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Active NPI 1508595729 Individual Practitioner Male Practitioner

Ethan Leroy Snyder , PA

Physician Assistant • Upland, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Snyder, PA is a certified Physician Assistant practicing in Upland, CA. With approximately 3 years of clinical experience since completing medical education in 2023, Ethan Snyder delivers high-quality medical care to the local community at 585 N MOUNTAIN AVE STE A.

Ethan Snyder is affiliated with Pacific Dermatology Institute and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

585 N Mountain Ave Ste A

Upland, CA 917868516

Telephone 9096087546

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Upland, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
33 Specialists

Practicing in Upland, CA (14617 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Snyder (3 Years) 3 Yrs
Upland Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
195 32 $14.34 $5.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 44 $268.18 $112.43
17000 Destruction of skin growth
40 36 $144.38 $46.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31 31 $348.22 $145.99
11102 Tangential biopsy of single skin lesion
30 30 $215.22 $84.07
99213 Established patient office or other outpatient visit, typically 15 minutes
27 24 $190.48 $79.72
17004 Destruction of precancer skin growth, 15 or more growths
23 20 $357.54 $149.84
11103 Biopsy of related skin growth, each additional growth
21 14 $107.34 $44.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $233.22 $91.82
17110 Destruction of up to 14 skin growths
14 13 $244.98 $93.69

Medical Specialties & State Licenses

CMS Verified: 2024-01-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA63622

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

Hospital & Practice Group Affiliations

Pacific Dermatology Institute

16465 Sierra Lakes Pkwy, Fontana, CA 923361263

Phone: 9092791010

Pacific Dermatology Institute

255 Terracina Blvd, Redlands, CA 923734870

Phone: 9097932323

Pacific Dermatology Institute

12332 Hesperia Rd, Victorville, CA 923954796

Phone: 4422324750

Pacific Dermatology Institute

18523 Corwin Rd, Apple Valley, CA 923072300

Phone: 7602423376

Pacific Dermatology Institute

1666 N Waterman Ave, San Bernardino, CA 924045113

Phone: 9098864965

Pacific Dermatology Institute

9041 Magnolia Ave, Riverside, CA 925033956

Phone: 9513542220

Practice Associates & Co-Workers

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

1 Associated Practitioners
Michelle Carhill , NP

Nurse Practitioner

NPI 1023873759

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 06, 2024

Registered at 585 N MOUNTAIN AVE STE A, UPLAND, CA 917868516 (Tel: 9096087546)

📍
Updated Business Mailing Address January 06, 2024

Registered at 101 E REDLANDS BLVD STE 284, REDLANDS, CA 923734721 (Tel: 9093127380)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2024

Physician Assistant (License #PA63622 in CA)

NPI Profile Active June 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2022

Registered at 101 7TH ST SW, ORANGE CITY, IA 510411923 (Tel: 9493101171)

📍
Updated Business Mailing Address June 06, 2022

Registered at 101 7TH ST SW, ORANGE CITY, IA 510411923

👤
Provider Name / Credentials Updated June 06, 2022

Recorded as ETHAN SNYDER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508595729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2022
Last Update: January 06, 2024
Sole Proprietor: No

Mailing Address

101 E Redlands Blvd Ste 284

Redlands, CA 923734721

Phone: 9093127380

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.