Active NPI 1740296698 Individual Practitioner Male Practitioner

Dr. Michael G Bodnar , MD

Dermatology • Thousand Oaks, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bodnar, MD is a certified Dermatology practicing in Thousand Oaks, CA. With approximately 32 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1994, Dr. Bodnar delivers high-quality medical care to the local community at 55 ROLLING OAKS DR STE 200.

Dr. Bodnar is affiliated with J Robert West Md Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established 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

55 Rolling Oaks Dr Ste 200

Thousand Oaks, CA 913611010

Telephone 8054977529

Fax 8054943486

Associated Practice Facility / Clinic

🏢 Conejo Dermatology Medical Group Facility NPI 1073524674

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Thousand Oaks, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.6 yrs vs City Avg

City Avg: 24.4 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Thousand Oaks, CA (2182 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bodnar (32 Years) 32 Yrs

Thousand Oaks Specialty Average (24.4 Years) 24.4 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	20,111	1,261	$15.00	$7.55
17000 Destruction of skin growth	3,425	1,369	$151.00	$58.93
99213 Established patient office or other outpatient visit, typically 15 minutes	3,400	1,394	$197.00	$97.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,827	967	$124.00	$61.28
17110 Destruction of up to 14 skin growths	1,723	974	$259.00	$126.19
77401 Radiation treatment delivery, superficial	1,228	79	$97.00	$48.34
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,111	606	$160.00	$37.84
11102 Tangential biopsy of single skin lesion	764	596	$227.00	$97.76
17004 Destruction of precancer skin growth, 15 or more growths	658	432	$376.00	$185.28
11103 Biopsy of related skin growth, each additional growth	202	133	$113.00	$55.93
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	132	72	$1031.00	$511.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	128	109	$680.00	$335.29
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	121	41	$624.00	$309.93
10060 Simple or single drainage of skin abscess	111	97	$283.00	$139.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	91	80	$545.00	$134.95
77300 Calculation of radiation therapy dose	88	56	$147.00	$73.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$241.00	$118.04
17111 Destruction of skin growth, 15 or more growths	70	59	$301.00	$149.00
69100 Biopsy of ear	38	35	$213.00	$87.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$277.00	$137.11
77263 Complex radiation therapy planning	32	30	$353.00	$173.02
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$158.00	$78.30
88304 Pathology examination of tissue using a microscope, moderately low complexity	30	29	$98.00	$11.45
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	23	$617.00	$152.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	11	$3.17	$0.98
11900 Injection into skin growth, 1-7 growths	23	11	$128.00	$48.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	18,822	1,215	$34.98	$7.68
17000 Destruction of skin growth	3,177	1,307	$149.30	$60.60
99213 Established patient office or other outpatient visit, typically 15 minutes	2,948	1,265	$129.03	$97.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,555	887	$78.30	$61.70
17110 Destruction of up to 14 skin growths	1,486	875	$185.06	$126.96
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,063	561	$122.48	$38.23
77401 Radiation treatment delivery, superficial	746	48	$51.63	$48.32
11102 Tangential biopsy of single skin lesion	722	570	$176.42	$101.96
17004 Destruction of precancer skin growth, 15 or more growths	612	420	$460.00	$190.32
11103 Biopsy of related skin growth, each additional growth	188	134	$95.24	$56.65
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	143	110	$559.70	$336.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$192.20	$120.50
10060 Simple or single drainage of skin abscess	111	95	$206.73	$139.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	106	88	$445.27	$136.08
77263 Complex radiation therapy planning	60	42	$286.04	$177.56
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	59	41	$979.41	$524.08
17111 Destruction of skin growth, 15 or more growths	41	34	$238.46	$150.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	11	$3.17	$1.06
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$131.67	$78.74
11900 Injection into skin growth, 1-7 growths	32	11	$102.95	$46.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	25	$508.97	$154.78
69100 Biopsy of ear	26	24	$159.00	$85.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$191.40	$137.54
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$530.70	$347.83
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$469.80	$140.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$301.47	$96.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	12,036	960	$34.99	$7.87
99213 Established patient office or other outpatient visit, typically 15 minutes	2,419	1,162	$129.09	$98.98
17000 Destruction of skin growth	2,234	1,052	$149.32	$63.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,190	704	$78.30	$62.38
17110 Destruction of up to 14 skin growths	1,109	709	$203.00	$130.49
17004 Destruction of precancer skin growth, 15 or more growths	920	480	$460.00	$192.44
88305 Pathology examination of tissue using a microscope, intermediate complexity	834	482	$122.79	$79.67
77401 Radiation treatment delivery, superficial	744	49	$51.63	$49.07
11102 Tangential biopsy of single skin lesion	583	477	$176.59	$107.03
11103 Biopsy of related skin growth, each additional growth	137	92	$95.24	$58.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$192.85	$121.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	109	92	$559.70	$325.17
17111 Destruction of skin growth, 15 or more growths	97	78	$240.70	$152.66
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	85	77	$1197.04	$758.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	57	$445.27	$140.89
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	55	40	$979.41	$537.87
77300 Calculation of radiation therapy dose	49	35	$121.75	$73.46
69100 Biopsy of ear	36	29	$159.00	$96.87
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	35	25	$710.15	$468.38
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$133.40	$80.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	22	$508.97	$156.99
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	25	23	$545.20	$180.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$191.40	$139.74
10060 Simple or single drainage of skin abscess	21	17	$207.35	$140.63
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$530.70	$251.14
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	15	$113.10	$47.87
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$477.05	$174.59
10061 Complicated or multiple drainage of skin abscess	13	13	$363.95	$237.74
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	11	11	$1119.46	$719.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	9,167	758	$34.98	$7.62
17000 Destruction of skin growth	1,795	830	$149.27	$63.83
99213 Established patient office or other outpatient visit, typically 15 minutes	1,540	826	$129.03	$100.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,239	698	$78.28	$62.79
17110 Destruction of up to 14 skin growths	838	505	$202.92	$132.11
17004 Destruction of precancer skin growth, 15 or more growths	703	348	$460.00	$191.17
88305 Pathology examination of tissue using a microscope, intermediate complexity	639	363	$122.85	$80.58
11102 Tangential biopsy of single skin lesion	454	364	$176.47	$110.80
77401 Radiation treatment delivery, superficial	202	17	$51.63	$51.98
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	132	110	$1197.04	$756.99
11103 Biopsy of related skin growth, each additional growth	97	83	$95.24	$61.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	93	79	$559.70	$313.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$192.85	$121.77
17111 Destruction of skin growth, 15 or more growths	58	45	$240.70	$153.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	54	38	$710.15	$467.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	39	$445.27	$142.52
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	33	32	$545.20	$182.46
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	30	27	$530.70	$203.49
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	18	$477.05	$173.15
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	18	$508.97	$161.00
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	20	16	$979.41	$585.75
77300 Calculation of radiation therapy dose	20	16	$121.75	$76.16
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	16	$113.10	$48.63
10061 Complicated or multiple drainage of skin abscess	18	18	$363.95	$239.17
69100 Biopsy of ear	16	16	$159.00	$96.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	16	15	$1119.46	$731.24
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$133.40	$81.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	8,445	710	$17.46	$7.04
17000 Destruction of skin growth	1,678	791	$108.11	$65.66
99213 Established patient office or other outpatient visit, typically 15 minutes	1,254	712	$94.87	$83.17
17110 Destruction of up to 14 skin growths	619	384	$153.13	$130.36
88305 Pathology examination of tissue using a microscope, intermediate complexity	587	346	$94.11	$79.88
17004 Destruction of precancer skin growth, 15 or more growths	586	317	$288.76	$181.89
11102 Tangential biopsy of single skin lesion	433	345	$136.32	$108.37
77401 Radiation treatment delivery, superficial	416	27	$42.30	$29.45
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	193	27	$374.89	$332.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	125	$72.20	$51.46
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	105	94	$907.10	$748.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	88	73	$394.04	$321.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	84	$191.40	$121.40
11103 Biopsy of related skin growth, each additional growth	79	57	$78.33	$61.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	42	$314.44	$141.95
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$101.39	$84.83
17111 Destruction of skin growth, 15 or more growths	38	32	$200.11	$152.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	32	24	$627.60	$461.26
77300 Calculation of radiation therapy dose	31	24	$104.31	$76.84
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	31	24	$844.33	$595.07
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	30	29	$402.05	$192.02
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	27	24	$404.33	$190.87
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	24	23	$358.72	$163.05
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$367.45	$173.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	10,516	759	$12.00	$6.27
17000 Destruction of skin growth	1,999	851	$95.00	$65.05
99213 Established patient office or other outpatient visit, typically 15 minutes	1,530	788	$85.00	$80.57
88305 Pathology examination of tissue using a microscope, intermediate complexity	662	393	$85.48	$76.43
17110 Destruction of up to 14 skin growths	635	383	$135.00	$124.76
17004 Destruction of precancer skin growth, 15 or more growths	481	281	$225.00	$169.46
11102 Tangential biopsy of single skin lesion	461	396	$125.00	$107.15
77401 Radiation treatment delivery, superficial	440	34	$35.00	$29.06
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	209	30	$418.00	$323.02
11103 Biopsy of related skin growth, each additional growth	123	98	$75.00	$60.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	110	$59.76	$49.77
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	119	104	$780.00	$739.67
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	97	85	$360.00	$312.87
99202 New patient office or other outpatient visit, typically 20 minutes	90	90	$100.00	$82.87
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	60	35	$470.00	$443.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	49	$285.00	$138.27
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	47	45	$350.00	$177.78
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	36	31	$780.00	$593.12
77300 Calculation of radiation therapy dose	36	31	$96.00	$74.88
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	33	32	$330.00	$179.06
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	23	22	$710.00	$696.93
17111 Destruction of skin growth, 15 or more growths	21	18	$155.00	$147.40
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	21	20	$310.00	$148.26
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$325.00	$157.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	10,182	772	$12.00	$5.52
17000 Destruction of skin growth	1,975	845	$95.00	$62.52
99213 Established patient office or other outpatient visit, typically 15 minutes	1,457	757	$85.00	$74.85
88305 Pathology examination of tissue using a microscope, intermediate complexity	753	400	$85.25	$72.33
17110 Destruction of up to 14 skin growths	661	375	$135.00	$119.94
17004 Destruction of precancer skin growth, 15 or more growths	560	285	$225.00	$151.73
11100 Biopsy of single growth of skin and/or tissue	522	404	$125.00	$107.42
77401 Radiation treatment delivery, superficial	414	29	$45.29	$27.72
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	186	28	$418.00	$309.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	141	$50.00	$45.75
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	132	110	$780.00	$684.71
11101 Biopsy of each additional growth of skin and/or tissue	132	103	$48.00	$33.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	119	103	$360.00	$297.97
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$100.00	$77.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	69	65	$285.00	$130.53
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	57	35	$470.00	$409.71
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	49	46	$350.00	$160.18
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	37	34	$330.00	$163.59
77300 Calculation of radiation therapy dose	33	30	$96.00	$71.21
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	33	30	$779.90	$578.39
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	20	$325.00	$148.44
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	15	$310.00	$151.69
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$195.00	$87.89
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	13	$710.00	$649.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	9,553	743	$12.00	$6.09
17000 Destruction of skin growth	1,942	838	$95.00	$64.74
99213 Established patient office or other outpatient visit, typically 15 minutes	1,280	721	$85.00	$76.76
88305 Pathology examination of tissue using a microscope, intermediate complexity	879	441	$82.59	$71.07
11100 Biopsy of single growth of skin and/or tissue	590	443	$125.00	$108.90
17110 Destruction of up to 14 skin growths	513	311	$135.00	$120.90
17004 Destruction of precancer skin growth, 15 or more growths	485	278	$225.00	$161.00
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	155	129	$780.00	$685.86
11101 Biopsy of each additional growth of skin and/or tissue	146	104	$48.00	$34.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	142	118	$360.00	$309.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	113	$50.00	$46.44
99202 New patient office or other outpatient visit, typically 20 minutes	78	78	$100.00	$79.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	76	67	$285.00	$133.13
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	74	65	$350.00	$163.39
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	64	47	$470.00	$418.72
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	27	26	$330.00	$171.65
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	26	26	$310.00	$148.95
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$195.00	$89.10
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	22	$325.00	$151.25
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	15	15	$710.00	$663.91
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	11	$82.00	$45.11

Medical Specialties & State Licenses

CMS Verified: 2020-09-30

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA A00064258

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

J Robert West Md Inc

55 Rolling Oaks Dr, Thousand Oaks, CA 913611010

Phone: 8054977539

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Jeanette Mitchell , MD

Dermatology

NPI 1154567410

Doctor of Medicine (M.D.)

Dr. Ralph Kamell , MD

Dermatology

NPI 1881609741

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address September 30, 2020

Registered at 2285 CORPORATE CIR, STE 200, HENDERSON, NV 890747759 (Tel: 7023602763)

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NPI Profile Active January 11, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2018

Registered at 55 ROLLING OAKS DR STE 200, THOUSAND OAKS, CA 913611010 (Tel: 8054977529)

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Updated Business Mailing Address January 11, 2018

Registered at 55 ROLLING OAKS DR STE 200, THOUSAND OAKS, CA 913611010 (Tel: 8054977529)

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Provider Name / Credentials Updated January 11, 2018

Recorded as MICHAEL BODNAR, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2018

Dermatology (License #A00064258 in CA)

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 227 W JANSS RD, STE 230, THOUSAND OAKS, CA 913601862 (Tel: 8054977529)

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Updated Business Mailing Address July 08, 2007

Registered at 227 W JANSS RD, STE 230, THOUSAND OAKS, CA 913601862 (Tel: 8054977529)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BODNAR, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #A00064258 in CA)

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Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740296698

Entity Type:

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

Enumeration Date: July 31, 2006

Last Update: September 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2285 Corporate Cir, Ste 200

Henderson, NV 890747759

Phone: 7023602763

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

⚠️ Medical Disclaimer

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