Active NPI 1376510560 Individual Practitioner Male Practitioner

Charles Alan Byron , PA-C

Physician Assistant • Panama City, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charles Byron, PA-C is a certified Physician Assistant practicing in Panama City, FL. With approximately 28 years of clinical experience since completing medical education in 1998, Charles Byron delivers high-quality medical care to the local community at 1900 HARRISON AVE.

Charles Byron is affiliated with Dermatology Associates Of Bay County Pa and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1900 Harrison Ave

Panama City, FL 324054542

Telephone 8507691668

Fax 8507852123

Associated Practice Facility / Clinic

🏢 Dermatology Associates Of Bay County, P.a. Facility NPI 1215904404

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Panama City, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +15.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

65 Specialists

Practicing in Panama City, FL (10376 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Byron (28 Years) 28 Yrs

Panama City Specialty Average (12.5 Years) 12.5 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	7,476	892	$10.00	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	2,919	1,360	$110.00	$75.05
11102 Tangential biopsy of single skin lesion	2,092	1,194	$150.00	$80.07
17000 Destruction of skin growth	1,610	988	$85.00	$35.72
11103 Biopsy of related skin growth, each additional growth	1,551	713	$84.89	$40.46
88305 Pathology examination of tissue using a microscope, intermediate complexity	738	406	$89.95	$33.40
17004 Destruction of precancer skin growth, 15 or more growths	320	225	$210.00	$135.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	247	63	$5.00	$0.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$140.00	$92.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	116	98	$250.00	$131.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	57	$40.00	$11.76
69100 Biopsy of ear	68	64	$207.06	$58.29
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	54	51	$295.00	$151.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	35	$110.00	$46.81
11200 Removal of skin tag, 1-15 skin tags	21	21	$125.00	$50.93
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$290.00	$169.78
17110 Destruction of up to 14 skin growths	20	14	$135.00	$90.04
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$370.00	$147.19
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	16	$450.00	$381.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$160.00	$101.52
11900 Injection into skin growth, 1-7 growths	16	13	$70.00	$32.50
10040 Acne surgery	11	11	$150.00	$95.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,337	876	$10.00	$5.47
99213 Established patient office or other outpatient visit, typically 15 minutes	2,845	1,328	$110.00	$76.21
17000 Destruction of skin growth	1,641	985	$85.00	$45.41
11102 Tangential biopsy of single skin lesion	1,225	880	$150.00	$83.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	340	81	$5.00	$1.07
17004 Destruction of precancer skin growth, 15 or more growths	314	206	$210.00	$142.08
88305 Pathology examination of tissue using a microscope, intermediate complexity	300	208	$53.37	$33.37
11103 Biopsy of related skin growth, each additional growth	290	222	$85.00	$41.83
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	178	13	$150.00	$96.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$140.00	$94.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	73	$40.00	$11.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	94	$110.00	$47.68
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	60	$250.00	$146.20
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	55	48	$295.00	$158.67
69100 Biopsy of ear	42	38	$260.00	$69.92
11200 Removal of skin tag, 1-15 skin tags	35	34	$125.00	$60.68
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	25	$290.00	$167.58
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	23	$370.00	$143.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$160.00	$108.22
11900 Injection into skin growth, 1-7 growths	22	16	$70.00	$35.04
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	16	$240.00	$109.48
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	16	$450.00	$368.42
17110 Destruction of up to 14 skin growths	18	16	$135.00	$92.16
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	16	16	$345.00	$177.05
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$145.00	$61.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,527	900	$10.00	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	2,778	1,303	$110.00	$77.51
17000 Destruction of skin growth	1,755	986	$85.00	$45.91
11102 Tangential biopsy of single skin lesion	1,155	821	$150.00	$85.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	345	87	$5.00	$1.14
11103 Biopsy of related skin growth, each additional growth	306	212	$85.00	$43.53
17004 Destruction of precancer skin growth, 15 or more growths	248	168	$210.00	$142.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	116	75	$40.00	$12.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$140.00	$96.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	71	$110.00	$48.32
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	76	66	$295.00	$163.30
88305 Pathology examination of tissue using a microscope, intermediate complexity	75	62	$51.07	$32.68
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	67	57	$250.00	$137.58
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	53	50	$290.00	$174.23
69100 Biopsy of ear	50	46	$260.00	$70.20
11200 Removal of skin tag, 1-15 skin tags	41	40	$125.00	$63.51
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	30	28	$370.00	$150.73
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	22	19	$345.00	$166.73
17110 Destruction of up to 14 skin growths	21	16	$135.00	$95.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	12	$160.00	$108.98
11900 Injection into skin growth, 1-7 growths	18	15	$70.00	$33.50
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	14	$240.00	$119.39
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	13	11	$360.00	$207.58
10040 Acne surgery	12	12	$150.00	$98.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,601	819	$24.15	$5.42
99213 Established patient office or other outpatient visit, typically 15 minutes	2,818	1,347	$142.74	$78.42
17000 Destruction of skin growth	1,609	940	$112.52	$42.93
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,473	766	$50.08	$32.33
11102 Tangential biopsy of single skin lesion	1,463	970	$183.94	$87.09
11103 Biopsy of related skin growth, each additional growth	417	271	$95.72	$44.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	350	88	$8.10	$1.29
17004 Destruction of precancer skin growth, 15 or more growths	203	146	$281.82	$141.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	136	$109.19	$47.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	66	$40.00	$12.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$257.24	$96.86
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	69	65	$250.00	$138.21
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	60	50	$295.00	$157.11
69100 Biopsy of ear	44	42	$260.00	$68.40
88312 Special stained specimen slides to identify organisms including interpretation and report	39	33	$102.05	$82.07
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	33	$290.00	$174.65
88342 Special stained specimen slides to examine tissue, initial procedure	33	31	$148.48	$67.49
11900 Injection into skin growth, 1-7 growths	33	25	$102.27	$40.17
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	24	$370.00	$146.10
11200 Removal of skin tag, 1-15 skin tags	25	24	$125.00	$60.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$190.50	$111.44
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	20	19	$345.00	$175.70
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	11	$240.00	$119.63
17110 Destruction of up to 14 skin growths	15	12	$199.33	$95.95
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	12	$360.00	$271.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,062	881	$35.00	$5.04
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,409	1,061	$50.00	$30.78
99213 Established patient office or other outpatient visit, typically 15 minutes	2,143	1,192	$100.00	$64.43
17000 Destruction of skin growth	1,724	984	$120.00	$40.83
11102 Tangential biopsy of single skin lesion	1,621	1,054	$200.00	$84.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	808	668	$135.00	$93.85
11103 Biopsy of related skin growth, each additional growth	545	350	$100.00	$45.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	282	69	$10.00	$1.47
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	258	15	$150.00	$96.14
17004 Destruction of precancer skin growth, 15 or more growths	201	138	$345.00	$135.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	82	$85.00	$38.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	58	$40.99	$12.13
69100 Biopsy of ear	52	48	$260.00	$72.80
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	46	$250.00	$142.15
88312 Special stained specimen slides to identify organisms including interpretation and report	47	38	$100.00	$75.76
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	46	39	$295.00	$152.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$160.00	$92.70
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	29	26	$450.00	$391.81
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	26	$370.00	$155.15
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	19	18	$360.00	$264.98
17110 Destruction of up to 14 skin growths	18	15	$145.00	$94.81
96574 Application of light with debridement to destroy precancer skin growth	17	17	$375.00	$223.88
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$290.00	$176.90
11900 Injection into skin growth, 1-7 growths	15	14	$95.00	$40.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$400.00	$243.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,015	835	$35.00	$4.84
99213 Established patient office or other outpatient visit, typically 15 minutes	2,503	1,313	$100.00	$63.17
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,361	1,093	$50.00	$29.25
17000 Destruction of skin growth	1,596	951	$120.00	$40.73
11102 Tangential biopsy of single skin lesion	1,581	1,041	$200.00	$82.88
11103 Biopsy of related skin growth, each additional growth	450	325	$100.00	$45.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	412	103	$10.00	$1.59
17004 Destruction of precancer skin growth, 15 or more growths	233	174	$345.00	$129.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	216	165	$85.00	$38.20
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	212	12	$150.00	$94.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	111	$135.00	$92.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	116	83	$40.69	$14.06
88312 Special stained specimen slides to identify organisms including interpretation and report	60	47	$100.00	$70.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	55	51	$250.00	$142.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$160.00	$92.69
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	46	39	$447.28	$391.86
69100 Biopsy of ear	44	43	$260.00	$80.96
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	36	$290.00	$174.50
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	34	32	$295.00	$160.40
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	33	$303.33	$161.17
11900 Injection into skin growth, 1-7 growths	27	23	$95.00	$37.88
96574 Application of light with debridement to destroy precancer skin growth	24	22	$375.00	$213.28
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	15	15	$345.00	$179.82
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$120.00	$64.99
96573 Application of light by qualified health care professional to destroy precancer skin growth	12	12	$250.00	$167.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,879	1,027	$35.00	$4.49
99213 Established patient office or other outpatient visit, typically 15 minutes	2,755	1,603	$100.00	$61.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,830	1,039	$50.00	$28.48
17000 Destruction of skin growth	1,814	1,198	$120.00	$41.35
11100 Biopsy of single growth of skin and/or tissue	1,542	1,150	$165.00	$87.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	437	107	$10.00	$1.82
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	384	26	$121.39	$88.52
11101 Biopsy of each additional growth of skin and/or tissue	364	273	$75.00	$28.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	111	$135.00	$90.71
17004 Destruction of precancer skin growth, 15 or more growths	136	112	$345.00	$122.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	130	89	$41.85	$17.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$160.00	$91.82
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$120.00	$63.42
69100 Biopsy of ear	50	49	$260.00	$75.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	43	$250.00	$135.91
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	44	40	$425.00	$398.30
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	43	39	$240.00	$93.33
88312 Special stained specimen slides to identify organisms including interpretation and report	36	32	$97.22	$65.93
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	24	24	$295.00	$158.83
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	23	$260.00	$151.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$85.00	$36.77
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$290.00	$169.42
11900 Injection into skin growth, 1-7 growths	18	16	$95.00	$40.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$320.00	$194.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,226	1,055	$35.00	$4.76
99213 Established patient office or other outpatient visit, typically 15 minutes	3,529	1,825	$100.00	$61.30
17000 Destruction of skin growth	2,189	1,295	$120.00	$46.68
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,587	1,023	$50.00	$28.16
11100 Biopsy of single growth of skin and/or tissue	1,311	1,058	$165.00	$84.84
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	580	31	$85.00	$57.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	505	121	$10.00	$1.80
11101 Biopsy of each additional growth of skin and/or tissue	242	199	$75.00	$27.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	183	183	$160.00	$91.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	121	$135.00	$89.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	138	102	$41.45	$20.89
99202 New patient office or other outpatient visit, typically 20 minutes	124	124	$120.00	$62.84
17110 Destruction of up to 14 skin growths	113	106	$145.00	$92.29
17004 Destruction of precancer skin growth, 15 or more growths	112	77	$345.00	$126.43
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	69	65	$425.00	$353.14
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	69	65	$240.00	$110.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	63	$85.00	$36.48
11200 Removal of skin tag, 1-15 skin tags	54	52	$125.00	$56.52
88312 Special stained specimen slides to identify organisms including interpretation and report	50	41	$100.00	$67.33
69100 Biopsy of ear	41	39	$260.00	$74.25
11900 Injection into skin growth, 1-7 growths	28	19	$95.00	$41.03
10040 Acne surgery	22	21	$150.00	$82.77
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	21	$320.00	$199.46
87101 Fungal culture (mold or yeast) of skin, hair, or nail	16	15	$16.00	$10.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$400.00	$240.38
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	13	$140.00	$93.51
40490 Biopsy of lip	13	12	$195.00	$105.40
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$140.00	$118.93
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$160.00	$89.31

Medical Specialties & State Licenses

CMS Verified: 2025-05-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA3642

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

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross

E5077 (FL)

Hospital & Practice Group Affiliations

Dermatology Associates Of Bay County Pa

1900 Harrison Ave, Panama City, FL 324054542

Phone: 8507691668

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Robert Siragusa , MD

Dermatology

NPI 1255320545

Doctor of Medicine (M.D.)

Barry Newton , PA-C

Physician Assistant - Medical

NPI 1396883989

Physician Assistant (Certified)

Dr. Christopher Wolfe , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1417073503

Doctor of Osteopathic Medicine (D.O.)

Mary Carmon , NP

Nurse Practitioner - Family

NPI 1558781534

Nurse Practitioner

Kelly Wood , PA

Physician Assistant

NPI 1710057344

Physician Assistant

Dr. Bret Johnson , MD

Family Medicine

NPI 1770560153

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 28, 2025

Registered at 1900 HARRISON AVE, PANAMA CITY, FL 324054542 (Tel: 8507691668)

✅

NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2014

Registered at 1900 HARRISON RD, PANAMA CITY, FL 32405 (Tel: 8507691668)

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Updated Business Mailing Address May 08, 2014

Registered at 4120 DEERPOINT LAKE DR, PANAMA CITY, FL 324092164 (Tel: 8507691668)

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Provider Name / Credentials Updated May 08, 2014

Recorded as CHARLES BYRON, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Physician Assistant (License #PA3642 in FL)

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Initial NPI Registration & Enumeration March 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376510560

Entity Type:

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

Enumeration Date: March 07, 2006

Last Update: May 28, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4120 Deerpoint Lake Dr

Panama City, FL 324092164

Phone: 8507691668

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

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