Active NPI 1700989118 Individual Practitioner Male Practitioner

Dr. David Lee Dutra , DPM

Podiatrist • Jackson, CA

Professional Overview & Biography Verified Profile Summary

Dr. David Dutra, DPM is a registered healthcare professional specializing in Podiatrist in Jackson, CA. Practice services are available at 613 NEW YORK RANCH RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

613 New York Ranch Rd

Jackson, CA 956429328

Telephone 2092233030

Fax 2092235864

Associated Practice Facility / Clinic

🏢 David L Dutra Dpm Inc Facility NPI 1043339328

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Jackson, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Jackson, CA (1110 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	472	218	$97.00	$81.84
11721 Removal of fingernails or toenails, 6 or more nails	278	136	$50.00	$40.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$125.00	$100.67
17110 Destruction of up to 14 skin growths	75	34	$125.00	$106.71
11056 Removal of noncancer thickened skin growth, 2-4 growths	69	31	$90.00	$76.82
11055 Removal of single thickened skin growth	57	29	$80.00	$66.87
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$105.00	$67.10
20600 Aspiration and/or injection of fluid from small joint	32	22	$79.69	$50.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	20	15	$5.00	$0.11
20550 Injection into tendon or ligament	19	13	$103.05	$57.41
11730 Simple separation of fingernail or toenail from nail bed, first nail	16	15	$145.00	$96.09
11750 Permanent removal fingernail or toenail	16	14	$350.00	$149.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	456	219	$97.00	$87.79
11721 Removal of fingernails or toenails, 6 or more nails	244	113	$50.00	$43.61
99202 New patient office or other outpatient visit, typically 20 minutes	160	160	$105.00	$70.70
11056 Removal of noncancer thickened skin growth, 2-4 growths	71	24	$90.00	$83.21
17110 Destruction of up to 14 skin growths	43	18	$125.00	$114.26
20600 Aspiration and/or injection of fluid from small joint	42	24	$75.00	$48.47
11055 Removal of single thickened skin growth	30	23	$80.00	$71.23
20550 Injection into tendon or ligament	25	16	$89.00	$51.81
11721 Removal of fingernails or toenails, 6 or more nails	23	17	$50.00	$22.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	12	$40.00	$13.88
11750 Permanent removal fingernail or toenail	18	15	$350.00	$158.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	412	248	$99.60	$90.70
11721 Removal of fingernails or toenails, 6 or more nails	273	210	$50.00	$44.76
99202 New patient office or other outpatient visit, typically 20 minutes	120	120	$111.04	$72.72
11056 Removal of noncancer thickened skin growth, 2-4 growths	70	44	$90.00	$85.56
17110 Destruction of up to 14 skin growths	46	25	$130.65	$115.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg	38	32	$5.39	$0.11
11055 Removal of single thickened skin growth	26	23	$80.00	$74.33
11730 Simple separation of fingernail or toenail from nail bed, first nail	24	24	$145.00	$117.41
20600 Aspiration and/or injection of fluid from small joint	24	19	$83.13	$50.78
64455 Injection of anesthetic and/or steroid drug into foot nerve	23	19	$85.00	$49.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	15	$39.80	$21.80
11750 Permanent removal fingernail or toenail	12	11	$335.00	$158.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	919	347	$50.00	$46.94
99213 Established patient office or other outpatient visit, typically 15 minutes	835	400	$96.61	$94.66
99202 New patient office or other outpatient visit, typically 20 minutes	273	273	$104.89	$76.08
11056 Removal of noncancer thickened skin growth, 2-4 growths	233	74	$89.76	$85.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	127	90	$5.00	$0.15
11055 Removal of single thickened skin growth	101	46	$79.90	$75.06
17110 Destruction of up to 14 skin growths	68	40	$125.00	$121.84
11042 Removal of skin and tissue, 20.0 sq cm or less	63	18	$145.00	$138.49
20550 Injection into tendon or ligament	61	40	$89.16	$56.56
20600 Aspiration and/or injection of fluid from small joint	47	33	$75.00	$50.11
11730 Simple separation of fingernail or toenail from nail bed, first nail	21	19	$145.00	$121.63
64455 Injection of anesthetic and/or steroid drug into foot nerve	19	16	$85.00	$50.96
11750 Permanent removal fingernail or toenail	18	15	$350.00	$168.23
28285 Correction of toe joint deformity	15	11	$720.00	$317.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	819	314	$50.00	$47.95
99213 Established patient office or other outpatient visit, typically 15 minutes	659	307	$80.03	$78.28
11056 Removal of noncancer thickened skin growth, 2-4 growths	247	76	$76.02	$74.58
99202 New patient office or other outpatient visit, typically 20 minutes	189	189	$90.08	$79.37
11055 Removal of single thickened skin growth	121	52	$70.70	$66.39
73620 X-ray of foot, 2 views	71	43	$50.00	$25.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg	62	43	$5.00	$0.13
20600 Aspiration and/or injection of fluid from small joint	42	25	$75.00	$50.31
17110 Destruction of up to 14 skin growths	40	23	$125.00	$119.44
11730 Simple separation of fingernail or toenail from nail bed, first nail	33	33	$145.00	$117.44
20550 Injection into tendon or ligament	26	15	$89.00	$54.00
64455 Injection of anesthetic and/or steroid drug into foot nerve	18	16	$85.00	$49.28
11750 Permanent removal fingernail or toenail	15	14	$350.00	$166.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	932	340	$50.00	$47.63
99213 Established patient office or other outpatient visit, typically 15 minutes	789	367	$80.00	$76.86
99202 New patient office or other outpatient visit, typically 20 minutes	240	240	$90.00	$79.11
11056 Removal of noncancer thickened skin growth, 2-4 growths	230	69	$69.70	$68.96
11055 Removal of single thickened skin growth	136	61	$64.41	$59.51
73620 X-ray of foot, 2 views	98	63	$50.00	$24.63
20550 Injection into tendon or ligament	47	30	$89.00	$52.95
20600 Aspiration and/or injection of fluid from small joint	36	33	$60.85	$48.74
11730 Simple separation of fingernail or toenail from nail bed, first nail	34	31	$142.35	$114.70
93923 Complete ultrasound study of arm and leg arteries	33	33	$200.00	$120.16
11750 Permanent removal fingernail or toenail	25	19	$350.00	$163.39
17110 Destruction of up to 14 skin growths	22	13	$125.00	$116.95
64455 Injection of anesthetic and/or steroid drug into foot nerve	15	12	$85.00	$49.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	930	320	$50.00	$47.42
99213 Established patient office or other outpatient visit, typically 15 minutes	874	359	$80.00	$75.37
11056 Removal of noncancer thickened skin growth, 2-4 growths	239	74	$65.00	$62.00
99202 New patient office or other outpatient visit, typically 20 minutes	185	185	$90.00	$77.64
73620 X-ray of foot, 2 views	126	65	$50.00	$23.84
11055 Removal of single thickened skin growth	109	50	$55.00	$50.95
20550 Injection into tendon or ligament	60	34	$89.00	$50.87
20600 Aspiration and/or injection of fluid from small joint	43	30	$50.74	$47.94
93923 Complete ultrasound study of arm and leg arteries	40	40	$200.00	$123.66
11042 Removal of skin and tissue, 20.0 sq cm or less	28	16	$139.29	$123.32
11750 Permanent removal fingernail or toenail	26	20	$350.00	$161.16
11730 Simple separation of fingernail or toenail from nail bed, first nail	25	22	$116.20	$111.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,021	346	$50.00	$45.26
99213 Established patient office or other outpatient visit, typically 15 minutes	891	358	$80.00	$73.01
11056 Removal of noncancer thickened skin growth, 2-4 growths	288	87	$65.00	$59.44
99202 New patient office or other outpatient visit, typically 20 minutes	220	220	$90.00	$74.94
73620 X-ray of foot, 2 views	132	75	$50.00	$22.88
11055 Removal of single thickened skin growth	124	52	$55.00	$48.82
20550 Injection into tendon or ligament	62	38	$89.00	$50.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	40	$5.00	$0.12
20600 Aspiration and/or injection of fluid from small joint	48	33	$50.74	$44.77
93923 Complete ultrasound study of arm and leg arteries	32	32	$200.00	$119.48
11730 Simple separation of fingernail or toenail from nail bed, first nail	31	31	$115.00	$106.02
11750 Permanent removal fingernail or toenail	20	17	$350.00	$154.95
28285 Correction of toe joint deformity	18	11	$720.00	$264.58
64455 Injection of anesthetic and/or steroid drug into foot nerve	14	12	$85.00	$47.72

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License CA E3190

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2011

Registered at 613 NEW YORK RANCH RD, JACKSON, CA 956429328 (Tel: 2092233030)

📍

Updated Business Mailing Address November 23, 2011

Registered at PO BOX 938, JACKSON, CA 956420938 (Tel: 2092233030)

👤

Provider Name / Credentials Updated November 23, 2011

Recorded as DAVID DUTRA, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Podiatrist (License #E3190 in CA)

🟢

Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700989118

Entity Type:

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

Enumeration Date: September 07, 2006

Last Update: November 23, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 938

Jackson, CA 956420938

Phone: 2092233030

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.