	$500.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	30	28	$183.00	$152.32
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	24	$175.00	$81.83
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	25	$190.00	$138.58
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	26	26	$150.00	$131.58
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	24	18	$190.00	$176.76
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	21	20	$350.00	$158.04
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	20	$150.00	$116.60
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	20	18	$140.00	$119.78
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	19	19	$312.00	$217.12
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	18	$195.00	$91.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$400.00	$244.40
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$236.00	$172.21
40490 Biopsy of lip	17	17	$135.00	$128.31
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	15	$250.00	$117.47
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	14	14	$315.00	$148.51
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$900.00	$754.03
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$170.00	$141.07
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1100.00	$768.84

Medical Specialties & State Licenses

CMS Verified: 2022-02-09

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 2012

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.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License AZ 2012

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License AZ 2012

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

278938 (AZ)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Natalia Mahoney

Dermatology

NPI 1538716717

Erin Seymour , PA-C

Physician Assistant

NPI 1942511555

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2022

Dermatology (License #2012 in AZ)

✅

NPI Profile Active December 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2008

Registered at 3940 E UNIVERSITY DR, MESA, AZ 852056945 (Tel: 4809249235)

📍

Updated Business Mailing Address December 03, 2008

Registered at 3940 E UNIVERSITY DR, MESA, AZ 852056945 (Tel: 4809249235)

👤

Provider Name / Credentials Updated December 03, 2008

Recorded as RONALD GLICK, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2008

Dermatology (License #2012 in AZ)

🟢

Initial NPI Registration & Enumeration June 15, 2005

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: 1235134412

Entity Type:

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

Enumeration Date: June 15, 2005

Last Update: February 09, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3940 E University Dr

Mesa, AZ 852056945

Phone: 4809249235

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.