Active NPI 1366408080 Individual Practitioner Male Practitioner

Dr. Roger T Moore , MD

Dermatology • Elkhart, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roger Moore, MD is a certified Dermatology practicing in Elkhart, IN. With approximately 27 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1999, Dr. Moore delivers high-quality medical care to the local community at 111 N NAPPANEE ST.

Dr. Moore is affiliated with Dermatology And Skin Surgery Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 N Nappanee St

Elkhart, IN 465141957

Telephone 5745220265

Fax 5742932855

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Elkhart, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Elkhart, IN (235 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (27 Years) 27 Yrs

Elkhart Specialty Average (27.0 Years) 27.0 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	1,111	206	$10.69	$6.13
99213 Established patient office or other outpatient visit, typically 15 minutes	758	628	$150.92	$84.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	699	549	$214.64	$119.12
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	419	364	$1109.24	$509.96
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	402	321	$506.40	$205.96
17000 Destruction of skin growth	381	302	$108.47	$50.96
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	231	168	$672.49	$377.24
17110 Destruction of up to 14 skin growths	229	203	$185.69	$99.86
11102 Tangential biopsy of single skin lesion	208	190	$170.33	$82.67
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	186	145	$1040.69	$583.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	80	76	$406.75	$112.24
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	80	71	$462.67	$129.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	74	73	$789.97	$212.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$184.94	$102.41
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	60	58	$649.95	$177.00
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	56	51	$511.67	$151.83
11103 Biopsy of related skin growth, each additional growth	54	40	$86.45	$45.96
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	49	45	$1241.89	$696.86
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	40	40	$1259.21	$704.64
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	38	32	$643.25	$361.23
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	34	33	$707.61	$192.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$277.41	$154.83
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	28	27	$433.69	$210.15
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	27	27	$1639.07	$915.23
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	26	$283.54	$78.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	19	$293.39	$156.38
17004 Destruction of precancer skin growth, 15 or more growths	21	18	$271.46	$153.77
69100 Biopsy of ear	19	19	$162.49	$75.93
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	15	15	$1143.84	$602.89
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$325.83	$90.19
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$514.90	$245.29
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	11	11	$435.68	$142.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,206	267	$10.69	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	961	754	$150.92	$83.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	692	541	$214.64	$119.05
17000 Destruction of skin growth	511	407	$108.47	$50.37
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	413	343	$1109.56	$522.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	375	295	$506.40	$205.19
17110 Destruction of up to 14 skin growths	258	234	$185.69	$99.54
11102 Tangential biopsy of single skin lesion	230	208	$170.33	$82.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	221	151	$672.49	$379.56
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	171	134	$1040.69	$581.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$184.94	$103.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	82	75	$406.75	$113.04
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	70	67	$649.95	$179.59
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	56	53	$789.97	$218.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	56	52	$462.67	$128.78
11103 Biopsy of related skin growth, each additional growth	49	35	$86.45	$46.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$277.41	$154.74
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	43	42	$511.67	$143.30
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	41	41	$1259.21	$708.96
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	38	36	$643.25	$363.77
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	37	37	$707.61	$195.87
17004 Destruction of precancer skin growth, 15 or more growths	36	27	$271.46	$156.03
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	36	34	$1238.21	$700.09
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	23	$293.39	$148.89
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	30	29	$1639.07	$921.70
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	28	28	$435.68	$148.29
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	27	27	$433.69	$189.05
11104 Punch biopsy, first skin growth	24	24	$212.61	$115.87
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	24	$283.54	$79.14
69100 Biopsy of ear	23	23	$162.49	$83.26
17111 Destruction of skin growth, 15 or more growths	19	18	$217.86	$122.58
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$325.83	$90.99
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	11	$514.90	$262.55
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	12	12	$1143.84	$646.34
11105 Punch biopsy, each additional skin growth	11	11	$99.79	$54.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,732	339	$10.69	$6.33
99213 Established patient office or other outpatient visit, typically 15 minutes	967	726	$150.93	$85.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	745	556	$214.64	$120.94
17000 Destruction of skin growth	640	488	$108.47	$49.64
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	420	344	$1109.24	$523.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	361	292	$506.40	$213.92
17110 Destruction of up to 14 skin growths	310	270	$185.69	$102.81
11102 Tangential biopsy of single skin lesion	234	220	$170.33	$87.49
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	209	148	$672.49	$381.52
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	145	117	$1040.69	$571.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$184.94	$103.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	96	88	$406.75	$113.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	59	57	$789.97	$221.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	56	52	$462.67	$130.15
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	56	55	$649.95	$182.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$277.41	$156.95
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	47	44	$707.61	$198.91
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	43	42	$511.67	$169.51
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	42	41	$1241.89	$706.08
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	35	$283.54	$80.58
11103 Biopsy of related skin growth, each additional growth	38	33	$86.45	$46.47
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	38	37	$1259.21	$713.99
17004 Destruction of precancer skin growth, 15 or more growths	33	26	$271.46	$157.38
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	30	28	$433.69	$226.79
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	28	25	$643.25	$339.57
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	27	26	$435.68	$134.12
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	24	$293.39	$153.25
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	22	$466.78	$191.66
69100 Biopsy of ear	22	22	$162.49	$72.23
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	20	20	$1639.07	$929.89
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	20	18	$1143.84	$651.06
11104 Punch biopsy, first skin growth	18	17	$212.61	$118.92
17111 Destruction of skin growth, 15 or more growths	18	17	$217.86	$120.52
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$325.83	$92.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,749	479	$10.74	$6.16
99213 Established patient office or other outpatient visit, typically 15 minutes	1,777	1,270	$147.40	$86.65
17000 Destruction of skin growth	890	678	$108.53	$50.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	644	512	$214.32	$123.31
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	566	448	$1109.67	$531.72
11102 Tangential biopsy of single skin lesion	429	386	$170.42	$91.04
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	396	320	$506.41	$226.95
17110 Destruction of up to 14 skin growths	363	325	$185.87	$104.07
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	293	210	$672.74	$387.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	188	188	$184.07	$105.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	149	136	$406.62	$116.51
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	137	110	$1040.77	$597.78
11103 Biopsy of related skin growth, each additional growth	101	78	$86.42	$49.84
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	76	71	$511.80	$166.46
17004 Destruction of precancer skin growth, 15 or more growths	74	61	$271.39	$156.40
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	72	68	$650.19	$187.42
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	58	55	$462.60	$133.42
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	56	55	$466.80	$170.66
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	56	55	$790.09	$227.80
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	55	54	$708.38	$204.06
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	54	53	$1242.20	$716.24
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	51	51	$1259.40	$726.12
69100 Biopsy of ear	40	38	$162.38	$72.56
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	39	38	$1638.54	$945.21
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	39	39	$434.83	$233.93
11104 Punch biopsy, first skin growth	39	39	$212.80	$120.96
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	37	32	$435.73	$135.83
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	31	$284.32	$81.76
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	26	24	$1147.23	$659.49
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	25	22	$643.67	$370.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	19	$293.27	$153.02
17111 Destruction of skin growth, 15 or more growths	14	13	$217.86	$125.60
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$325.73	$93.96
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$520.14	$162.49
11900 Injection into skin growth, 1-7 growths	12	12	$94.60	$46.64
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$317.96	$91.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,456	603	$10.31	$5.71
99213 Established patient office or other outpatient visit, typically 15 minutes	2,545	1,613	$116.22	$71.46
17000 Destruction of skin growth	1,114	806	$112.10	$48.29
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	605	489	$1138.74	$530.10
11102 Tangential biopsy of single skin lesion	605	515	$171.54	$87.08
17110 Destruction of up to 14 skin growths	431	369	$187.21	$101.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	222	$186.49	$104.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	341	288	$514.40	$236.75
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	294	217	$681.76	$378.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	246	246	$177.48	$101.65
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	172	161	$421.50	$117.66
11103 Biopsy of related skin growth, each additional growth	167	130	$101.59	$49.20
17004 Destruction of precancer skin growth, 15 or more growths	114	90	$271.55	$150.95
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	108	83	$1058.26	$589.73
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	98	95	$469.83	$141.37
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	86	85	$429.45	$204.90
11104 Punch biopsy, first skin growth	80	71	$212.62	$118.18
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	68	67	$666.32	$184.04
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	63	62	$519.40	$152.29
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	60	59	$723.54	$203.90
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	59	56	$1330.01	$733.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	54	$289.59	$80.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	54	$79.66	$42.66
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	53	51	$1292.95	$716.61
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	52	52	$427.92	$131.91
69100 Biopsy of ear	47	46	$165.92	$73.64
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	47	47	$808.68	$224.12
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	45	39	$481.93	$134.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	33	$302.03	$154.30
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	35	34	$1209.66	$662.82
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	29	29	$1769.42	$958.12
11105 Punch biopsy, each additional skin growth	28	22	$112.06	$55.93
17111 Destruction of skin growth, 15 or more growths	27	26	$225.50	$120.09
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	17	17	$650.02	$363.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	17	13	$3.90	$1.48
11900 Injection into skin growth, 1-7 growths	15	13	$100.90	$43.65
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$352.67	$183.27
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$335.69	$92.96
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	14	$555.10	$276.67
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	12	$520.34	$167.91
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$549.19	$238.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,527	731	$10.44	$5.16
99213 Established patient office or other outpatient visit, typically 15 minutes	3,354	1,998	$110.00	$70.07
17000 Destruction of skin growth	1,427	983	$125.00	$48.95
11102 Tangential biopsy of single skin lesion	791	652	$189.87	$85.06
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	663	539	$1257.24	$526.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	508	290	$207.56	$102.79
17110 Destruction of up to 14 skin growths	491	417	$180.51	$100.86
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	358	12	$100.00	$99.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	322	322	$170.00	$101.66
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	320	235	$746.06	$368.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	258	247	$572.90	$274.49
11103 Biopsy of related skin growth, each additional growth	226	171	$187.62	$49.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	212	194	$467.68	$126.10
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	200	193	$734.96	$182.18
17004 Destruction of precancer skin growth, 15 or more growths	131	94	$286.10	$138.99
11104 Punch biopsy, first skin growth	115	108	$192.66	$115.41
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	101	95	$905.10	$222.79
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	101	83	$1176.30	$557.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	92	79	$812.48	$202.71
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	75	73	$803.52	$199.18
69100 Biopsy of ear	74	67	$185.26	$77.01
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	58	58	$1438.18	$713.05
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	50	$316.14	$79.74
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	56	55	$461.96	$184.04
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	51	51	$1466.30	$726.95
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	45	44	$1915.18	$949.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	39	38	$534.28	$132.44
11105 Punch biopsy, each additional skin growth	37	33	$183.91	$56.95
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	35	33	$1313.58	$636.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	29	$332.42	$151.56
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	29	16	$404.59	$392.64
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	29	16	$300.00	$114.89
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	28	28	$668.54	$160.97
17111 Destruction of skin growth, 15 or more growths	26	22	$246.36	$122.28
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	25	25	$462.28	$169.63
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	23	20	$712.42	$353.20
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	22	22	$500.10	$180.39
11900 Injection into skin growth, 1-7 growths	20	16	$102.32	$36.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	16	$3.21	$1.58
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$335.26	$83.11
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$557.40	$202.75
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	11	$387.36	$171.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$754.66	$187.07
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$364.60	$90.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,798	777	$9.73	$4.66
99213 Established patient office or other outpatient visit, typically 15 minutes	3,599	2,199	$111.22	$66.70
17000 Destruction of skin growth	1,540	1,034	$124.96	$48.17
11100 Biopsy of single growth of skin and/or tissue	1,012	835	$190.26	$87.85
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	654	517	$1241.51	$528.19
17110 Destruction of up to 14 skin growths	567	475	$181.50	$98.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	312	$204.66	$98.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	482	482	$170.00	$97.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	343	252	$729.94	$350.27
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	253	231	$723.90	$176.41
11101 Biopsy of each additional growth of skin and/or tissue	219	177	$61.27	$29.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	190	180	$568.03	$266.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	147	139	$467.53	$126.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	138	129	$801.49	$193.91
17004 Destruction of precancer skin growth, 15 or more growths	133	102	$271.73	$129.57
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	117	109	$1160.24	$538.98
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	99	93	$893.95	$215.06
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	77	75	$792.44	$191.54
69100 Biopsy of ear	75	69	$189.79	$72.91
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	55	53	$447.48	$158.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	51	$313.28	$74.01
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	47	47	$1430.51	$687.09
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	43	39	$657.96	$154.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	36	$330.93	$142.36
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	38	38	$1904.19	$915.23
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	35	30	$696.43	$334.32
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	32	18	$417.23	$398.16
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	32	18	$300.00	$102.44
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	28	$1463.69	$701.32
17111 Destruction of skin growth, 15 or more growths	23	21	$248.45	$119.76
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	22	22	$485.09	$222.75
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$384.37	$177.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	19	$533.44	$128.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	14	$3.68	$1.64
11900 Injection into skin growth, 1-7 growths	18	14	$105.60	$39.33
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	17	$353.52	$84.93
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$742.89	$178.40
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$361.34	$86.72
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$350.83	$147.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,095	743	$17.50	$4.95
99213 Established patient office or other outpatient visit, typically 15 minutes	2,937	1,944	$110.22	$66.27
17000 Destruction of skin growth	1,391	969	$125.92	$48.56
11100 Biopsy of single growth of skin and/or tissue	750	634	$190.03	$85.95
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	582	461	$1264.87	$523.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	468	309	$185.59	$97.40
17110 Destruction of up to 14 skin growths	448	397	$180.90	$97.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	444	444	$170.55	$97.28
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	283	217	$755.38	$346.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	196	185	$513.01	$228.52
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	186	171	$681.53	$172.60
11101 Biopsy of each additional growth of skin and/or tissue	155	124	$86.00	$29.40
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	116	108	$929.75	$221.88
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	106	94	$1173.66	$535.32
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	90	87	$731.57	$198.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	90	86	$456.61	$114.79
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	77	72	$805.80	$196.13
17004 Destruction of precancer skin growth, 15 or more growths	73	59	$306.26	$134.58
69100 Biopsy of ear	58	54	$193.01	$78.06
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	35	33	$1777.17	$889.36
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	30	$1398.90	$684.85
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	29	29	$1478.77	$699.19
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	28	25	$702.33	$333.54
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	26	$319.16	$74.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	25	13	$599.05	$357.09
17111 Destruction of skin growth, 15 or more growths	25	22	$245.82	$117.93
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	24	13	$300.00	$119.72
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	22	$512.90	$126.94
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	21	21	$1218.16	$624.01
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	20	20	$660.10	$149.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$319.93	$143.53
40490 Biopsy of lip	15	14	$235.31	$93.29
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$425.13	$143.98
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$340.18	$78.51
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$363.97	$85.59
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$373.40	$158.13

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IN 01058554A

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.

Hospital & Practice Group Affiliations

Dermatology And Skin Surgery Center

150 Growth Pkwy, Angola, IN 467039313

Phone: 2606651670

Practice Associates & Co-Workers

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

10 Associated Practitioners

Eileen Benedict , CNP

Nurse Practitioner - Family

NPI 1104699685

Certified Nurse Practitioner

Eric Roberts , PA-C

Physician Assistant

NPI 1235536939

Physician Assistant (Certified)

Rachael Zuckett , PA-C

Physician Assistant

NPI 1346929718

Physician Assistant (Certified)

Mariah Evans , PA-C

Physician Assistant - Medical

NPI 1437312352

Physician Assistant (Certified)

Joshua Holewinski , AGPCNP

Nurse Practitioner

NPI 1457728719

Sarah Tackett , MPAS

Physician Assistant

NPI 1497362636

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 111 N NAPPANEE ST, ELKHART, IN 465141957 (Tel: 5745220265)

📍

Updated Business Mailing Address July 08, 2007

Registered at 111 N NAPPANEE STREET, ELKHART, IN 46514 (Tel: 5745220265)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER MOORE, M.D.

🎓

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

Dermatology (License #01058554A in IN)

🟢

Initial NPI Registration & Enumeration April 21, 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: 1366408080

Entity Type:

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

Enumeration Date: April 21, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 N Nappanee Street

Elkhart, IN 46514

Phone: 5745220265

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.