Active NPI 1942402169 Individual Practitioner Male Practitioner

Dr. Wade Robert Keller , DO

Dermatology • Eagle, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Wade Keller, DO is a certified Dermatology practicing in Eagle, ID. With approximately 21 years of clinical experience since graduating from Arizona College Of Osteopathic Medicine Mid Western University in 2005, Dr. Keller delivers high-quality medical care to the local community at 1605 E RIVERSIDE DR.

Dr. Keller is affiliated with Keller Skin And Cancer Care Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1605 E Riverside Dr

Eagle, ID 836166237

Telephone 2089396227

Fax 2089396442

Associated Practice Facility / Clinic

🏢 Keller Skin & Cancer Care Pc Facility NPI 1649543323

Medicare Profile & Education

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Eagle, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.3 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Eagle, ID (63 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keller (21 Years) 21 Yrs

Eagle Specialty Average (18.7 Years) 18.7 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
17003 Destruction of precancer skin growth, 2-14 growths	613	83	$31.00	$6.43
99213 Established patient office or other outpatient visit, typically 15 minutes	251	153	$130.00	$88.33
17000 Destruction of skin growth	162	106	$133.00	$59.56
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	70	62	$1360.00	$616.32
11102 Tangential biopsy of single skin lesion	43	38	$187.00	$92.34
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	33	27	$514.00	$170.15
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	26	16	$906.00	$397.27
17004 Destruction of precancer skin growth, 15 or more growths	24	15	$528.00	$159.89
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	23	$456.00	$138.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	21	$568.00	$255.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$189.00	$124.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$467.00	$112.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$189.00	$107.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	646	90	$31.00	$6.11
99213 Established patient office or other outpatient visit, typically 15 minutes	260	157	$130.00	$83.20
17000 Destruction of skin growth	173	117	$133.00	$58.05
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	66	64	$1360.00	$580.33
11102 Tangential biopsy of single skin lesion	38	33	$187.00	$87.35
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	35	$514.00	$152.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	25	$568.00	$240.76
17004 Destruction of precancer skin growth, 15 or more growths	23	15	$528.00	$153.65
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	20	16	$906.00	$373.92
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$456.00	$136.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	626	89	$31.00	$6.16
99213 Established patient office or other outpatient visit, typically 15 minutes	230	148	$130.00	$83.47
17000 Destruction of skin growth	170	109	$133.00	$57.97
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	75	67	$1360.00	$584.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$77.00	$51.78
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	41	34	$514.00	$162.65
11102 Tangential biopsy of single skin lesion	35	28	$187.00	$91.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	27	$568.00	$233.96
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	24	19	$906.00	$373.09
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	20	$456.00	$130.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$467.00	$111.65
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$528.00	$154.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	606	86	$29.82	$5.94
99213 Established patient office or other outpatient visit, typically 15 minutes	200	142	$127.42	$84.46
17000 Destruction of skin growth	167	115	$127.47	$57.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	90	76	$1299.38	$612.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	44	$74.96	$52.08
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	43	39	$509.35	$152.66
11102 Tangential biopsy of single skin lesion	40	37	$180.20	$90.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	28	$535.07	$236.57
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	29	29	$447.21	$130.82
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	26	19	$855.54	$377.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$439.00	$114.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	625	92	$28.00	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	240	153	$124.23	$70.57
17000 Destruction of skin growth	178	121	$121.00	$57.96
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	62	54	$1236.00	$581.55
11102 Tangential biopsy of single skin lesion	41	35	$170.00	$88.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	28	27	$504.00	$153.54
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	27	19	$824.00	$375.61
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$516.00	$201.02
17004 Destruction of precancer skin growth, 15 or more growths	16	12	$480.00	$148.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$180.00	$102.80
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	12	$441.00	$128.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	798	111	$28.00	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	289	193	$124.19	$69.68
17000 Destruction of skin growth	224	149	$121.00	$57.87
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	70	62	$1236.00	$596.37
11102 Tangential biopsy of single skin lesion	47	39	$170.00	$85.02
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	38	22	$824.00	$369.81
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$125.00	$70.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	25	$516.00	$245.30
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	32	29	$504.00	$153.90
17004 Destruction of precancer skin growth, 15 or more growths	23	17	$480.00	$141.94
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	19	$441.00	$137.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$73.00	$42.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$300.00	$134.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$180.00	$103.11
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$495.00	$218.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	612	102	$28.00	$4.65
99213 Established patient office or other outpatient visit, typically 15 minutes	271	187	$122.92	$66.18
17000 Destruction of skin growth	200	140	$121.00	$57.16
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	68	61	$1236.00	$559.37
11100 Biopsy of single growth of skin and/or tissue	48	44	$170.00	$87.51
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$125.00	$68.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	22	$297.93	$135.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$73.00	$39.63
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	27	21	$824.00	$335.35
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	24	$1056.00	$213.31
17004 Destruction of precancer skin growth, 15 or more growths	19	13	$480.00	$129.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$502.50	$256.20
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$433.00	$159.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	690	99	$28.00	$5.10
99213 Established patient office or other outpatient visit, typically 15 minutes	268	192	$116.16	$67.96
17000 Destruction of skin growth	181	125	$121.00	$56.72
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	80	69	$1236.00	$587.48
11100 Biopsy of single growth of skin and/or tissue	47	41	$167.96	$89.61
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	38	28	$824.00	$355.66
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	37	36	$1056.00	$218.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$72.45	$40.33
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	16	$297.00	$149.31
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	20	$433.00	$166.64
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$118.68	$69.51
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	18	17	$691.11	$193.82
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$480.00	$137.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$453.00	$257.76

Medical Specialties & State Licenses

CMS Verified: 2022-11-03

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License ID O-0559

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 AZ 4692

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License ID O-0559

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License ID O-0559

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

Hospital & Practice Group Affiliations

Keller Skin And Cancer Care Pc

1605 E Riverside Dr, Eagle, ID 836166237

Phone: 2089396227

Practice Associates & Co-Workers

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

3 Associated Practitioners

Heather Knutson , NP

Dermatology

NPI 1215936034

Nurse Practitioner

Matthew Valley , PA-C

Physician Assistant - Medical

NPI 1447483086

Physician Assistant (Certified)

Angela Coyne , PA

Physician Assistant - Medical

NPI 1538276928

Physician Assistant

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location October 01, 2020

Registered at 1605 E RIVERSIDE DR, EAGLE, ID 836166237 (Tel: 2089396227)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Dermatology (License #4692 in AZ)

✅

NPI Profile Active August 11, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 11, 2017

Registered at 1605 E RVERSIDE DRIVE, EAGLE, ID 83616 (Tel: 2089396227)

📍

Updated Practice Location August 11, 2017

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

👤

Provider Name / Credentials Updated August 11, 2017

Recorded as WADE KELLER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2017

Dermatology (License #4692 in AZ)

✅

NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 30, 2012

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

📍

Updated Business Mailing Address April 30, 2012

Registered at 6051 N EAGLE RD, BOISE, ID 837130997 (Tel: 2089396227)

👤

Provider Name / Credentials Updated April 30, 2012

Recorded as WADE KELLER, D.O.

🎓

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

Dermatology (License #O-0559 in ID)

🟢

Initial NPI Registration & Enumeration June 01, 2007

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. Wade Keller. 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: 1942402169

Entity Type:

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

Enumeration Date: June 01, 2007

Last Update: November 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1605 E Rverside Drive

Eagle, ID 83616

Phone: 2089396227

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.