Active NPI 1235252669 Individual Practitioner Male Practitioner

John L Roussalis , MDPC

Surgery - Plastic and Reconstructive Surgery • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Roussalis, MDPC is a certified Surgery - Plastic and Reconstructive Surgery practicing in Newark, DE. With approximately 26 years of clinical experience since graduating from Creighton University School Of Medicine in 2000, John Roussalis delivers high-quality medical care to the local community at 537 STANTON CHRISTIANA RD.

John Roussalis is affiliated with Panzer Dermatology Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include kerecis omega3 marigen shield, per square centimeter, established patient outpatient office visit, preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

537 Stanton Christiana Rd

Newark, DE 197132146

Telephone 3026337550

Fax 3026337556

Associated Practice Facility / Clinic

🏢 Delaware Medical Care Associates Llc Facility NPI 1740230309

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -1.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Newark, DE (8 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roussalis (26 Years) 26 Yrs

Newark Specialty Average (27.3 Years) 27.3 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
A2019 Kerecis omega3 marigen shield, per square centimeter	1,468	21	$585.00	$571.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	256	$135.00	$124.78
99213 Established patient office or other outpatient visit, typically 15 minutes	263	246	$95.00	$89.13
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	186	175	$550.00	$211.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	176	161	$594.00	$222.49
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	166	28	$224.00	$150.47
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	136	127	$558.00	$195.06
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	133	130	$600.00	$251.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$205.00	$163.73
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	116	109	$1571.00	$825.92
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	108	102	$1234.00	$673.24
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	96	95	$773.00	$254.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$141.00	$105.62
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	79	72	$398.00	$94.01
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	76	65	$353.00	$75.24
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	60	60	$1346.00	$725.31
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	54	44	$224.00	$69.52
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	52	45	$306.00	$78.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	29	$63.33	$55.38
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	31	17	$393.00	$201.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	29	$247.00	$56.80
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	26	25	$433.50	$103.46
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	21	21	$570.00	$257.00
11102 Tangential biopsy of single skin lesion	15	15	$163.00	$94.90
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	15	11	$170.00	$115.61
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$303.00	$73.65
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	11	11	$309.00	$121.46
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	$990.00	$582.14
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	11	11	$1000.00	$697.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A2001 Innovamatrix ac, per square centimeter	844	13	$1030.00	$1017.57
Q4158 Kerecis omega3, per square centimeter	752	12	$186.34	$182.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	257	$135.00	$128.39
99213 Established patient office or other outpatient visit, typically 15 minutes	214	201	$95.00	$90.16
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	184	166	$594.00	$218.07
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	179	166	$550.00	$219.20
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	171	156	$558.00	$210.09
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	160	25	$224.00	$155.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	111	$59.00	$56.94
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	104	94	$1571.00	$868.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	94	86	$353.00	$81.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	91	77	$398.00	$97.06
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	89	83	$600.00	$260.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$205.00	$167.25
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	70	67	$1234.00	$692.02
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	64	49	$224.00	$69.57
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	56	44	$306.00	$81.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$141.00	$110.67
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	49	47	$1346.00	$741.95
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	44	42	$773.00	$275.73
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	29	$247.00	$58.35
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	29	28	$433.50	$103.80
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	25	21	$570.00	$266.93
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$98.00	$72.84
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	18	16	$393.00	$215.78
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	18	16	$1122.00	$799.85
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	17	17	$1066.00	$595.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$424.00	$101.07
11102 Tangential biopsy of single skin lesion	17	15	$163.00	$97.32
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$303.00	$75.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	234	207	$550.00	$222.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	223	$135.00	$130.38
99213 Established patient office or other outpatient visit, typically 15 minutes	218	211	$95.00	$92.41
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	209	193	$594.00	$228.49
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	131	120	$1234.00	$687.96
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	127	113	$558.00	$210.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	111	$59.00	$57.72
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	97	89	$1571.00	$882.64
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	96	87	$398.00	$96.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	89	76	$353.00	$83.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$205.00	$170.17
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	65	62	$600.00	$265.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$141.00	$112.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	41	$424.00	$122.29
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	39	37	$1346.00	$732.23
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	37	26	$224.00	$73.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	32	$247.00	$59.01
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	36	32	$433.50	$107.49
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	34	30	$306.00	$83.19
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	27	24	$303.00	$75.66
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	25	16	$393.00	$218.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	24	24	$773.00	$255.06
11102 Tangential biopsy of single skin lesion	23	20	$163.00	$106.40
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$98.00	$74.44
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	21	19	$570.00	$268.05
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	15	15	$1000.00	$733.61
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$432.00	$97.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	245	224	$549.13	$227.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	215	$135.00	$133.19
99213 Established patient office or other outpatient visit, typically 15 minutes	212	193	$93.99	$93.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	140	$59.00	$57.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	148	139	$593.95	$234.72
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	115	109	$1233.58	$676.87
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	114	106	$1569.91	$883.67
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	88	86	$558.00	$214.03
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	78	70	$398.00	$99.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	75	65	$353.00	$83.03
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	74	71	$600.00	$270.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$141.00	$115.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$205.00	$170.49
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	49	47	$1344.94	$774.61
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	31	24	$306.00	$85.49
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	31	15	$393.00	$223.26
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	20	$247.00	$59.67
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	25	25	$433.50	$109.65
11102 Tangential biopsy of single skin lesion	23	20	$163.00	$106.72
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	23	21	$224.00	$74.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$424.00	$136.53
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	20	20	$1000.00	$703.69
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	18	$773.00	$278.62
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	16	16	$1045.00	$629.26
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$303.00	$76.51
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	14	13	$570.00	$314.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	311	$132.00	$112.31
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	212	193	$497.00	$237.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$138.00	$111.06
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	141	132	$586.00	$232.98
99213 Established patient office or other outpatient visit, typically 15 minutes	121	94	$88.00	$76.83
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	119	107	$1540.00	$903.15
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	97	93	$547.00	$217.47
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	93	88	$600.00	$281.64
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	91	86	$1210.00	$699.68
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	76	70	$390.00	$102.15
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	67	64	$1320.00	$787.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	52	$346.00	$85.44
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	29	29	$425.00	$112.58
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	28	25	$220.00	$77.56
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	27	25	$300.00	$89.05
11102 Tangential biopsy of single skin lesion	27	23	$160.00	$91.49
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	19	$242.00	$60.49
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	23	23	$990.00	$725.49
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	23	17	$385.00	$232.29
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	22	22	$570.00	$298.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$424.00	$105.98
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	17	$758.00	$270.51
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$297.00	$78.27
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$547.00	$384.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	220	$88.00	$76.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	217	217	$138.00	$111.48
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	213	194	$497.00	$237.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	142	129	$586.00	$237.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	116	$132.00	$110.51
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	120	113	$1540.00	$910.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	119	110	$547.00	$222.13
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	91	87	$600.00	$279.87
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	75	71	$1210.00	$700.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	72	64	$346.00	$86.32
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	64	59	$390.00	$102.12
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	61	58	$1320.00	$785.92
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	38	33	$1045.00	$572.42
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	37	32	$220.00	$78.72
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	34	25	$385.00	$233.26
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	31	30	$425.00	$113.73
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	28	25	$300.00	$90.84
11102 Tangential biopsy of single skin lesion	22	20	$160.00	$80.75
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	22	21	$758.00	$286.47
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	21	19	$570.00	$331.88
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$242.00	$60.43
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	17	15	$1100.00	$845.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$424.00	$115.28
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$96.00	$78.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$58.00	$46.52
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$514.00	$202.57
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$297.00	$78.12
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	11	11	$385.00	$130.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	225	225	$138.00	$106.05
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	201	182	$497.00	$229.33
99213 Established patient office or other outpatient visit, typically 15 minutes	164	159	$88.00	$71.97
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	108	98	$1540.00	$865.82
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	100	95	$586.00	$206.22
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	95	89	$1210.00	$699.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	74	$132.00	$105.26
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	78	75	$547.00	$193.69
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	73	71	$600.00	$270.90
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$96.00	$74.21
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	45	43	$570.00	$313.82
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	41	39	$390.00	$101.55
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	38	37	$1320.00	$754.10
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	34	21	$385.00	$218.23
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	29	21	$220.00	$75.49
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	28	27	$1045.00	$542.99
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	27	26	$425.00	$105.72
11100 Biopsy of single growth of skin and/or tissue	24	22	$143.00	$102.90
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	18	$346.00	$82.56
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	21	20	$300.00	$87.06
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	18	$990.00	$637.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$58.00	$43.35
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	16	16	$1100.00	$758.04
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$424.00	$118.00
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$297.00	$74.38
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$758.00	$305.12
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$330.00	$81.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	219	219	$145.15	$104.81
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	82	78	$511.05	$225.90
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	57	51	$586.84	$285.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	54	53	$586.00	$172.84
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	54	51	$1651.19	$859.12
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	48	48	$558.79	$184.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	43	$143.35	$100.09
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	37	28	$238.00	$73.96
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$97.12	$70.36
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	28	28	$1210.00	$714.58
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	27	27	$650.22	$267.37
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$103.33	$72.33
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	25	13	$523.16	$217.22
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	24	21	$300.00	$85.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$83.71	$41.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$295.74	$149.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$424.00	$122.46
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	16	16	$1391.63	$724.50
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	13	$452.86	$130.02

Medical Specialties & State Licenses

CMS Verified: 2021-06-23

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License PA MD426938

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

127068100 (WY)

Commercial Insurance / Payer ID Ptan

W21591 (WY)

Hospital & Practice Group Affiliations

Panzer Dermatology Associates

537 Stanton Christiana Rd, Newark, DE 197132148

Phone: 3026337550229

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Helen Mashek , MD

Dermatology

NPI 1023012515

Doctor of Medicine (M.D.)

Alexandra Krochta , PA

Physician Assistant

NPI 1093308991

Physician Assistant

Dr. Gina Caputo , DO

Dermatology

NPI 1124464201

Doctor of Osteopathic Medicine (D.O.)

Vi Banh , PA-C

Physician Assistant

NPI 1154897882

Physician Assistant (Certified)

Dr. Kiera Booth , MD

Dermatology

NPI 1184006835

Doctor of Medicine (M.D.)

Gwen Dalphon , PA-C

Physician Assistant - Medical

NPI 1245574250

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 28, 2019

Registered at 537 STANTON CHRISTIANA RD, NEWARK, DE 197132146 (Tel: 3026337550)

📍

Updated Business Mailing Address August 28, 2019

Registered at 537 STANTON CHRISTIANA RD, NEWARK, DE 197132146 (Tel: 3026337550)

✅

NPI Profile Active October 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2014

Registered at 1129 E 2ND ST, CASPER, WY 826012903 (Tel: 3072344585)

📍

Updated Business Mailing Address October 21, 2014

Registered at 1129 E 2ND ST, CASPER, WY 826012903 (Tel: 3072344585)

👤

Provider Name / Credentials Updated October 21, 2014

Recorded as JOHN ROUSSALIS, M.D.PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2014

Surgery (License #MD426938 in PA)

🟢

Initial NPI Registration & Enumeration April 09, 2007

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: 1235252669

Entity Type:

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

Enumeration Date: April 09, 2007

Last Update: June 23, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

537 Stanton Christiana Rd

Newark, DE 197132146

Phone: 3026337550

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.