Active NPI 1497787659 Individual Practitioner Male Practitioner

Dr. Keith Bryan Danckaert , MD

Dermatology • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Keith Danckaert, MD is a registered healthcare professional specializing in Dermatology in Fort Wayne, IN. Practice services are available at 4020 NEW VISION DR under active NPI credentials.

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

4020 New Vision Dr

Fort Wayne, IN 468451737

Telephone 2604232567

Fax 2604202415

Associated Practice Facility / Clinic

🏢 Dermatology And Laser Surgery Associates Of Fort Wayne P.c. Facility NPI 1043499221

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Fort Wayne, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.3 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Fort Wayne, IN (235 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	539	98	$73.88	$6.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	204	161	$147.53	$53.39
17000 Destruction of skin growth	165	130	$303.63	$57.86
17004 Destruction of precancer skin growth, 15 or more growths	132	77	$734.31	$156.64
99213 Established patient office or other outpatient visit, typically 15 minutes	120	101	$188.52	$87.13
11102 Tangential biopsy of single skin lesion	82	69	$286.83	$93.61
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	62	53	$2929.31	$636.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	39	$273.20	$123.73
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	29	26	$2438.57	$228.47
11103 Biopsy of related skin growth, each additional growth	26	16	$154.71	$49.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	22	$1649.62	$280.95
17110 Destruction of up to 14 skin growths	22	19	$341.58	$102.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$291.03	$106.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	17	16	$1781.35	$388.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	899	139	$73.88	$5.74
17000 Destruction of skin growth	304	194	$303.63	$52.52
17004 Destruction of precancer skin growth, 15 or more growths	269	129	$734.31	$150.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	251	190	$147.53	$43.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	138	$273.20	$104.43
11102 Tangential biopsy of single skin lesion	183	142	$286.83	$88.65
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	140	116	$2929.31	$626.04
17110 Destruction of up to 14 skin growths	135	108	$341.58	$104.31
99213 Established patient office or other outpatient visit, typically 15 minutes	84	69	$188.52	$71.78
11103 Biopsy of related skin growth, each additional growth	80	36	$154.71	$50.47
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	59	52	$2438.57	$240.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	43	36	$1649.62	$301.28
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	36	29	$1781.35	$380.46
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$223.46	$70.28
69100 Biopsy of ear	22	19	$677.59	$74.42
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	12	$695.89	$124.05
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$864.31	$189.65
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	16	$4229.87	$963.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$291.03	$102.76
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$1062.15	$134.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,177	162	$73.88	$5.16
17004 Destruction of precancer skin growth, 15 or more growths	362	159	$734.31	$142.17
17000 Destruction of skin growth	336	219	$303.63	$48.66
11102 Tangential biopsy of single skin lesion	254	199	$286.83	$84.35
17110 Destruction of up to 14 skin growths	230	174	$341.58	$102.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	168	$147.53	$42.35
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	154	136	$2929.31	$610.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	90	$273.20	$102.72
96900 Application of ultraviolet light to skin	95	16	$82.12	$19.71
99213 Established patient office or other outpatient visit, typically 15 minutes	84	74	$188.52	$70.04
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	78	72	$2438.57	$231.09
11103 Biopsy of related skin growth, each additional growth	71	46	$154.71	$49.83
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	48	40	$1649.62	$290.06
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	46	42	$1781.35	$364.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	20	$695.89	$137.57
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	29	27	$4229.87	$951.05
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$223.46	$71.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$291.03	$100.55
69100 Biopsy of ear	21	20	$677.59	$76.70
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$864.31	$182.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	15	$1062.15	$132.66
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	16	$1201.37	$319.68
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	13	12	$2691.80	$584.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	597	91	$73.88	$4.80
17004 Destruction of precancer skin growth, 15 or more growths	236	115	$734.31	$133.08
17000 Destruction of skin growth	194	135	$303.63	$47.85
17110 Destruction of up to 14 skin growths	189	145	$341.58	$102.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	189	134	$147.53	$40.91
11100 Biopsy of single growth of skin and/or tissue	167	129	$330.48	$85.39
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	158	132	$2929.31	$576.92
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	80	73	$2438.57	$226.66
99213 Established patient office or other outpatient visit, typically 15 minutes	64	53	$188.52	$67.51
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	63	54	$1781.35	$358.85
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	57	44	$1649.62	$242.77
11101 Biopsy of each additional growth of skin and/or tissue	54	33	$196.50	$30.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	38	$273.20	$101.08
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	38	31	$2691.80	$572.95
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$223.46	$70.06
69100 Biopsy of ear	16	14	$677.59	$84.95
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	14	13	$1662.58	$343.89
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	11	$1062.15	$131.85
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$1201.37	$225.84
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$3757.06	$715.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	590	112	$73.88	$5.18
99213 Established patient office or other outpatient visit, typically 15 minutes	268	211	$188.52	$68.29
17004 Destruction of precancer skin growth, 15 or more growths	244	116	$734.31	$139.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	184	$147.53	$40.51
17000 Destruction of skin growth	224	162	$303.63	$48.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	212	166	$2929.31	$539.76
11100 Biopsy of single growth of skin and/or tissue	204	155	$330.48	$86.16
17110 Destruction of up to 14 skin growths	179	134	$341.58	$101.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	80	$273.20	$100.89
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	91	73	$1781.35	$360.56
11101 Biopsy of each additional growth of skin and/or tissue	80	41	$196.50	$30.51
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	70	64	$2438.57	$231.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	52	45	$1649.62	$213.48
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	46	39	$2691.80	$573.99
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$223.46	$70.31
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	27	$3757.06	$711.77
69100 Biopsy of ear	24	22	$677.59	$74.12
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	16	$864.31	$180.32
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	15	$3038.74	$250.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	13	$1201.37	$257.02

Medical Specialties & State Licenses

CMS Verified: 2021-02-16

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IN 01042415A

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 - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License IN 01042415A

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

Secondary Practice Locations

330 N Wabash Ave Ste 360

Marion, IN 469522678

Phone: 7656643292

2246 N Pointe Dr

Warsaw, IN 465829042

Phone: 5713499242

Practice Associates & Co-Workers

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

9 Associated Practitioners

Lindsay Stevens , NP

Nurse Practitioner

NPI 1083277362

Nurse Practitioner

Dr. Alan Gilbert , MD

Dermatology

NPI 1215961677

Doctor of Medicine (M.D.)

Kelsey Harner , FNP-C

Nurse Practitioner - Family

NPI 1306498241

Family Nurse Practitioner (Certified)

Dr. David Grekin , MD

Dermatology

NPI 1316057045

Doctor of Medicine (M.D.)

Marlise Fletter , NP

Nurse Practitioner

NPI 1467418079

Nurse Practitioner

Elyssa Pittenger , FNP-BC

Nurse Practitioner

NPI 1497515720

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location February 16, 2021

Registered at 4020 NEW VISION DR, FORT WAYNE, IN 468451737 (Tel: 2604232567)

✅

NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2016

Registered at 10620 CORPORATE DR, SUITE A, FORT WAYNE, IN 468451711 (Tel: 2604232567)

📍

Updated Business Mailing Address June 15, 2016

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639016)

👤

Provider Name / Credentials Updated June 15, 2016

Recorded as KEITH DANCKAERT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Dermatology (License #01042415A in IN)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1497787659

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: February 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639016

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.