Active NPI 1043388242 Individual Practitioner Male Practitioner

Dr. Mark Louis Westphal , MD

Dermatology • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Westphal, MD is a certified Dermatology practicing in Carbondale, IL. With approximately 53 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1973, Dr. Westphal delivers high-quality medical care to the local community at 665 E LAKE RD.

Dr. Westphal accepts Medicare assignment.

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

665 E Lake Rd

Carbondale, IL 629015347

Telephone 6185490841

Fax 6185292442

Associated Practice Facility / Clinic

🏢 Mark L Westphal Facility NPI 1477311694

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Carbondale, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +22.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Carbondale, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Westphal (53 Years) 53 Yrs

Carbondale Specialty Average (30.3 Years) 30.3 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	359	207	$212.00	$86.88
17003 Destruction of precancer skin growth, 2-14 growths	327	85	$16.00	$6.09
17000 Destruction of skin growth	167	123	$156.00	$52.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	77	$264.00	$106.34
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	49	33	$282.00	$79.44
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	40	31	$318.00	$105.25
11102 Tangential biopsy of single skin lesion	26	26	$234.00	$84.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$300.00	$122.57
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	23	18	$270.00	$77.38
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	16	$285.00	$81.44
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	15	$419.00	$149.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$132.00	$53.78
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$610.00	$245.43
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$318.00	$103.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$415.00	$160.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	382	232	$195.10	$86.74
17003 Destruction of precancer skin growth, 2-14 growths	291	85	$19.10	$6.20
17000 Destruction of skin growth	150	120	$143.56	$51.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$242.56	$107.60
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	42	30	$266.12	$89.52
11102 Tangential biopsy of single skin lesion	27	26	$200.56	$83.28
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	27	25	$291.48	$110.97
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	23	20	$213.48	$74.69
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$307.25	$123.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	14	$255.50	$123.19
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$438.18	$185.49
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$385.27	$167.97
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	11	$255.71	$86.81
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	11	$282.14	$83.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	350	95	$30.00	$6.36
99213 Established patient office or other outpatient visit, typically 15 minutes	340	219	$175.00	$87.96
17000 Destruction of skin growth	173	142	$130.00	$53.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$213.00	$108.35
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	43	35	$233.00	$98.74
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	42	32	$280.00	$104.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	22	$211.00	$124.08
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	21	$280.00	$85.77
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	26	20	$220.00	$81.87
11102 Tangential biopsy of single skin lesion	25	25	$170.00	$84.12
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	18	$188.00	$65.25
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	15	$349.00	$152.69
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$275.00	$121.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$112.00	$54.89
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	12	$341.00	$159.06
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$401.00	$189.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	288	191	$175.00	$89.01
17003 Destruction of precancer skin growth, 2-14 growths	252	69	$30.00	$6.17
17000 Destruction of skin growth	131	107	$130.00	$53.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$213.00	$109.26
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	51	41	$233.00	$91.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$112.00	$54.49
11102 Tangential biopsy of single skin lesion	37	37	$170.00	$88.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	21	$211.00	$126.87
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	32	25	$280.00	$110.27
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	15	$275.00	$109.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	13	$341.00	$147.27
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	13	$280.00	$83.12
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$146.00	$66.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	244	70	$20.34	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	230	155	$148.29	$70.94
17000 Destruction of skin growth	118	96	$130.00	$53.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	73	$97.83	$42.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$213.00	$99.65
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	38	28	$233.00	$84.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	21	$211.00	$103.52
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	20	$239.68	$102.19
11102 Tangential biopsy of single skin lesion	18	17	$156.11	$88.16
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	13	$401.00	$187.21
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	11	$220.00	$76.50
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$146.00	$71.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	293	73	$11.00	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	283	177	$143.00	$69.74
17000 Destruction of skin growth	139	107	$130.00	$53.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	86	$85.00	$42.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$213.00	$101.94
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	52	34	$233.00	$83.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	21	$211.00	$101.99
11102 Tangential biopsy of single skin lesion	32	32	$145.00	$80.01
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	31	28	$217.00	$112.28
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	28	20	$188.00	$51.40
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$146.00	$70.01
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	24	19	$220.00	$81.63
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	19	$237.00	$96.00
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$275.00	$126.27
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	13	$349.00	$130.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	339	101	$10.91	$4.78
99213 Established patient office or other outpatient visit, typically 15 minutes	289	177	$143.00	$66.76
17000 Destruction of skin growth	177	133	$130.00	$51.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	110	$85.00	$39.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$213.00	$97.02
11100 Biopsy of single growth of skin and/or tissue	47	46	$200.00	$83.61
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	40	32	$233.00	$86.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	21	$211.00	$98.74
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$146.00	$68.57
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	26	24	$217.00	$72.76
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	25	21	$220.00	$86.63
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$401.00	$180.84
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	12	$237.00	$90.91
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$275.00	$124.06
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	11	$349.00	$134.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$341.00	$140.02
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	12	$188.00	$58.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	281	81	$12.87	$5.07
99213 Established patient office or other outpatient visit, typically 15 minutes	279	182	$135.90	$66.00
17000 Destruction of skin growth	151	117	$128.54	$50.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	120	$81.62	$39.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$201.52	$96.81
11100 Biopsy of single growth of skin and/or tissue	55	53	$188.73	$81.28
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	47	32	$205.06	$74.60
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	44	41	$219.09	$91.52
11901 Injection into skin growth, more than 7 growths	42	12	$131.00	$62.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	14	$199.12	$97.16
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	17	$220.64	$91.79
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	22	19	$259.36	$115.09
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	18	$211.90	$75.05
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	20	17	$177.85	$62.91
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$138.30	$67.65
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	17	$331.00	$151.73
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	11	$303.81	$135.10

Medical Specialties & State Licenses

CMS Verified: 2024-02-05

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036055065

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 Blue Cross Bl Sh Of Il

0003900142 (IL)

Commercial Insurance / Payer ID Health Alliance

027382 (IL)

Commercial Insurance / Payer ID Healthlink

110858 (IL)

Commercial Insurance / Payer ID Cigna

1073255002 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kelly Hand , PA

Physician Assistant

NPI 1851502421

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 05, 2024

Registered at 665 E LAKE RD, CARBONDALE, IL 629015347 (Tel: 6185490841)

📍

Updated Business Mailing Address February 05, 2024

Registered at PO BOX 399, CARBONDALE, IL 629030399 (Tel: 6185490841)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Dermatology (License #036055065 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 665 EAST LAKE ROAD, CARBONDALE, IL 62901 (Tel: 6185490841)

📍

Updated Business Mailing Address July 08, 2007

Registered at 665 EAST LAKE ROAD, CARBONDALE, IL 62901 (Tel: 6185490841)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK WESTPHAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology

🟢

Initial NPI Registration & Enumeration December 04, 2006

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: 1043388242

Entity Type:

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

Enumeration Date: December 04, 2006

Last Update: February 05, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 399

Carbondale, IL 629030399

Phone: 6185490841

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.