Active NPI 1346350832 Individual Practitioner Female Practitioner

Dr. Loretta S. Davis , MD

Dermatology • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Loretta Davis, MD is a certified Dermatology practicing in Augusta, GA. With approximately 44 years of clinical experience since graduating from Ohio State University College Of Medicine in 1982, Dr. Davis delivers high-quality medical care to the local community at 1120 15TH ST.

Dr. Davis is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, 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

1120 15th St

Augusta, GA 309120004

Telephone 7067213291

Fax 7067211459

Associated Practice Facility / Clinic

🏢 American Transitional Hospitals, Inc. Facility NPI 1649276338

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Augusta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +26.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

22 Specialists

Practicing in Augusta, GA (364 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (44 Years) 44 Yrs

Augusta Specialty Average (17.7 Years) 17.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	432	341	$138.15	$62.51
17003 Destruction of precancer skin growth, 2-14 growths	298	63	$40.17	$1.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	202	$213.48	$92.17
11102 Tangential biopsy of single skin lesion	144	123	$143.58	$30.86
17000 Destruction of skin growth	84	70	$155.07	$47.79
11103 Biopsy of related skin growth, each additional growth	62	42	$82.90	$20.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$326.05	$126.91
17110 Destruction of up to 14 skin growths	58	54	$231.55	$61.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$198.92	$78.03
11104 Punch biopsy, first skin growth	25	25	$317.56	$42.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$90.90	$33.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	17	$352.10	$95.78
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$162.00	$80.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	513	395	$111.00	$64.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	201	$172.00	$94.55
17003 Destruction of precancer skin growth, 2-14 growths	160	34	$40.00	$1.95
11102 Tangential biopsy of single skin lesion	156	129	$100.00	$32.83
17110 Destruction of up to 14 skin growths	74	63	$184.00	$60.44
11103 Biopsy of related skin growth, each additional growth	68	38	$58.00	$20.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$165.00	$80.52
17000 Destruction of skin growth	48	42	$137.00	$48.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$283.00	$129.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$66.00	$34.52
11104 Punch biopsy, first skin growth	15	15	$276.00	$40.86
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$232.00	$72.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	443	360	$111.00	$64.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	360	284	$172.00	$95.34
17003 Destruction of precancer skin growth, 2-14 growths	191	32	$40.00	$2.00
11102 Tangential biopsy of single skin lesion	107	95	$100.00	$33.61
17110 Destruction of up to 14 skin growths	63	55	$184.00	$60.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$165.00	$81.20
11103 Biopsy of related skin growth, each additional growth	43	29	$58.00	$21.16
17000 Destruction of skin growth	42	35	$137.00	$46.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$283.00	$131.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$66.00	$35.23
11104 Punch biopsy, first skin growth	16	16	$276.00	$43.94
11900 Injection into skin growth, 1-7 growths	14	11	$98.00	$24.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	479	344	$172.00	$96.66
99213 Established patient office or other outpatient visit, typically 15 minutes	407	342	$111.00	$65.43
11102 Tangential biopsy of single skin lesion	147	130	$100.00	$35.25
17003 Destruction of precancer skin growth, 2-14 growths	131	27	$40.00	$2.02
11103 Biopsy of related skin growth, each additional growth	78	49	$58.00	$21.33
17110 Destruction of up to 14 skin growths	61	54	$184.00	$61.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$283.00	$132.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$165.00	$81.34
17000 Destruction of skin growth	39	38	$137.00	$46.03
11900 Injection into skin growth, 1-7 growths	28	11	$98.00	$26.43
11104 Punch biopsy, first skin growth	26	25	$276.00	$44.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	12	$297.00	$90.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$66.00	$34.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$550.00	$147.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	390	332	$111.00	$50.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	287	$172.00	$77.88
17003 Destruction of precancer skin growth, 2-14 growths	240	59	$40.00	$2.10
17110 Destruction of up to 14 skin growths	137	123	$184.00	$63.84
17000 Destruction of skin growth	115	97	$137.00	$46.15
11102 Tangential biopsy of single skin lesion	112	102	$100.00	$33.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	73	$66.00	$25.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$165.00	$75.38
11103 Biopsy of related skin growth, each additional growth	43	28	$58.00	$22.71
11104 Punch biopsy, first skin growth	32	31	$276.00	$42.00
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$113.00	$49.06
11900 Injection into skin growth, 1-7 growths	21	13	$98.00	$28.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	683	506	$110.19	$50.36
17003 Destruction of precancer skin growth, 2-14 growths	632	112	$40.00	$2.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	254	$171.42	$77.80
17000 Destruction of skin growth	217	168	$137.00	$46.58
17110 Destruction of up to 14 skin growths	162	134	$178.81	$66.24
11102 Tangential biopsy of single skin lesion	131	112	$100.00	$32.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	94	$63.95	$25.27
11103 Biopsy of related skin growth, each additional growth	65	39	$58.00	$23.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$165.00	$74.55
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$111.64	$50.09
11104 Punch biopsy, first skin growth	47	42	$276.00	$37.94
11105 Punch biopsy, each additional skin growth	14	14	$68.00	$24.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$524.55	$139.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	993	170	$40.00	$2.43
99213 Established patient office or other outpatient visit, typically 15 minutes	934	649	$109.00	$50.13
17000 Destruction of skin growth	302	228	$137.00	$46.38
11100 Biopsy of single growth of skin and/or tissue	174	154	$157.00	$39.59
17110 Destruction of up to 14 skin growths	170	144	$170.00	$66.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	118	$61.00	$24.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$165.00	$75.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	78	$168.00	$75.99
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$109.00	$49.31
11101 Biopsy of each additional growth of skin and/or tissue	43	30	$85.00	$24.78
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$218.00	$99.37
17004 Destruction of precancer skin growth, 15 or more growths	21	18	$487.00	$96.94
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$494.00	$161.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,078	173	$40.00	$2.40
99213 Established patient office or other outpatient visit, typically 15 minutes	831	583	$109.00	$49.28
17000 Destruction of skin growth	295	222	$137.00	$45.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	158	$61.00	$24.62
17110 Destruction of up to 14 skin growths	172	141	$170.00	$65.14
11100 Biopsy of single growth of skin and/or tissue	170	151	$157.00	$37.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	97	$168.00	$75.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$165.00	$73.49
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$109.00	$49.09
11101 Biopsy of each additional growth of skin and/or tissue	52	35	$85.00	$24.54
11900 Injection into skin growth, 1-7 growths	31	19	$98.00	$27.22
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	24	$494.00	$158.41
17004 Destruction of precancer skin growth, 15 or more growths	23	17	$487.00	$96.30
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$218.00	$98.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$297.00	$105.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$407.00	$79.36

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License GA 035848

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

Medicaid State Provider ID

000508967A (GA)

Medicaid State Provider ID

G35848 (SC)

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Robert Stowers , PA

Physician Assistant

NPI 1003927401

Physician Assistant

Kristen Bradley , FNP-BC

Nurse Practitioner

NPI 1013539907

Family Nurse Practitioner (Board Certified)

Dr. Wael Aljaroudi , MD

Internal Medicine - Cardiovascular Disease

NPI 1033312129

Doctor of Medicine (M.D.)

Dr. Elizabeth Fox , MD

Surgery - Trauma Surgery

NPI 1033347232

Doctor of Medicine (M.D.)

Dr. Amanda Barrett , MD

Pathology - Anatomic Pathology

NPI 1033555834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2012

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067213291)

📍

Updated Business Mailing Address November 30, 2012

Registered at 1499 WALTON WAY, STE 1400, AUGUSTA, GA 309012602 (Tel: 7068288402)

👤

Provider Name / Credentials Updated November 30, 2012

Recorded as LORETTA DAVIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2012

Dermatology (License #035848 in GA)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Loretta Davis. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346350832

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: November 30, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1499 Walton Way, Ste 1400

Augusta, GA 309012602

Phone: 7068288402

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.