Active NPI 1740472380 Individual Practitioner Male Practitioner

Dr. Layne Marc Fielder , MD

Dermatology • Niceville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Layne Fielder, MD is a certified Dermatology practicing in Niceville, FL. With approximately 19 years of clinical experience since graduating from Eastern Virginia Medical School in 2007, Dr. Fielder delivers high-quality medical care to the local community at 4400 HIGHWAY 20 E.

Dr. Fielder is affiliated with Coastal Skin Surgery And Dermatology, Pl 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

4400 Highway 20 E
Suite 410

Niceville, FL 32578

Telephone 8508974900

Fax 8506543320

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Niceville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs Matches City Avg

City Avg: 19.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Niceville, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fielder (19 Years) 19 Yrs

Niceville Specialty Average (19.0 Years) 19.0 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	3,936	708	$11.07	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	1,470	1,079	$156.55	$93.10
17000 Destruction of skin growth	1,076	854	$115.33	$51.77
88305 Pathology examination of tissue using a microscope, intermediate complexity	452	319	$58.76	$35.20
11102 Tangential biopsy of single skin lesion	386	337	$169.29	$87.03
17110 Destruction of up to 14 skin growths	325	286	$191.88	$104.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	218	$220.92	$130.73
17004 Destruction of precancer skin growth, 15 or more growths	250	191	$284.77	$169.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	235	43	$1.72	$0.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	148	$97.14	$57.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	97	82	$304.23	$166.85
11103 Biopsy of related skin growth, each additional growth	83	66	$85.09	$51.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$193.66	$115.33
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	71	69	$205.89	$114.54
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	69	60	$231.99	$125.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	30	$27.91	$14.60
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	53	50	$232.02	$129.41
17111 Destruction of skin growth, 15 or more growths	41	38	$225.78	$124.12
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	41	38	$206.96	$110.05
10040 Acne surgery	37	36	$197.21	$103.75
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	35	31	$322.71	$170.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	32	$515.37	$294.45
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	32	29	$253.19	$132.55
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	32	32	$446.21	$220.82
69100 Biopsy of ear	31	31	$162.49	$73.49
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	28	$235.14	$131.19
11900 Injection into skin growth, 1-7 growths	28	22	$98.10	$42.03
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	21	$263.88	$136.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$290.75	$173.34
11104 Punch biopsy, first skin growth	17	16	$204.08	$120.40
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$339.88	$107.23
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$124.15	$71.80
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	15	$284.60	$170.56
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	13	$330.19	$183.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$417.08	$124.98
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$803.48	$462.02
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$459.98	$150.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$477.58	$208.02
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$293.34	$95.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,762	687	$11.28	$6.45
99213 Established patient office or other outpatient visit, typically 15 minutes	1,550	1,154	$156.92	$89.51
17000 Destruction of skin growth	1,096	846	$115.96	$51.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	341	$222.25	$126.79
88305 Pathology examination of tissue using a microscope, intermediate complexity	352	283	$58.41	$33.37
17110 Destruction of up to 14 skin growths	321	286	$194.55	$102.47
17004 Destruction of precancer skin growth, 15 or more growths	271	206	$292.54	$165.13
11102 Tangential biopsy of single skin lesion	259	243	$174.31	$81.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	250	47	$1.90	$1.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	123	$97.88	$55.73
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	87	82	$210.76	$104.24
17111 Destruction of skin growth, 15 or more growths	77	65	$228.27	$126.52
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	56	$309.93	$162.28
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	63	63	$236.66	$127.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$196.13	$111.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	22	$27.79	$13.93
10040 Acne surgery	44	40	$200.36	$104.53
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	43	37	$212.70	$97.80
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	42	40	$239.63	$122.96
11900 Injection into skin growth, 1-7 growths	37	29	$99.00	$44.44
11103 Biopsy of related skin growth, each additional growth	32	28	$86.66	$49.67
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	27	$272.13	$143.37
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	31	$255.28	$124.30
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	23	$327.74	$184.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	20	$486.70	$194.11
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	19	$241.22	$123.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$526.70	$274.23
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	21	20	$312.72	$175.02
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	17	$357.63	$190.40
69100 Biopsy of ear	20	20	$167.58	$76.77
J9260 Injection, methotrexate sodium, 50 mg	20	12	$4.15	$2.33
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	19	19	$455.63	$206.28
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$125.58	$71.91
96405 Administration of chemotherapy into growth, 1-7	18	12	$142.40	$65.96
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	12	$298.55	$106.88
11104 Punch biopsy, first skin growth	13	13	$216.70	$120.73
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	11	11	$264.01	$137.46
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$288.71	$158.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,876	670	$11.52	$6.58
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,800	14	$2.38	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	1,631	1,211	$159.08	$90.74
17000 Destruction of skin growth	1,066	858	$117.51	$52.93
95044 Test for allergy using skin patch	958	12	$8.84	$5.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	375	$223.95	$127.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	395	78	$1.99	$1.13
17110 Destruction of up to 14 skin growths	349	321	$196.63	$101.99
17004 Destruction of precancer skin growth, 15 or more growths	345	259	$293.00	$166.17
88305 Pathology examination of tissue using a microscope, intermediate complexity	319	249	$58.18	$32.82
11102 Tangential biopsy of single skin lesion	197	193	$177.99	$85.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	196	168	$99.02	$56.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	91	78	$312.52	$153.92
17111 Destruction of skin growth, 15 or more growths	88	75	$230.65	$127.79
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	87	69	$241.10	$115.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$198.10	$113.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	38	$28.36	$14.27
11900 Injection into skin growth, 1-7 growths	63	50	$98.96	$38.77
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	59	55	$214.17	$101.94
10040 Acne surgery	55	53	$202.25	$102.21
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	49	42	$215.51	$107.25
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	47	43	$242.60	$126.28
11103 Biopsy of related skin growth, each additional growth	45	33	$89.04	$50.63
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	44	41	$256.88	$134.40
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	37	33	$330.89	$184.58
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	27	$490.05	$201.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	27	$530.93	$293.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$295.45	$169.08
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	26	24	$464.15	$200.35
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	23	$272.84	$144.06
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	23	$289.12	$158.48
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$360.34	$201.55
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$247.15	$125.05
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	21	21	$315.05	$167.64
11104 Punch biopsy, first skin growth	21	21	$221.29	$124.05
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$127.84	$73.28
69100 Biopsy of ear	20	20	$169.47	$77.90
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$428.75	$123.28
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$303.66	$134.21
11105 Punch biopsy, each additional skin growth	14	13	$103.81	$59.73
96574 Application of light with debridement to destroy precancer skin growth	12	11	$488.86	$281.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,000	27	$2.32	$1.54
17003 Destruction of precancer skin growth, 2-14 growths	3,919	680	$11.09	$6.33
99213 Established patient office or other outpatient visit, typically 15 minutes	1,711	1,297	$159.83	$91.56
95044 Test for allergy using skin patch	1,360	17	$9.51	$5.47
17000 Destruction of skin growth	1,048	871	$114.57	$50.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	537	410	$227.02	$129.89
17004 Destruction of precancer skin growth, 15 or more growths	503	357	$287.15	$162.67
17110 Destruction of up to 14 skin growths	440	404	$195.54	$102.19
88305 Pathology examination of tissue using a microscope, intermediate complexity	387	279	$55.96	$32.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	266	74	$2.27	$1.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	224	193	$97.68	$56.12
11102 Tangential biopsy of single skin lesion	221	207	$178.94	$83.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	114	90	$310.61	$154.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$197.29	$112.72
17111 Destruction of skin growth, 15 or more growths	82	76	$230.12	$123.79
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	76	68	$257.85	$130.25
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	74	72	$216.03	$107.70
10040 Acne surgery	63	58	$202.19	$104.62
11900 Injection into skin growth, 1-7 growths	62	58	$98.09	$41.03
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	62	58	$244.38	$122.69
11103 Biopsy of related skin growth, each additional growth	50	38	$91.51	$52.83
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	45	39	$246.90	$126.63
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	41	37	$360.21	$197.77
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	39	34	$329.00	$175.28
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	34	33	$462.18	$195.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	24	$28.03	$14.11
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	30	26	$289.52	$139.27
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	30	29	$217.32	$93.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$296.11	$170.50
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	27	26	$313.01	$167.24
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	23	$278.50	$148.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$432.88	$156.06
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$127.88	$73.57
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	21	$252.07	$125.66
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$839.86	$484.83
69100 Biopsy of ear	21	19	$172.35	$71.12
11104 Punch biopsy, first skin growth	20	20	$225.62	$123.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$494.53	$200.47
96573 Application of light by qualified health care professional to destroy precancer skin growth	19	16	$399.32	$229.31
36415 Insertion of needle into vein for collection of blood sample	15	12	$10.00	$3.00
96574 Application of light with debridement to destroy precancer skin growth	15	15	$492.66	$283.46
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	13	$760.13	$424.21
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	12	$553.19	$182.50
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$474.92	$137.11
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	14	$337.26	$170.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$536.74	$309.56
11105 Punch biopsy, each additional skin growth	13	11	$106.60	$61.09
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$350.16	$132.18
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$709.47	$353.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	8,200	41	$2.22	$1.47
17003 Destruction of precancer skin growth, 2-14 growths	3,789	683	$10.28	$5.86
99213 Established patient office or other outpatient visit, typically 15 minutes	1,778	1,338	$131.50	$75.00
95044 Test for allergy using skin patch	1,682	22	$9.24	$5.26
17000 Destruction of skin growth	1,036	872	$114.21	$50.42
17004 Destruction of precancer skin growth, 15 or more growths	517	384	$275.51	$156.68
17110 Destruction of up to 14 skin growths	493	434	$193.96	$103.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	461	369	$190.79	$108.40
88305 Pathology examination of tissue using a microscope, intermediate complexity	446	312	$53.46	$30.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	340	88	$3.90	$1.47
11102 Tangential biopsy of single skin lesion	236	221	$174.12	$80.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	151	$79.48	$45.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$189.37	$108.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	102	89	$308.98	$151.13
17111 Destruction of skin growth, 15 or more growths	91	82	$227.88	$124.50
11900 Injection into skin growth, 1-7 growths	68	56	$96.31	$42.00
11103 Biopsy of related skin growth, each additional growth	50	38	$92.90	$52.81
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	48	46	$253.95	$129.70
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$133.53	$75.42
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	44	42	$442.38	$198.22
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	42	40	$328.97	$174.12
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	39	38	$244.94	$123.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	33	$28.07	$14.13
96574 Application of light with debridement to destroy precancer skin growth	37	37	$457.59	$260.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	32	$434.07	$145.63
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	32	$496.12	$227.43
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	32	31	$312.64	$167.24
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	27	$360.42	$185.17
69100 Biopsy of ear	29	28	$171.88	$77.58
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	29	27	$211.39	$99.96
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	25	$529.02	$289.20
36415 Insertion of needle into vein for collection of blood sample	25	21	$10.00	$2.97
10040 Acne surgery	25	23	$191.40	$78.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	22	22	$841.72	$480.29
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$251.48	$133.28
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$476.87	$142.58
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	16	$286.68	$148.32
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	16	$239.76	$124.18
11104 Punch biopsy, first skin growth	16	16	$218.53	$124.51
11105 Punch biopsy, each additional skin growth	16	11	$105.67	$60.32
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	12	$277.43	$127.08
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$298.50	$118.04
96573 Application of light by qualified health care professional to destroy precancer skin growth	13	13	$362.44	$206.51
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	12	$336.58	$175.93
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	11	11	$366.66	$199.44
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$214.95	$105.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	8,400	39	$2.27	$1.40
17003 Destruction of precancer skin growth, 2-14 growths	3,530	659	$10.23	$5.67
95044 Test for allergy using skin patch	1,839	23	$10.18	$5.62
99213 Established patient office or other outpatient visit, typically 15 minutes	1,696	1,282	$129.67	$73.94
17000 Destruction of skin growth	1,039	882	$116.32	$51.67
88305 Pathology examination of tissue using a microscope, intermediate complexity	568	405	$63.64	$29.22
17110 Destruction of up to 14 skin growths	438	406	$191.73	$104.27
17004 Destruction of precancer skin growth, 15 or more growths	415	316	$270.25	$151.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	382	312	$190.01	$108.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	354	73	$6.46	$1.58
11102 Tangential biopsy of single skin lesion	301	283	$173.21	$85.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	245	245	$190.12	$108.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	185	$77.96	$44.70
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	72	69	$311.66	$160.31
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$131.20	$75.18
17111 Destruction of skin growth, 15 or more growths	60	56	$227.43	$126.16
11103 Biopsy of related skin growth, each additional growth	55	46	$86.40	$50.46
11900 Injection into skin growth, 1-7 growths	54	47	$95.61	$46.01
96574 Application of light with debridement to destroy precancer skin growth	50	45	$428.60	$250.50
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	35	33	$235.01	$130.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	24	$29.36	$16.52
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	32	$504.09	$242.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	29	$438.90	$206.03
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	29	$332.56	$186.21
69100 Biopsy of ear	30	30	$174.20	$86.97
36415 Insertion of needle into vein for collection of blood sample	26	18	$10.00	$2.94
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$365.16	$202.87
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$537.21	$283.95
10040 Acne surgery	20	20	$189.30	$92.79
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	20	19	$317.87	$162.86
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$482.55	$144.33
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	19	$254.85	$129.93
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	19	$852.81	$485.89
11104 Punch biopsy, first skin growth	18	17	$218.13	$123.46
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	17	$207.35	$116.12
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	15	14	$341.55	$174.77
11105 Punch biopsy, each additional skin growth	11	11	$106.77	$60.83
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$231.47	$129.95
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$269.79	$159.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,826	667	$14.00	$5.26
95044 Test for allergy using skin patch	2,323	32	$12.00	$5.37
99213 Established patient office or other outpatient visit, typically 15 minutes	1,269	895	$130.00	$72.00
17000 Destruction of skin growth	1,036	878	$142.00	$53.17
88305 Pathology examination of tissue using a microscope, intermediate complexity	632	402	$192.00	$28.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	567	567	$191.00	$107.09
11100 Biopsy of single growth of skin and/or tissue	428	397	$183.00	$94.45
17004 Destruction of precancer skin growth, 15 or more growths	394	305	$317.00	$142.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	287	79	$10.00	$1.79
17110 Destruction of up to 14 skin growths	286	262	$191.00	$103.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	202	$189.00	$106.78
99202 New patient office or other outpatient visit, typically 20 minutes	201	201	$130.00	$74.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	159	$76.00	$43.29
11101 Biopsy of each additional growth of skin and/or tissue	126	94	$61.00	$32.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	89	74	$312.00	$152.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	60	$437.00	$193.28
11900 Injection into skin growth, 1-7 growths	53	48	$101.00	$46.43
17111 Destruction of skin growth, 15 or more growths	41	36	$230.00	$124.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	40	40	$542.00	$292.61
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	38	$499.00	$199.29
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	39	36	$485.00	$153.00
36415 Insertion of needle into vein for collection of blood sample	36	26	$10.00	$2.94
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	35	35	$1059.00	$475.71
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	33	32	$198.00	$133.58
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	29	$454.00	$219.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	25	$41.00	$20.00
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	21	$255.00	$127.18
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$336.00	$160.65
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	15	$515.79	$364.58
11042 Removal of skin and tissue, 20.0 sq cm or less	18	15	$131.00	$116.73
11901 Injection into skin growth, more than 7 growths	18	14	$130.00	$66.93
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	18	$115.00	$27.80
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	15	$344.00	$178.74
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$287.00	$114.44
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	15	$166.00	$110.83
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$717.00	$354.34
69100 Biopsy of ear	14	14	$187.00	$78.38
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$370.00	$186.99
96574 Application of light with debridement to destroy precancer skin growth	11	11	$358.10	$235.87
10040 Acne surgery	11	11	$187.00	$104.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95044 Test for allergy using skin patch	2,319	29	$12.00	$5.36
17003 Destruction of precancer skin growth, 2-14 growths	1,478	293	$14.00	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	1,000	657	$130.00	$69.62
17000 Destruction of skin growth	520	417	$142.00	$48.53
88305 Pathology examination of tissue using a microscope, intermediate complexity	464	298	$192.00	$27.25
11100 Biopsy of single growth of skin and/or tissue	364	328	$183.00	$88.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	307	66	$10.00	$1.81
17110 Destruction of up to 14 skin growths	215	195	$191.00	$102.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	148	$189.00	$102.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$191.00	$103.84
11101 Biopsy of each additional growth of skin and/or tissue	124	99	$61.00	$31.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	108	$76.00	$41.40
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$130.00	$71.52
17004 Destruction of precancer skin growth, 15 or more growths	89	67	$317.00	$143.56
11900 Injection into skin growth, 1-7 growths	52	43	$101.00	$43.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	48	45	$312.00	$154.84
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	39	$437.00	$188.69
36415 Insertion of needle into vein for collection of blood sample	35	21	$10.00	$2.94
88304 Pathology examination of tissue using a microscope, moderately low complexity	27	20	$115.00	$26.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	17	$41.00	$23.86
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$499.00	$227.22
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$542.00	$258.91
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	13	$255.00	$119.47
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$485.00	$140.32
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$198.00	$103.64
69100 Biopsy of ear	12	12	$187.00	$84.23
11042 Removal of skin and tissue, 20.0 sq cm or less	11	11	$131.00	$111.49
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1059.00	$457.20
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$454.00	$201.08

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME 119126

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.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License FL ME119126

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License FL ME119126

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Hospital & Practice Group Affiliations

Coastal Skin Surgery And Dermatology, Pl

12469 Emerald Coast Pkwy, Miramar Beach, FL 325508306

Phone: 8506543376

Practice Associates & Co-Workers

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

9 Associated Practitioners

Karoline Dempsey , PA-C

Physician Assistant

NPI 1063423036

Physician Assistant (Certified)

Dr. Zachary Carter , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1285098772

Doctor of Medicine (M.D.)

Dr. Elizabeth Clark , MD

Dermatology

NPI 1427033463

Doctor of Medicine (M.D.)

Dr. David Adams , MD

Dermatology

NPI 1528042256

Doctor of Medicine (M.D.)

Dr. Nicholas Papajohn , MD

Dermatology

NPI 1548425812

Doctor of Medicine (M.D.)

Cameron Bader , PA-C

Physician Assistant

NPI 1679058986

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 16, 2015

Registered at 4400 HIGHWAY 20 E, SUITE 410, NICEVILLE, FL 32578 (Tel: 8508974900)

📍

Updated Business Mailing Address October 16, 2015

Registered at 4400 HIGHWAY 20 E, SUITE 410, NICEVILLE, FL 32578 (Tel: 8508974900)

👤

Provider Name / Credentials Updated October 16, 2015

Recorded as LAYNE FIELDER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2015

Dermatology (License #ME 119126 in FL)

🟢

Initial NPI Registration & Enumeration August 17, 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: 1740472380

Entity Type:

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

Enumeration Date: August 17, 2007

Last Update: October 16, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4400 Highway 20 E, Suite 410

Niceville, FL 32578

Phone: 8508974900

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.