Active NPI 1619199072 Individual Practitioner Female Practitioner

Dr. Elizabeth A Nietert , MD

Dermatology • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Nietert, MD is a certified Dermatology practicing in Springfield, IL. With approximately 20 years of clinical experience since graduating from Medical College Of Wisconsin in 2006, Dr. Nietert delivers high-quality medical care to the local community at 751 N RUTLEDGE ST.

Dr. Nietert maintains professional affiliations with Forefront Dermatology Sc, Siu Physicians And Surgeons Inc 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

751 N Rutledge St
Suite 2300

Springfield, IL 627024968

Telephone 2175453821

Fax 2175454485

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +0.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

36 Specialists

Practicing in Springfield, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nietert (20 Years) 20 Yrs

Springfield Specialty Average (19.1 Years) 19.1 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	769	181	$31.40	$6.01
99213 Established patient office or other outpatient visit, typically 15 minutes	277	270	$252.11	$86.28
17000 Destruction of skin growth	256	243	$232.97	$53.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	124	$157.18	$53.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	111	$361.35	$120.52
17110 Destruction of up to 14 skin growths	91	86	$343.00	$102.91
96900 Application of ultraviolet light to skin	72	11	$70.57	$22.55
11102 Tangential biopsy of single skin lesion	65	64	$656.00	$80.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$314.69	$105.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$472.00	$161.00
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$201.74	$68.81
11103 Biopsy of related skin growth, each additional growth	19	17	$360.00	$45.01
69100 Biopsy of ear	15	14	$464.00	$68.53
11200 Removal of skin tag, 1-15 skin tags	12	12	$250.78	$76.09
11104 Punch biopsy, first skin growth	11	11	$818.00	$108.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,096	258	$34.88	$6.29
99213 Established patient office or other outpatient visit, typically 15 minutes	511	482	$257.58	$86.97
17000 Destruction of skin growth	354	331	$238.18	$52.06
17110 Destruction of up to 14 skin growths	142	139	$335.68	$103.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	110	$365.50	$123.24
11102 Tangential biopsy of single skin lesion	109	109	$650.90	$84.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	81	$158.53	$54.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$319.77	$109.13
11103 Biopsy of related skin growth, each additional growth	37	28	$355.81	$46.85
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$206.00	$70.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	22	$506.00	$141.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$478.00	$157.93
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$417.00	$112.74
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$535.00	$159.45
69100 Biopsy of ear	13	13	$480.43	$75.12
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$511.00	$174.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	884	195	$32.68	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	431	392	$147.22	$87.09
17000 Destruction of skin growth	285	261	$237.12	$52.94
17110 Destruction of up to 14 skin growths	117	112	$307.41	$104.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	102	$207.62	$124.07
11102 Tangential biopsy of single skin lesion	103	99	$645.25	$84.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	65	$85.89	$54.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$215.23	$109.02
11103 Biopsy of related skin growth, each additional growth	42	32	$360.00	$48.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$303.00	$163.44
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$139.91	$67.55
17004 Destruction of precancer skin growth, 15 or more growths	20	20	$473.00	$156.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	15	$487.00	$158.80
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	14	$397.00	$118.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	733	196	$41.91	$6.21
99213 Established patient office or other outpatient visit, typically 15 minutes	477	453	$161.51	$88.74
17000 Destruction of skin growth	295	279	$256.11	$53.43
17110 Destruction of up to 14 skin growths	150	142	$319.15	$108.40
11102 Tangential biopsy of single skin lesion	109	106	$520.52	$89.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	91	$224.39	$124.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	64	$109.07	$54.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$230.60	$110.25
11103 Biopsy of related skin growth, each additional growth	34	27	$299.62	$51.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$304.52	$166.36
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$166.49	$71.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$847.80	$280.45
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	12	$472.39	$135.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	933	196	$73.88	$5.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	319	$273.20	$106.06
17000 Destruction of skin growth	329	277	$303.63	$53.08
99213 Established patient office or other outpatient visit, typically 15 minutes	276	252	$188.52	$72.78
11102 Tangential biopsy of single skin lesion	135	130	$286.83	$90.84
17110 Destruction of up to 14 skin growths	129	121	$341.58	$108.65
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$223.46	$73.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$291.03	$104.28
11103 Biopsy of related skin growth, each additional growth	28	23	$154.71	$50.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$147.53	$43.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$854.43	$288.45
11200 Removal of skin tag, 1-15 skin tags	14	13	$369.36	$74.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$936.14	$120.77
69100 Biopsy of ear	12	11	$677.59	$79.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	908	213	$69.29	$5.34
99213 Established patient office or other outpatient visit, typically 15 minutes	455	413	$184.22	$71.60
17000 Destruction of skin growth	324	280	$297.80	$53.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	275	$268.19	$104.65
17110 Destruction of up to 14 skin growths	154	138	$339.01	$105.70
11102 Tangential biopsy of single skin lesion	152	147	$325.69	$88.12
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$216.47	$73.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	42	$137.03	$43.42
11103 Biopsy of related skin growth, each additional growth	31	21	$161.33	$51.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$284.16	$103.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$854.43	$291.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	702	178	$70.32	$4.93
99213 Established patient office or other outpatient visit, typically 15 minutes	463	405	$186.75	$69.39
17000 Destruction of skin growth	303	256	$299.32	$52.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	216	$270.41	$103.25
17110 Destruction of up to 14 skin growths	166	149	$338.72	$106.43
11100 Biopsy of single growth of skin and/or tissue	165	155	$328.51	$96.51
99202 New patient office or other outpatient visit, typically 20 minutes	118	118	$220.56	$71.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	13	$16.33	$1.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	53	$140.14	$41.68
11101 Biopsy of each additional growth of skin and/or tissue	29	23	$191.36	$30.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$288.30	$102.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	731	187	$65.18	$5.23
99213 Established patient office or other outpatient visit, typically 15 minutes	526	445	$184.97	$68.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	292	$266.90	$100.96
17000 Destruction of skin growth	321	273	$295.48	$51.70
11100 Biopsy of single growth of skin and/or tissue	209	197	$326.25	$88.57
17110 Destruction of up to 14 skin growths	193	177	$338.71	$101.53
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	181	14	$172.23	$66.31
99202 New patient office or other outpatient visit, typically 20 minutes	168	168	$216.85	$69.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	14	$16.21	$1.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	46	$141.74	$39.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$279.18	$101.43
11101 Biopsy of each additional growth of skin and/or tissue	40	35	$187.19	$30.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	18	$854.43	$272.72
69100 Biopsy of ear	14	13	$662.33	$77.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$936.14	$108.65

Medical Specialties & State Licenses

CMS Verified: 2025-12-11

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036-130434

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 WI 54439-020

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036130434 (IL)

Medicaid State Provider ID

1619199072 (WI)

Commercial Insurance / Payer ID Medicare

171400024 (WI)

Commercial Insurance / Payer ID State License

54439-020 (WI)

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Forefront Dermatology Sc

510 N 17th Ave, Wausau, WI 544014281

Phone: 7158495333

Secondary Practice Locations

33 Green Bay Rd

Sturgeon Bay, WI 542352831

Phone: 9207464434

510 N 17th Ave Ste C

Wausau, WI 544014281

Phone: 7158495333

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Lucinda Buescher , MD

Dermatology

NPI 1023011863

Doctor of Medicine (M.D.)

Dr. Rebecca Larson , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1063674588

Doctor of Medicine (M.D.)

Sara Lopinski , RD

Dietitian, Registered

NPI 1083918387

Registered Dietitian

Brenda Michel , FNP-BC

Nurse Practitioner - Family

NPI 1104113893

Family Nurse Practitioner (Board Certified)

Dr. Zafar Quader , MD

Internal Medicine - Gastroenterology

NPI 1124013636

Doctor of Medicine (M.D.)

Virginia Zahrn , LCSW

Social Worker - Clinical

NPI 1124209176

Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2025

Dermatology (License #036-130434 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Dermatology (License #54439-020 in WI)

✅

NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2016

Registered at 751 N RUTLEDGE ST, SUITE 2300, SPRINGFIELD, IL 627024968 (Tel: 2175453821)

📍

Updated Business Mailing Address February 19, 2016

Registered at PO BOX 19644, SPRINGFIELD, IL 627949644 (Tel: 2175458000)

👤

Provider Name / Credentials Updated February 19, 2016

Recorded as ELIZABETH NIETERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Dermatology (License #036-130434 in IL)

🟢

Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619199072

Entity Type:

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

Enumeration Date: May 03, 2007

Last Update: December 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19644

Springfield, IL 627949644

Phone: 2175458000

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.