Active NPI 1346482627 Individual Practitioner Male Practitioner

Dr. Alexander Robert Jack , MD

Dermatology • Ladera Ranch, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Jack, MD is a certified Dermatology practicing in Ladera Ranch, CA. With approximately 17 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 2009, Dr. Jack delivers high-quality medical care to the local community at 600 CORPORATE DR STE 240.

Dr. Jack is affiliated with Elizabeth V Lener Md Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

600 Corporate Dr Ste 240

Ladera Ranch, CA 926942111

Telephone 9493648411

Associated Practice Facility / Clinic

🏢 Elizabeth V. Lener, M.d., Inc. Facility NPI 1407989148

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Ladera Ranch, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -5.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Ladera Ranch, CA (2182 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jack (17 Years) 17 Yrs

Ladera Ranch Specialty Average (22.0 Years) 22.0 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	630	103	$20.00	$7.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	191	$260.00	$138.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	273	145	$150.00	$38.42
17000 Destruction of skin growth	197	133	$130.00	$55.48
99213 Established patient office or other outpatient visit, typically 15 minutes	164	119	$200.00	$97.91
11102 Tangential biopsy of single skin lesion	162	131	$170.00	$98.05
17110 Destruction of up to 14 skin growths	128	92	$190.00	$124.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$320.00	$179.32
11103 Biopsy of related skin growth, each additional growth	66	41	$90.00	$56.33
17004 Destruction of precancer skin growth, 15 or more growths	47	32	$310.00	$187.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	15	$10.00	$0.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$260.00	$120.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	18	$280.00	$174.71
11900 Injection into skin growth, 1-7 growths	21	14	$90.00	$48.75
96574 Application of light with debridement to destroy precancer skin growth	21	19	$500.00	$317.94
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	21	19	$530.00	$388.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$390.00	$136.40
10060 Simple or single drainage of skin abscess	13	11	$180.00	$141.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$520.00	$339.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	543	84	$20.00	$7.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	154	$187.04	$140.09
88305 Pathology examination of tissue using a microscope, intermediate complexity	225	124	$150.00	$39.42
99213 Established patient office or other outpatient visit, typically 15 minutes	175	127	$129.60	$99.33
17000 Destruction of skin growth	152	112	$130.00	$58.08
11102 Tangential biopsy of single skin lesion	128	108	$170.00	$108.82
17110 Destruction of up to 14 skin growths	89	66	$190.00	$130.25
11103 Biopsy of related skin growth, each additional growth	53	29	$90.00	$57.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$268.40	$181.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$178.57	$122.86
17004 Destruction of precancer skin growth, 15 or more growths	40	29	$310.00	$193.26
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	16	$530.00	$384.83
96574 Application of light with debridement to destroy precancer skin growth	18	16	$500.00	$331.03
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	12	$280.00	$161.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	14	12	$10.00	$1.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,332	209	$22.80	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	588	422	$289.05	$88.29
17000 Destruction of skin growth	363	271	$215.48	$54.29
11102 Tangential biopsy of single skin lesion	181	163	$324.08	$93.09
17110 Destruction of up to 14 skin growths	156	135	$361.03	$109.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	111	$364.11	$127.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$347.47	$109.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	29	$23.07	$1.16
11103 Biopsy of related skin growth, each additional growth	56	44	$153.48	$51.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	48	$179.53	$55.15
17004 Destruction of precancer skin growth, 15 or more growths	48	40	$518.42	$169.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$458.86	$168.30
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	31	19	$1226.94	$388.42
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	29	17	$475.00	$141.11
11900 Injection into skin growth, 1-7 growths	28	23	$175.71	$51.34
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$231.68	$71.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	17	$554.68	$155.75
69100 Biopsy of ear	15	15	$300.47	$90.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$968.00	$300.97
11104 Punch biopsy, first skin growth	15	14	$392.00	$127.96
11200 Removal of skin tag, 1-15 skin tags	12	12	$259.50	$67.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,626	243	$21.11	$6.41
99213 Established patient office or other outpatient visit, typically 15 minutes	748	463	$288.60	$88.74
17000 Destruction of skin growth	454	313	$212.79	$52.24
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	356	14	$384.40	$116.58
11102 Tangential biopsy of single skin lesion	216	192	$335.26	$94.68
17110 Destruction of up to 14 skin growths	174	145	$365.60	$110.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	93	$411.82	$126.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$358.04	$109.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	31	$23.99	$1.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	79	$178.82	$54.91
11103 Biopsy of related skin growth, each additional growth	77	53	$171.03	$51.11
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	71	41	$1274.93	$389.31
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	66	41	$461.54	$141.49
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	37	$574.49	$153.31
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	37	$995.61	$284.97
17004 Destruction of precancer skin growth, 15 or more growths	35	26	$534.00	$155.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$535.00	$159.58
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$234.72	$69.75
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$800.06	$117.87
11900 Injection into skin growth, 1-7 growths	27	21	$181.20	$48.14
11104 Punch biopsy, first skin growth	21	19	$420.00	$123.88
11200 Removal of skin tag, 1-15 skin tags	13	13	$290.00	$71.35
69100 Biopsy of ear	13	13	$320.00	$82.14
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$479.00	$127.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,254	198	$17.49	$5.92
99213 Established patient office or other outpatient visit, typically 15 minutes	402	267	$180.86	$73.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	296	$261.90	$106.57
17000 Destruction of skin growth	364	255	$159.13	$51.31
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	287	17	$274.36	$113.22
11102 Tangential biopsy of single skin lesion	166	152	$243.98	$93.21
17110 Destruction of up to 14 skin growths	157	134	$270.62	$107.48
99202 New patient office or other outpatient visit, typically 20 minutes	97	97	$187.76	$73.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	87	28	$16.90	$1.47
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	75	38	$986.98	$392.60
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	67	38	$308.42	$128.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$268.33	$104.10
11103 Biopsy of related skin growth, each additional growth	48	31	$135.11	$51.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	32	$765.40	$290.61
17004 Destruction of precancer skin growth, 15 or more growths	31	27	$361.16	$152.06
11900 Injection into skin growth, 1-7 growths	24	20	$129.50	$48.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	20	$636.25	$121.35
11104 Punch biopsy, first skin growth	20	20	$311.15	$120.32
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	13	$433.20	$161.38
11200 Removal of skin tag, 1-15 skin tags	14	14	$213.32	$65.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,121	200	$13.66	$5.35
99213 Established patient office or other outpatient visit, typically 15 minutes	359	252	$151.00	$71.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	258	$221.00	$104.62
17000 Destruction of skin growth	328	237	$133.00	$50.71
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	198	23	$234.00	$110.79
11102 Tangential biopsy of single skin lesion	167	152	$202.00	$87.36
17110 Destruction of up to 14 skin growths	146	121	$226.00	$102.50
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	96	48	$802.47	$391.95
99202 New patient office or other outpatient visit, typically 20 minutes	95	95	$155.00	$73.45
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	86	48	$244.37	$116.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	29	$10.50	$1.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$220.00	$104.37
11103 Biopsy of related skin growth, each additional growth	57	39	$109.00	$49.25
11900 Injection into skin growth, 1-7 growths	38	25	$111.00	$52.29
17004 Destruction of precancer skin growth, 15 or more growths	35	25	$311.00	$146.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$623.00	$294.32
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	19	$509.00	$120.85
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	17	$361.00	$149.45
11104 Punch biopsy, first skin growth	15	15	$254.00	$118.85
11200 Removal of skin tag, 1-15 skin tags	13	13	$181.00	$68.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$92.00	$43.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	959	162	$14.91	$4.97
99213 Established patient office or other outpatient visit, typically 15 minutes	325	212	$115.62	$70.03
17000 Destruction of skin growth	283	199	$131.46	$55.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	207	$174.14	$103.68
11100 Biopsy of single growth of skin and/or tissue	134	117	$172.80	$96.33
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$119.59	$71.27
17110 Destruction of up to 14 skin growths	76	70	$182.74	$107.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$173.32	$103.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	22	$10.00	$1.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	57	31	$600.00	$398.16
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	54	31	$218.42	$107.71
11101 Biopsy of each additional growth of skin and/or tissue	47	25	$56.39	$31.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	18	$288.27	$139.48
17004 Destruction of precancer skin growth, 15 or more growths	22	19	$295.20	$138.26
11900 Injection into skin growth, 1-7 growths	22	16	$94.28	$44.20
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$508.29	$290.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$69.92	$42.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$402.17	$119.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	762	153	$19.17	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	341	271	$151.43	$70.46
17000 Destruction of skin growth	216	191	$166.73	$55.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	173	$218.25	$103.45
11100 Biopsy of single growth of skin and/or tissue	121	118	$218.49	$96.47
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$145.29	$72.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	19	$5.42	$1.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$208.15	$101.77
11101 Biopsy of each additional growth of skin and/or tissue	37	27	$67.96	$29.99
17110 Destruction of up to 14 skin growths	34	29	$185.09	$102.97
11900 Injection into skin growth, 1-7 growths	33	16	$124.98	$51.62
88305 Pathology examination of tissue using a microscope, intermediate complexity	21	16	$195.68	$59.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$69.92	$40.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$634.56	$286.30

Medical Specialties & State Licenses

CMS Verified: 2022-12-22

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA C179601

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.

Hospital & Practice Group Affiliations

Elizabeth V Lener Md Inc

600 Corporate Dr, Ladera Ranch, CA 926942111

Phone: 9493648411

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Dana Hutchison , MD

Dermatology

NPI 1093396434

Doctor of Medicine (M.D.)

Dr. Jyoti Mundi , MD

Dermatology

NPI 1104078310

Doctor of Medicine (M.D.)

Dr. Jane Khoury , MD

Dermatology

NPI 1245246214

Doctor of Medicine (M.D.)

Dr. Elizabeth Lener , MD

Dermatology

NPI 1912998196

Doctor of Medicine (M.D.)

Dr. Stephanie Fogelson , MD

Dermatology

NPI 1942488267

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 22, 2022

Registered at 600 CORPORATE DR STE 240, LADERA RANCH, CA 926942111 (Tel: 9493648411)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2022

Dermatology (License #C179601 in CA)

✅

NPI Profile Active October 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2013

Registered at 2901 174TH ST NE, MARYSVILLE, WA 982714743 (Tel: 3604541990)

📍

Updated Business Mailing Address October 25, 2013

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4252583900)

👤

Provider Name / Credentials Updated October 25, 2013

Recorded as ALEXANDER JACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2013

Dermatology (License #MD60344004 in WA)

🟢

Initial NPI Registration & Enumeration April 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346482627

Entity Type:

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

Enumeration Date: April 01, 2009

Last Update: December 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5127

Everett, WA 982065127

Phone: 4252583900

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

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