Active NPI 1790196699 Individual Practitioner Male Practitioner

Dr. Sultan Mirza , MD

Dermatology • Palm Harbor, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sultan Mirza, MD is a certified Dermatology practicing in Palm Harbor, FL. With approximately 12 years of clinical experience since graduating from Mayo Medical School in 2014, Dr. Mirza delivers high-quality medical care to the local community at 32615 US HIGHWAY 19 N STE 1.

Dr. Mirza is affiliated with Suncoast Skin Solutions and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 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

32615 Us Highway 19 N Ste 1

Palm Harbor, FL 346843176

Telephone 8133211786

Fax 8133211787

Associated Practice Facility / Clinic

🏢 Suncoast Skin Solutions Facility NPI 1487827416

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Palm Harbor, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -11.7 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Palm Harbor, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mirza (12 Years) 12 Yrs

Palm Harbor Specialty Average (23.7 Years) 23.7 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
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	830	565	$1322.09	$455.24
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	708	397	$798.05	$403.01
99213 Established patient office or other outpatient visit, typically 15 minutes	597	445	$178.54	$90.29
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	350	256	$828.37	$247.15
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	344	240	$1241.87	$620.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	228	192	$919.78	$244.88
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	179	124	$763.90	$386.43
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	120	110	$1825.04	$917.13
17003 Destruction of precancer skin growth, 2-14 growths	102	35	$12.50	$6.33
17000 Destruction of skin growth	93	76	$130.53	$41.60
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	91	59	$1681.82	$846.60
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	88	68	$770.33	$327.44
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	83	80	$1970.55	$987.38
11102 Tangential biopsy of single skin lesion	79	73	$191.48	$85.31
11103 Biopsy of related skin growth, each additional growth	67	33	$96.03	$48.64
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	66	64	$1498.30	$758.30
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	55	52	$1519.44	$761.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	43	39	$545.75	$141.27
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	42	37	$1717.66	$868.85
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	37	37	$2150.51	$1089.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$220.44	$111.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	25	$476.30	$120.55
17110 Destruction of up to 14 skin growths	34	31	$216.64	$104.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$110.63	$55.83
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	21	21	$1971.07	$925.68
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	20	20	$757.00	$210.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$334.50	$84.58
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	19	17	$1833.89	$879.37
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	18	18	$229.75	$116.39
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	17	17	$250.07	$126.46
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	11	$610.02	$218.56
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	12	$974.28	$266.93
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	11	11	$830.42	$209.97
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	11	11	$1515.23	$452.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	974	236	$12.88	$6.46
99213 Established patient office or other outpatient visit, typically 15 minutes	956	625	$179.26	$89.85
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	622	453	$1340.10	$395.38
17000 Destruction of skin growth	590	376	$132.49	$43.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	567	338	$810.44	$405.59
11102 Tangential biopsy of single skin lesion	411	281	$199.30	$84.54
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	243	178	$844.51	$265.99
17110 Destruction of up to 14 skin growths	240	186	$222.34	$109.87
11103 Biopsy of related skin growth, each additional growth	238	131	$99.04	$49.68
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	210	160	$1256.93	$606.85
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	157	111	$775.26	$388.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$224.50	$111.86
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	115	104	$1991.40	$999.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	79	$111.76	$55.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	98	89	$939.90	$270.90
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	93	85	$1843.10	$916.73
17004 Destruction of precancer skin growth, 15 or more growths	82	60	$334.36	$167.58
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	82	75	$1518.47	$762.02
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	78	72	$788.75	$357.71
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	65	54	$1710.16	$857.73
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	55	55	$1534.92	$750.56
69100 Biopsy of ear	50	38	$191.52	$59.52
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	41	40	$2185.02	$1075.17
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	32	$340.53	$85.50
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	37	34	$1857.49	$932.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	35	31	$556.04	$143.53
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	33	28	$256.84	$128.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	27	$484.35	$121.66
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	21	21	$1983.26	$944.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$253.81	$127.31
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	17	15	$1729.08	$870.24
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$395.26	$99.05
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$143.52	$71.88
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	15	12	$445.76	$211.91
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	14	$234.60	$117.58
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	11	11	$1535.81	$666.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	819	198	$13.16	$6.58
99213 Established patient office or other outpatient visit, typically 15 minutes	515	391	$181.80	$90.75
17000 Destruction of skin growth	420	273	$134.30	$43.57
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	349	284	$1338.14	$411.61
11102 Tangential biopsy of single skin lesion	310	223	$203.42	$83.98
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	256	175	$811.96	$406.11
17110 Destruction of up to 14 skin growths	195	150	$224.72	$109.38
11103 Biopsy of related skin growth, each additional growth	167	99	$101.76	$50.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	88	$113.24	$56.65
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	102	87	$857.34	$334.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$226.40	$112.40
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	84	76	$1524.58	$760.39
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	80	63	$1255.72	$537.36
17004 Destruction of precancer skin growth, 15 or more growths	58	46	$334.86	$164.84
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	58	41	$776.12	$388.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	50	49	$952.44	$262.58
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	46	45	$801.90	$377.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	37	$490.00	$128.34
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	43	43	$2001.28	$1000.55
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	34	$1849.60	$913.15
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	31	31	$1543.88	$747.61
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	28	$560.06	$144.98
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$347.04	$90.08
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	25	25	$2206.20	$1100.82
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	25	21	$1729.12	$862.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$255.94	$128.19
69100 Biopsy of ear	21	19	$193.68	$55.51
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	12	$784.73	$351.39
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	17	17	$1871.42	$909.86
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	17	16	$1548.20	$776.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$337.66	$168.57
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$146.10	$73.17
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$1990.24	$955.12
11104 Punch biopsy, first skin growth	12	12	$252.90	$126.67
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	11	11	$1744.90	$862.79
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	11	11	$258.60	$129.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	202	$201.00	$91.30
11102 Tangential biopsy of single skin lesion	138	126	$197.00	$105.82
17000 Destruction of skin growth	115	96	$215.00	$54.58
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	89	73	$2178.00	$593.80
99202 New patient office or other outpatient visit, typically 20 minutes	77	77	$218.00	$73.06
17003 Destruction of precancer skin growth, 2-14 growths	72	42	$56.00	$6.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$136.00	$56.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	53	32	$1162.00	$421.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	40	$595.00	$293.69
11103 Biopsy of related skin growth, each additional growth	28	23	$116.00	$54.33
17110 Destruction of up to 14 skin growths	23	22	$228.00	$114.72
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	23	$972.00	$143.37
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	20	$1461.00	$245.04
69100 Biopsy of ear	17	16	$411.00	$80.39
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$660.00	$223.18
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$705.00	$174.36
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$990.00	$278.11
11104 Punch biopsy, first skin growth	11	11	$247.00	$127.94
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$465.00	$166.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11102 Tangential biopsy of single skin lesion	173	144	$193.00	$96.31
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	171	118	$2135.00	$525.34
17003 Destruction of precancer skin growth, 2-14 growths	120	59	$55.00	$6.19
17000 Destruction of skin growth	117	99	$205.00	$51.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	99	$274.00	$106.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	106	56	$1139.00	$401.71
99213 Established patient office or other outpatient visit, typically 15 minutes	97	84	$183.00	$73.66
99202 New patient office or other outpatient visit, typically 20 minutes	86	86	$214.00	$75.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$294.00	$106.50
11103 Biopsy of related skin growth, each additional growth	67	44	$114.00	$53.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	28	$516.00	$250.42
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	29	27	$1432.00	$260.73
69100 Biopsy of ear	27	21	$403.00	$74.90
17110 Destruction of up to 14 skin growths	26	26	$214.00	$112.67
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	24	22	$644.00	$174.82
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	20	$1011.00	$140.87
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	18	$516.00	$138.53
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$1804.00	$257.06
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	12	$1932.00	$567.99
11104 Punch biopsy, first skin growth	13	13	$242.00	$119.03
11200 Removal of skin tag, 1-15 skin tags	11	11	$239.00	$82.28
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$3275.00	$671.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	475	409	$135.47	$73.49
88331 Pathology examination of specimen during surgery, first tissue block	327	160	$187.00	$96.22
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	317	221	$1371.34	$540.54
11102 Tangential biopsy of single skin lesion	224	205	$336.64	$69.95
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	161	91	$816.80	$396.01
11103 Biopsy of related skin growth, each additional growth	129	80	$177.71	$51.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	80	79	$1149.63	$256.44
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$163.37	$76.00
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	37	$861.00	$253.75
17000 Destruction of skin growth	38	37	$178.79	$45.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	27	$493.93	$125.17
17003 Destruction of precancer skin growth, 2-14 growths	29	16	$46.14	$5.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$261.72	$105.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	17	$340.85	$112.61
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	25	24	$704.00	$217.09
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	22	22	$1107.00	$258.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$92.71	$44.84
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	20	$1808.30	$787.81
17110 Destruction of up to 14 skin growths	14	14	$208.29	$109.83
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$275.00	$89.48
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$570.00	$137.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	103	$115.45	$66.47
11100 Biopsy of single growth of skin and/or tissue	42	41	$161.99	$63.31
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$66.42	$48.00
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	39	27	$1317.00	$540.26
88331 Pathology examination of specimen during surgery, first tissue block	38	23	$187.00	$96.01
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$86.36	$53.53
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	20	12	$781.00	$386.12
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$106.69	$49.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$94.27	$43.36
17000 Destruction of skin growth	11	11	$115.63	$48.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	244	$82.02	$71.02
17003 Destruction of precancer skin growth, 2-14 growths	72	28	$11.50	$5.48
11100 Biopsy of single growth of skin and/or tissue	62	61	$116.05	$101.19
17000 Destruction of skin growth	62	61	$79.33	$59.80
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$83.45	$73.25
11101 Biopsy of each additional growth of skin and/or tissue	24	15	$35.20	$31.70

Medical Specialties & State Licenses

CMS Verified: 2021-12-15

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME135477

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

NUCC Taxonomy Code: 207N00000X

State License MN 59759

Hospital & Practice Group Affiliations

Suncoast Skin Solutions

25097 Olympia Ave, Punta Gorda, FL 339503914

Phone: 8133211786

Secondary Practice Locations

25097 Olympia Ave Ste 202

Punta Gorda, FL 339503914

Phone: 8133211786

14095 Cortez Blvd

Brooksville, FL 346135794

Phone: 8133211786

Practice Associates & Co-Workers

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

40 Associated Practitioners

Megan Mcgill , PA-C

Physician Assistant

NPI 1013678887

Physician Assistant (Certified)

Brandi Broughton , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1043406481

PHYSICIANASSISTANT

Dr. George Vonhilsheimer , MD

Dermatology

NPI 1063519254

Doctor of Medicine (M.D.)

Noreen Godfrey , PA-C

Physician Assistant

NPI 1063536670

Physician Assistant (Certified)

Jill Stchur , PA

Physician Assistant

NPI 1063958304

Physician Assistant

Chris Narsesian , NP

Nurse Practitioner - Family

NPI 1073159513

Nurse Practitioner

Career & Practice History Timeline

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

19 Historical Events

📍

Updated Practice Location December 15, 2021

Registered at 32615 US HIGHWAY 19 N STE 1, PALM HARBOR, FL 346843176 (Tel: 8133211786)

📍

Updated Business Mailing Address December 15, 2021

Registered at 4651 VAN DYKE RD, LUTZ, FL 335584880 (Tel: 8133211786)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2021

Dermatology (License #59759 in MN)

📍

Updated Practice Location August 27, 2019

Registered at 1025 MARSH ST, MANKATO, MN 56001 (Tel: 5076254031)

📍

Updated Business Mailing Address August 27, 2019

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2019

Dermatology (License #ME135477 in FL)

📍

Updated Practice Location April 17, 2018

Registered at 1707 RIGGINS RD, TALLAHASSEE, FL 323085317 (Tel: 8508774134)

📍

Updated Business Mailing Address April 17, 2018

Registered at PO BOX 13834, TALLAHASSEE, FL 323173834 (Tel: 8508774134)

✅

NPI Profile Active May 05, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address May 05, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Practice Location May 05, 2017

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

👤

Provider Name / Credentials Updated May 05, 2017

Recorded as SULTAN MIRZA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2017

Dermatology (License #59759 in MN)

✅

NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2014

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

📍

Updated Business Mailing Address May 13, 2014

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

👤

Provider Name / Credentials Updated May 13, 2014

Recorded as SULTAN MIRZA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 13, 2014

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: 1790196699

Entity Type:

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

Enumeration Date: May 13, 2014

Last Update: December 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4651 Van Dyke Rd

Lutz, FL 335584880

Phone: 8133211786

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.