Active NPI 1972948875 Individual Practitioner Female Practitioner

Dr. Vanessa Emily Johnson , MD

Dermatology • Rockledge, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vanessa Johnson, MD is a certified Dermatology practicing in Rockledge, FL. With approximately 13 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 2013, Dr. Johnson delivers high-quality medical care to the local community at 389 COMMERCE PKWY STE 160.

Dr. Johnson is affiliated with Shadetree Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, 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

389 Commerce Pkwy Ste 160

Rockledge, FL 329554202

Telephone 3212000346

Associated Practice Facility / Clinic

🏢 Shadetree Dermatology Llc Facility NPI 1366297376

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Rockledge, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -11.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Rockledge, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (13 Years) 13 Yrs

Rockledge Specialty Average (24.5 Years) 24.5 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	925	164	$12.90	$6.26
17000 Destruction of skin growth	299	218	$132.75	$40.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	221	$254.52	$125.26
99213 Established patient office or other outpatient visit, typically 15 minutes	265	221	$179.88	$88.67
17110 Destruction of up to 14 skin growths	244	196	$221.93	$102.35
11102 Tangential biopsy of single skin lesion	218	163	$198.04	$71.22
11103 Biopsy of related skin growth, each additional growth	141	67	$99.18	$48.12
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	75	71	$934.42	$455.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	63	$111.69	$54.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	37	$484.16	$125.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	46	44	$841.11	$392.55
J9260 Injection, methotrexate sodium, 50 mg	46	24	$6.06	$2.65
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	39	39	$531.47	$130.26
17111 Destruction of skin growth, 15 or more growths	38	33	$260.30	$124.11
17004 Destruction of precancer skin growth, 15 or more growths	38	33	$330.80	$161.34
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	31	$554.81	$135.34
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	24	$599.83	$265.08
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	26	16	$140.03	$67.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	23	$353.65	$132.84
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	11	$32.96	$16.20
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$501.91	$128.43
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	20	$783.17	$364.70
96405 Administration of chemotherapy into growth, 1-7	20	11	$162.99	$64.68
10060 Simple or single drainage of skin abscess	20	20	$249.25	$120.01
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	20	19	$453.31	$116.45
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	19	16	$628.49	$161.47
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	16	16	$771.39	$362.96
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$519.96	$244.26
11104 Punch biopsy, first skin growth	14	14	$246.32	$115.62
11900 Injection into skin growth, 1-7 growths	12	11	$113.35	$43.93
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$470.08	$114.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	813	165	$13.70	$6.35
99213 Established patient office or other outpatient visit, typically 15 minutes	326	254	$181.37	$88.63
17000 Destruction of skin growth	309	226	$134.48	$40.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	224	$255.72	$125.45
11102 Tangential biopsy of single skin lesion	259	198	$203.00	$77.81
17110 Destruction of up to 14 skin growths	253	203	$224.38	$106.09
11103 Biopsy of related skin growth, each additional growth	162	80	$101.49	$48.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	70	$113.38	$55.24
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	71	69	$949.45	$456.72
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	58	56	$537.59	$131.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	44	$488.67	$135.97
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	33	$854.23	$399.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	16	$3.94	$1.06
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	32	29	$505.63	$127.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	23	$357.57	$131.14
11900 Injection into skin growth, 1-7 growths	26	17	$114.00	$40.73
17004 Destruction of precancer skin growth, 15 or more growths	26	24	$335.00	$165.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	19	$606.20	$278.55
96405 Administration of chemotherapy into growth, 1-7	24	13	$165.88	$62.03
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	24	24	$526.13	$240.67
17111 Destruction of skin growth, 15 or more growths	23	21	$263.22	$128.96
J9260 Injection, methotrexate sodium, 50 mg	22	12	$5.59	$2.41
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	19	$560.43	$150.10
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	19	18	$780.84	$381.07
69100 Biopsy of ear	17	16	$193.76	$63.77
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	15	$797.75	$384.76
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$796.40	$350.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$226.87	$111.18
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	15	14	$275.60	$132.33
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	14	13	$595.86	$145.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$337.69	$165.05
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	12	$623.67	$140.14
10060 Simple or single drainage of skin abscess	12	12	$249.50	$117.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,020	186	$13.94	$6.52
17000 Destruction of skin growth	367	268	$134.66	$44.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	360	263	$256.32	$126.93
99213 Established patient office or other outpatient visit, typically 15 minutes	329	279	$182.06	$89.58
11102 Tangential biopsy of single skin lesion	319	243	$204.06	$83.31
17110 Destruction of up to 14 skin growths	273	221	$224.94	$107.66
11103 Biopsy of related skin growth, each additional growth	173	81	$102.07	$50.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	81	$113.89	$56.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$226.86	$112.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	62	61	$953.90	$468.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	21	$4.00	$1.14
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	52	49	$540.46	$136.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	39	$490.52	$126.70
96405 Administration of chemotherapy into growth, 1-7	42	20	$167.19	$71.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$338.07	$167.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	35	$607.20	$287.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	34	$357.49	$131.60
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	33	$507.24	$125.54
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	31	$859.38	$405.40
J9260 Injection, methotrexate sodium, 50 mg	31	16	$6.00	$2.27
17004 Destruction of precancer skin growth, 15 or more growths	29	22	$334.79	$165.85
11900 Injection into skin growth, 1-7 growths	27	21	$113.89	$39.50
17111 Destruction of skin growth, 15 or more growths	17	17	$264.00	$130.18
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	15	$294.06	$117.95
11104 Punch biopsy, first skin growth	14	14	$253.00	$111.96
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$561.00	$149.18
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$784.69	$373.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	720	134	$12.84	$6.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	246	$256.27	$130.24
11102 Tangential biopsy of single skin lesion	240	175	$204.50	$86.17
17000 Destruction of skin growth	236	181	$130.88	$42.98
17110 Destruction of up to 14 skin growths	160	137	$223.88	$106.96
11103 Biopsy of related skin growth, each additional growth	142	68	$105.11	$52.79
99213 Established patient office or other outpatient visit, typically 15 minutes	133	113	$179.53	$90.86
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	88	83	$959.89	$469.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	62	$110.58	$56.26
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	73	63	$543.00	$133.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	35	$494.90	$125.67
J9260 Injection, methotrexate sodium, 50 mg	41	21	$6.00	$2.14
96405 Administration of chemotherapy into growth, 1-7	41	21	$168.56	$72.38
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	35	$867.86	$409.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$338.06	$170.49
17004 Destruction of precancer skin growth, 15 or more growths	31	22	$328.52	$165.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$225.00	$111.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	27	$613.63	$299.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	16	$4.00	$1.26
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	24	$511.00	$125.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	16	$354.73	$138.31
11900 Injection into skin growth, 1-7 growths	20	16	$112.85	$43.84
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	17	13	$810.00	$389.08
17111 Destruction of skin growth, 15 or more growths	16	13	$262.81	$128.37
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	14	$384.86	$145.51
69100 Biopsy of ear	14	11	$197.43	$53.25
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	14	12	$277.50	$140.78
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	13	13	$348.54	$175.67
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	12	11	$264.33	$132.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	713	134	$10.73	$5.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	276	$208.42	$109.63
11102 Tangential biopsy of single skin lesion	233	181	$180.23	$81.56
17000 Destruction of skin growth	231	178	$126.70	$42.85
99213 Established patient office or other outpatient visit, typically 15 minutes	190	133	$144.12	$75.61
17110 Destruction of up to 14 skin growths	172	142	$206.22	$108.41
11103 Biopsy of related skin growth, each additional growth	123	71	$93.74	$52.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	81	$84.39	$45.77
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	71	65	$921.75	$485.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	41	$471.28	$131.48
J9260 Injection, methotrexate sodium, 50 mg	45	17	$6.00	$2.27
96405 Administration of chemotherapy into growth, 1-7	45	17	$160.71	$73.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	44	40	$524.32	$137.58
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	38	$828.70	$399.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$212.28	$109.22
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	29	$494.03	$134.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	22	$576.71	$279.06
17004 Destruction of precancer skin growth, 15 or more growths	23	16	$309.00	$158.98
17111 Destruction of skin growth, 15 or more growths	22	18	$260.00	$131.86
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	18	$328.62	$122.98
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	12	$810.00	$393.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	13	$533.50	$136.73
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	12	$256.94	$130.07
69100 Biopsy of ear	16	14	$177.81	$65.01
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	12	$760.43	$377.11
11900 Injection into skin growth, 1-7 growths	13	12	$95.54	$38.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	722	132	$12.00	$5.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	225	$219.00	$107.03
11102 Tangential biopsy of single skin lesion	224	175	$198.00	$78.40
17000 Destruction of skin growth	221	178	$132.00	$42.31
99213 Established patient office or other outpatient visit, typically 15 minutes	211	165	$149.00	$71.99
17110 Destruction of up to 14 skin growths	197	155	$220.00	$102.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	103	$90.00	$44.31
11103 Biopsy of related skin growth, each additional growth	133	71	$107.00	$51.42
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	94	88	$975.00	$473.66
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	85	77	$552.00	$136.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$219.00	$104.89
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	48	34	$357.00	$131.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	32	$873.00	$410.81
17004 Destruction of precancer skin growth, 15 or more growths	30	25	$307.00	$150.70
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	24	$521.00	$143.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	18	$577.00	$177.16
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	16	$809.00	$377.03
11900 Injection into skin growth, 1-7 growths	19	16	$110.00	$41.21
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	14	$292.00	$95.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$503.00	$171.60
69100 Biopsy of ear	17	15	$198.00	$80.01
11104 Punch biopsy, first skin growth	15	14	$248.00	$122.03
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$154.00	$70.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	697	139	$11.00	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	228	176	$145.00	$69.60
17000 Destruction of skin growth	209	177	$133.00	$44.83
11100 Biopsy of single growth of skin and/or tissue	203	170	$211.00	$85.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	133	$214.00	$102.68
17110 Destruction of up to 14 skin growths	153	130	$222.00	$103.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$216.00	$103.76
J9250 Methotrexate sodium, 5 mg	124	14	$1.00	$0.25
11101 Biopsy of each additional growth of skin and/or tissue	111	63	$67.00	$31.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	93	$87.00	$41.72
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	55	52	$959.00	$457.18
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	39	$547.00	$137.15
11900 Injection into skin growth, 1-7 growths	39	25	$113.00	$40.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	13	$4.00	$1.79
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$150.00	$72.24
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	31	$858.00	$380.58
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$353.00	$131.88
17004 Destruction of precancer skin growth, 15 or more growths	26	25	$290.00	$139.44
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	19	$289.00	$100.82
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	17	$517.00	$137.30
99201 New patient office or other outpatient visit, typically 10 minutes	19	19	$89.00	$42.91
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$794.00	$363.43
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$499.00	$130.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$574.00	$159.29
69100 Biopsy of ear	13	13	$202.00	$65.58
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$776.00	$373.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	160	33	$12.00	$5.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$218.00	$105.84
17000 Destruction of skin growth	50	49	$134.00	$49.75
11100 Biopsy of single growth of skin and/or tissue	48	46	$207.00	$95.34
17110 Destruction of up to 14 skin growths	47	45	$221.00	$104.40
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$150.00	$73.82
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$147.00	$70.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$88.00	$42.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$216.00	$105.97
11101 Biopsy of each additional growth of skin and/or tissue	16	12	$67.00	$32.85
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$88.00	$43.29

Medical Specialties & State Licenses

CMS Verified: 2026-04-02

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL ME132429

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare

JC290Z (FL)

Hospital & Practice Group Affiliations

Shadetree Dermatology Llc

105 S Banana River Blvd, Cocoa Beach, FL 329315041

Phone: 3212000346

Secondary Practice Locations

105 S Banana River Blvd Fl 2

Cocoa Beach, FL 329315041

Phone: 3212000346

Practice Associates & Co-Workers

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

3 Associated Practitioners

Shivani Patel , PA-C

Physician Assistant

NPI 1215379904

Physician Assistant (Certified)

Elysia Dana , APRN

Nurse Practitioner - Family

NPI 1225673809

Advanced Practice Registered Nurse

Bonnie Fox , PA

Physician Assistant

NPI 1740590454

Physician Assistant

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location March 04, 2026

Registered at 389 COMMERCE PKWY STE 160, ROCKLEDGE, FL 329554202 (Tel: 3212000346)

📍

Updated Business Mailing Address March 04, 2026

Registered at 105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 329315041 (Tel: 3212000346)

✅

NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address July 14, 2017

Registered at 3300 S. FISKE BLVD., ROCKLEDGE, FL 329554306 (Tel: 3217575141)

📍

Updated Practice Location July 14, 2017

Registered at 7125 MURRELL RD STE A, MELBOURNE, FL 329407999 (Tel: 3217519097)

👤

Provider Name / Credentials Updated July 14, 2017

Recorded as VANESSA JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Dermatology (License #ME132429 in FL)

📍

Updated Practice Location June 22, 2017

Registered at 7125 MURRELL RD STE A, MELBOURNE, FL 329407999 (Tel: 3217519097)

📍

Updated Business Mailing Address June 22, 2017

Registered at 7125 MURRELL ROAD, SUITE A, MELBOURNE, FL 32940 (Tel: 3217519097)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Dermatology (License #ME132429 in FL)

✅

NPI Profile Active May 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2013

Registered at 1161 21ST AVE S, D-3100, MEDICAL CENTER NORTH, NASHVILLE, TN 372322358 (Tel: 6153223384)

📍

Updated Business Mailing Address May 06, 2013

Registered at 2146 BELCOURT AVE, VMG BUSINESS OFFICE, NASHVILLE, TN 372123504 (Tel: 6153430339)

👤

Provider Name / Credentials Updated May 06, 2013

Recorded as VANESSA JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 06, 2013

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: 1972948875

Entity Type:

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

Enumeration Date: May 06, 2013

Last Update: April 02, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

105 S Banana River Blvd Fl 2

Cocoa Beach, FL 329315041

Phone: 3212000346

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.