Active NPI 1740415777 Individual Practitioner Female Practitioner

Dr. Adrienne Schupbach , MD

Dermatology • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adrienne Schupbach, MD is a certified Dermatology practicing in Bloomington, IL. With approximately 17 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2009, Dr. Schupbach delivers high-quality medical care to the local community at 3024 E EMPIRE ST STE E&F.

Dr. Schupbach maintains professional affiliations with Dermatology And Skin Cancer Center, Cenla Dermatology, Dermatology And Mohs Surgery Skin Cancer Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, ultrasonic guidance for placement of radiation therapy fields, obtaining data needed to develop the optimal radiation treatment, 1 treatment area. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3024 E Empire St Ste E&f

Bloomington, IL 617045402

Telephone 3094513376

Associated Practice Facility / Clinic

🏢 Dermatology And Mohs Surgery Institute, Ltd. Facility NPI 1770828626

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bloomington, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -1.7 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Bloomington, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schupbach (17 Years) 17 Yrs

Bloomington 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	2,230	385	$14.79	$5.84
G6001 Ultrasonic guidance for placement of radiation therapy fields	875	56	$391.68	$154.51
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	839	51	$584.13	$230.44
77401 Radiation treatment delivery, superficial	817	51	$89.13	$35.16
17000 Destruction of skin growth	669	498	$154.23	$39.19
99213 Established patient office or other outpatient visit, typically 15 minutes	629	453	$211.00	$83.82
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	390	275	$274.61	$89.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	298	158	$130.56	$51.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	273	273	$262.57	$104.81
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	223	169	$226.41	$62.35
17110 Destruction of up to 14 skin growths	221	197	$255.41	$73.83
88305 Pathology examination of tissue using a microscope, intermediate complexity	192	117	$155.46	$60.98
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	182	164	$964.72	$341.22
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	175	154	$900.51	$346.43
77336 Continuing radiation therapy consultation per week	159	45	$191.41	$75.33
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	156	129	$391.04	$78.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	107	$296.09	$118.97
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	115	103	$1559.88	$416.48
77300 Calculation of radiation therapy dose	113	44	$148.84	$58.63
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	98	90	$308.79	$110.74
17004 Destruction of precancer skin growth, 15 or more growths	92	79	$374.82	$151.52
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	81	58	$940.17	$370.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	80	70	$552.18	$114.13
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	66	55	$305.42	$111.06
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	65	55	$276.94	$93.22
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	65	61	$640.19	$149.10
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	53	52	$1459.06	$509.84
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	51	44	$260.69	$86.40
88342 Special stained specimen slides to examine tissue, initial procedure	49	36	$232.74	$82.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$397.90	$158.06
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	40	$1081.05	$285.45
77334 Design and construction of complex radiation treatment device	36	24	$282.55	$111.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	15	$3.33	$0.99
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	31	29	$2149.63	$846.22
11200 Removal of skin tag, 1-15 skin tags	28	26	$209.40	$45.18
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	28	23	$891.01	$350.90
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	24	23	$234.45	$66.25
77261 Simple radiation therapy planning	24	23	$166.62	$65.63
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	22	22	$2031.40	$799.55
88341 Special stained specimen slides to examine tissue	20	15	$197.99	$77.93
11104 Punch biopsy, first skin growth	19	19	$279.55	$112.21
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$355.92	$125.76
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	17	17	$1772.70	$697.73
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$306.94	$126.32
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$443.22	$89.44
11900 Injection into skin growth, 1-7 growths	13	11	$128.30	$36.83
77262 Intermediate radiation therapy planning	12	12	$254.56	$100.46
77285 Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas	12	12	$954.74	$376.81
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$2521.01	$992.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,304	711	$19.44	$5.98
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,870	856	$170.06	$45.05
17000 Destruction of skin growth	1,462	876	$131.77	$43.14
99213 Established patient office or other outpatient visit, typically 15 minutes	1,360	807	$180.68	$84.34
G6001 Ultrasonic guidance for placement of radiation therapy fields	1,081	55	$320.99	$159.44
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	1,074	49	$471.84	$237.72
77401 Radiation treatment delivery, superficial	1,038	49	$70.91	$35.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	682	681	$196.75	$104.59
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	545	392	$233.92	$92.73
17110 Destruction of up to 14 skin growths	365	292	$205.92	$81.48
Q4159 Affinity, per square centimeter	322	11	$555.45	$443.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	306	234	$107.90	$52.05
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	248	206	$189.42	$63.74
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	216	191	$260.82	$108.63
17004 Destruction of precancer skin growth, 15 or more growths	208	159	$288.43	$153.47
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	202	156	$1038.48	$409.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	130	$257.56	$119.71
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	172	156	$237.04	$88.12
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	168	148	$248.32	$117.06
77427 Radiation treatment management, 5 treatments	161	49	$362.51	$181.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	154	85	$586.78	$373.37
77336 Continuing radiation therapy consultation per week	152	51	$174.69	$75.05
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	148	128	$785.86	$349.20
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	140	122	$220.64	$80.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	138	121	$701.58	$354.12
88342 Special stained specimen slides to examine tissue, initial procedure	124	102	$187.11	$77.10
88341 Special stained specimen slides to examine tissue	120	42	$82.43	$41.42
77300 Calculation of radiation therapy dose	107	46	$106.86	$60.34
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	98	86	$322.96	$79.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$302.45	$155.32
11104 Punch biopsy, first skin growth	82	73	$214.09	$110.28
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	81	74	$290.73	$140.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	80	75	$497.65	$112.37
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	66	62	$1018.13	$485.32
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	63	61	$197.63	$63.50
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	59	55	$237.95	$114.77
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	51	44	$1513.91	$847.63
11102 Tangential biopsy of single skin lesion	48	48	$205.12	$71.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	29	$4.44	$1.05
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	46	40	$460.49	$159.54
11200 Removal of skin tag, 1-15 skin tags	38	36	$166.10	$57.31
77332 Design and construction of simple radiation treatment device	36	21	$65.14	$35.37
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	36	$725.21	$266.21
77261 Simple radiation therapy planning	36	34	$132.19	$67.52
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	33	12	$225.93	$133.60
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$134.62	$67.09
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	32	26	$633.19	$358.81
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	32	32	$1162.87	$703.80
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	28	$341.26	$90.99
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	30	$1226.97	$702.35
88304 Pathology examination of tissue using a microscope, moderately low complexity	27	25	$49.15	$15.75
11900 Injection into skin growth, 1-7 growths	26	23	$120.56	$38.23
77334 Design and construction of complex radiation treatment device	26	18	$212.15	$114.07
17111 Destruction of skin growth, 15 or more growths	21	18	$249.20	$114.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	19	$602.55	$198.58
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	19	18	$279.36	$128.38
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	19	18	$1143.17	$802.62
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	18	16	$1554.84	$956.05
11105 Punch biopsy, each additional skin growth	17	15	$105.32	$54.00
88312 Special stained specimen slides to identify organisms including interpretation and report	17	14	$249.38	$99.99
10040 Acne surgery	14	12	$206.15	$87.05
11103 Biopsy of related skin growth, each additional growth	13	11	$122.47	$45.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,649	514	$12.43	$6.15
17000 Destruction of skin growth	788	678	$127.85	$45.36
99213 Established patient office or other outpatient visit, typically 15 minutes	650	597	$220.66	$87.08
88305 Pathology examination of tissue using a microscope, intermediate complexity	483	272	$52.06	$41.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	483	482	$149.89	$103.76
G6001 Ultrasonic guidance for placement of radiation therapy fields	432	29	$175.13	$156.66
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	421	28	$262.06	$233.91
77401 Radiation treatment delivery, superficial	403	24	$39.56	$35.38
17110 Destruction of up to 14 skin growths	237	216	$207.32	$86.43
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	232	206	$204.85	$97.71
17004 Destruction of precancer skin growth, 15 or more growths	128	115	$282.39	$155.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	99	$308.85	$122.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	89	$97.87	$52.59
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	99	92	$187.67	$68.45
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	99	95	$225.53	$113.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	77	64	$727.81	$344.40
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	70	69	$220.50	$123.57
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	70	68	$205.68	$93.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$207.68	$155.65
11102 Tangential biopsy of single skin lesion	62	61	$155.53	$78.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	16	$3.94	$1.12
88341 Special stained specimen slides to examine tissue	61	16	$56.48	$42.40
77427 Radiation treatment management, 5 treatments	61	23	$199.41	$178.38
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	57	56	$208.02	$99.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	55	49	$680.81	$355.84
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	54	44	$886.81	$427.32
77300 Calculation of radiation therapy dose	50	24	$65.42	$58.52
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	46	28	$574.75	$367.71
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	36	$300.48	$83.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	33	$500.96	$120.30
77336 Continuing radiation therapy consultation per week	35	17	$80.07	$70.43
11104 Punch biopsy, first skin growth	34	33	$221.44	$116.13
11200 Removal of skin tag, 1-15 skin tags	27	25	$170.41	$54.52
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	24	$396.00	$142.11
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	26	$188.39	$126.70
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	25	$296.16	$142.42
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	21	20	$904.94	$542.13
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	16	$24.83	$21.55
77332 Design and construction of simple radiation treatment device	19	15	$39.16	$35.03
88342 Special stained specimen slides to examine tissue, initial procedure	19	17	$65.25	$47.53
77261 Simple radiation therapy planning	19	19	$74.70	$66.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	15	$745.87	$310.21
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	17	17	$192.38	$64.29
11103 Biopsy of related skin growth, each additional growth	16	13	$68.49	$45.98
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	13	11	$589.31	$351.45
10040 Acne surgery	12	12	$289.24	$82.66
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$979.40	$690.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,653	533	$20.02	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	1,112	1,016	$273.53	$89.01
17000 Destruction of skin growth	852	753	$198.50	$53.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	431	411	$170.78	$54.46
17110 Destruction of up to 14 skin growths	199	190	$327.06	$99.94
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	130	108	$389.98	$106.69
17004 Destruction of precancer skin growth, 15 or more growths	129	105	$401.83	$158.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	112	$402.99	$126.87
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	74	67	$324.76	$74.06
11102 Tangential biopsy of single skin lesion	68	67	$302.46	$90.89
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	62	58	$360.24	$105.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	58	53	$784.82	$124.49
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	54	$572.91	$90.01
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	55	52	$1295.17	$387.21
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	53	49	$1423.25	$422.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$337.40	$110.07
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	41	41	$417.59	$127.44
11200 Removal of skin tag, 1-15 skin tags	41	41	$268.22	$64.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	40	37	$910.95	$298.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	14	$12.90	$1.25
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	33	30	$318.16	$82.11
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	32	29	$384.20	$111.45
11104 Punch biopsy, first skin growth	25	25	$392.78	$124.96
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	24	24	$452.47	$134.42
11103 Biopsy of related skin growth, each additional growth	21	16	$147.33	$50.87
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$226.78	$71.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	16	$884.02	$188.74
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	11	$458.86	$116.90
10040 Acne surgery	15	14	$345.94	$97.48
17111 Destruction of skin growth, 15 or more growths	12	12	$362.64	$127.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,912	693	$22.95	$5.69
17000 Destruction of skin growth	1,251	976	$254.23	$50.27
99213 Established patient office or other outpatient visit, typically 15 minutes	974	810	$293.73	$72.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	883	785	$426.64	$106.20
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	285	225	$470.41	$102.28
17110 Destruction of up to 14 skin growths	229	210	$430.64	$91.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	189	175	$176.95	$43.88
17004 Destruction of precancer skin growth, 15 or more growths	161	126	$244.22	$152.96
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	136	125	$385.02	$77.74
88305 Pathology examination of tissue using a microscope, intermediate complexity	125	98	$129.96	$31.88
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	116	105	$533.12	$121.64
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	104	94	$477.70	$100.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$422.68	$105.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	82	79	$1683.26	$416.59
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	79	76	$448.15	$95.85
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	73	71	$1566.11	$389.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	24	$40.00	$1.50
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	63	59	$544.54	$129.02
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	48	$663.47	$84.06
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$297.69	$74.12
11200 Removal of skin tag, 1-15 skin tags	43	42	$346.69	$57.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	33	$965.50	$123.84
11104 Punch biopsy, first skin growth	34	31	$485.30	$115.44
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	31	30	$407.95	$78.58
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	28	$617.20	$148.27
10040 Acne surgery	23	22	$425.47	$76.22
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	21	$559.49	$132.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	18	$1104.40	$166.82
17111 Destruction of skin growth, 15 or more growths	18	16	$506.88	$123.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	13	$465.28	$392.85
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$1875.56	$467.64
11900 Injection into skin growth, 1-7 growths	15	12	$214.34	$41.02
11102 Tangential biopsy of single skin lesion	14	14	$386.58	$82.55
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$596.59	$138.21
96574 Application of light with debridement to destroy precancer skin growth	14	13	$425.00	$253.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$55.29	$13.69
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$770.81	$95.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,401	643	$22.08	$5.45
17000 Destruction of skin growth	1,354	972	$255.56	$45.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,068	861	$427.08	$105.67
99213 Established patient office or other outpatient visit, typically 15 minutes	907	720	$291.12	$72.11
88305 Pathology examination of tissue using a microscope, intermediate complexity	864	557	$113.93	$28.23
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	602	456	$465.92	$99.94
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	347	280	$377.32	$72.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	301	267	$175.52	$43.50
17110 Destruction of up to 14 skin growths	208	184	$426.60	$83.78
17004 Destruction of precancer skin growth, 15 or more growths	165	127	$260.95	$147.74
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	159	144	$530.48	$121.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$426.48	$106.05
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	139	127	$472.84	$102.64
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	136	120	$441.84	$92.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	34	$40.00	$1.60
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	110	105	$545.76	$127.54
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	101	96	$1695.48	$418.14
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	89	85	$1571.48	$390.23
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	77	73	$659.76	$91.13
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	68	65	$396.44	$76.77
11200 Removal of skin tag, 1-15 skin tags	57	55	$346.28	$54.31
11104 Punch biopsy, first skin growth	52	51	$480.60	$118.21
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$299.04	$74.31
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	42	40	$1895.08	$470.42
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	41	$975.96	$129.78
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	40	39	$562.12	$132.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	37	34	$1119.96	$161.54
11102 Tangential biopsy of single skin lesion	33	32	$382.40	$82.11
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	28	26	$592.52	$141.89
11900 Injection into skin growth, 1-7 growths	28	19	$213.00	$34.99
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	16	$465.28	$392.73
10040 Acne surgery	25	25	$425.40	$84.53
88312 Special stained specimen slides to identify organisms including interpretation and report	24	16	$273.32	$67.84
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	23	$621.92	$151.29
17111 Destruction of skin growth, 15 or more growths	22	21	$508.24	$117.64
11105 Punch biopsy, each additional skin growth	18	18	$236.96	$58.83
96574 Application of light with debridement to destroy precancer skin growth	18	14	$425.00	$241.96
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	15	12	$535.68	$119.83
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$767.44	$114.39
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$4032.32	$1000.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$64.68	$16.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,819	663	$10.26	$5.10
99213 Established patient office or other outpatient visit, typically 15 minutes	1,583	1,169	$143.72	$70.65
17000 Destruction of skin growth	1,366	948	$131.36	$46.67
11100 Biopsy of single growth of skin and/or tissue	902	741	$210.02	$90.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	389	349	$81.23	$42.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	299	$230.28	$104.27
17110 Destruction of up to 14 skin growths	275	227	$217.64	$98.19
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	256	214	$281.11	$103.75
11101 Biopsy of each additional growth of skin and/or tissue	219	179	$64.46	$31.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$190.99	$103.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	49	$40.00	$1.79
17004 Destruction of precancer skin growth, 15 or more growths	127	106	$197.83	$139.85
99202 New patient office or other outpatient visit, typically 20 minutes	77	77	$134.39	$72.11
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	73	69	$931.24	$382.41
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	73	68	$1093.81	$405.58
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	62	57	$429.75	$91.15
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	60	59	$335.42	$125.71
11200 Removal of skin tag, 1-15 skin tags	55	47	$178.34	$56.68
88305 Pathology examination of tissue using a microscope, intermediate complexity	46	37	$113.84	$28.28
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	45	43	$279.47	$97.47
10040 Acne surgery	42	39	$225.78	$80.66
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	25	$490.18	$398.12
11900 Injection into skin growth, 1-7 growths	38	29	$107.40	$39.37
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	36	32	$268.70	$107.68
69100 Biopsy of ear	35	35	$225.28	$73.48
96574 Application of light with debridement to destroy precancer skin growth	32	24	$420.05	$229.12
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$504.16	$133.07
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	26	$732.06	$175.51
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	25	24	$286.01	$136.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	22	$39.15	$19.49
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$1240.80	$462.56
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$449.72	$154.82
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	11	$561.68	$178.96
17111 Destruction of skin growth, 15 or more growths	14	14	$242.99	$127.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,820	770	$7.81	$5.37
17000 Destruction of skin growth	1,492	1,048	$90.78	$49.28
99213 Established patient office or other outpatient visit, typically 15 minutes	1,449	1,075	$95.61	$69.97
11100 Biopsy of single growth of skin and/or tissue	671	612	$133.34	$86.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	476	411	$56.52	$41.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	418	$141.13	$103.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	360	360	$145.60	$104.59
17110 Destruction of up to 14 skin growths	321	282	$149.58	$92.76
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	289	240	$164.64	$100.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	266	75	$15.88	$1.76
99202 New patient office or other outpatient visit, typically 20 minutes	177	177	$99.06	$71.31
11101 Biopsy of each additional growth of skin and/or tissue	146	123	$41.94	$31.39
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	116	103	$149.55	$89.94
17004 Destruction of precancer skin growth, 15 or more growths	114	100	$198.18	$143.42
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	93	91	$150.21	$109.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	76	71	$546.63	$365.20
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	64	64	$584.44	$404.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	41	$308.05	$121.84
11900 Injection into skin growth, 1-7 growths	44	36	$70.44	$43.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	42	$33.69	$23.35
17111 Destruction of skin growth, 15 or more growths	42	35	$177.56	$123.66
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	42	40	$202.52	$127.10
10040 Acne surgery	39	33	$141.30	$74.88
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	33	32	$638.85	$452.42
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	30	$210.52	$76.95
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	28	26	$192.61	$119.77
69100 Biopsy of ear	25	23	$147.25	$67.22
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	15	$556.20	$355.79
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$245.57	$154.08
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	20	15	$183.27	$123.52
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$398.57	$165.63
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	19	$213.69	$126.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$240.99	$152.03
11200 Removal of skin tag, 1-15 skin tags	14	14	$111.03	$69.61
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	13	11	$160.07	$118.25

Medical Specialties & State Licenses

CMS Verified: 2022-06-14

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MO 2022005842

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 IL 036.131823

Hospital & Practice Group Affiliations

Cenla Dermatology

1587 N Bolton Ave, Alexandria, LA 713034255

Phone: 3189333376

Dermatology And Skin Cancer Center

3302 Gerig Dr, Bloomington, IL 617046343

Phone: 3095337070

Dermatology And Mohs Surgery Skin Cancer Center

110 Business Park Dr, Branson, MO 656167449

Phone: 4173360033

Practice Associates & Co-Workers

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

4 Associated Practitioners

Megan Glenn , PA-C

Physician Assistant

NPI 1427328798

Physician Assistant (Certified)

Dr. Rajagopala Swaminathan , MD

Dermatology

NPI 1528008414

Doctor of Medicine (M.D.)

Nicole Chum , FNP-BC

Nurse Practitioner - Family

NPI 1699402016

Family Nurse Practitioner (Board Certified)

Dr. Wynn Kao , MD, PhD

Dermatology

NPI 1790996890

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 14, 2022

Registered at 110 BUSINESS PARK DR STE C, BRANSON, MO 656167449 (Tel: 4173360033)

✅

NPI Profile Active February 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2013

Registered at 3024 E EMPIRE ST STE E&F, BLOOMINGTON, IL 617045402 (Tel: 3094513376)

📍

Updated Business Mailing Address February 15, 2013

Registered at 3024 E EMPIRE ST STE E&F, BLOOMINGTON, IL 617045402

👤

Provider Name / Credentials Updated February 15, 2013

Recorded as ADRIENNE SCHUPBACH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2013

Dermatology (License #036.131823 in IL)

🟢

Initial NPI Registration & Enumeration May 19, 2009

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: 1740415777

Entity Type:

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

Enumeration Date: May 19, 2009

Last Update: June 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 Business Park Dr Ste C

Branson, MO 656167449

Phone: 4173360033

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.