Active NPI 1699171215 Individual Practitioner Male Practitioner

Dr. Mark Alan Manning , DNP

Nurse Practitioner • West Lafayette, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Manning, DNP is a certified Nurse Practitioner practicing in West Lafayette, IN. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Manning delivers high-quality medical care to the local community at 124 SAGAMORE PKWY WEST.

Dr. Manning is affiliated with Randall Dermatology, Pc 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 up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

124 Sagamore Pkwy West

West Lafayette, IN 47906

Telephone 7654636722

Fax 7654630905

Associated Practice Facility / Clinic

🏢 Randall Dermatology, Pc Facility NPI 1245340488

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in West Lafayette, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -1.4 yrs vs City Avg

City Avg: 13.4 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

19 Specialists

Practicing in West Lafayette, IN (2620 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Manning (12 Years) 12 Yrs

West Lafayette Specialty Average (13.4 Years) 13.4 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	344	54	$37.00	$5.52
99213 Established patient office or other outpatient visit, typically 15 minutes	160	126	$116.00	$75.80
17110 Destruction of up to 14 skin growths	117	92	$197.00	$92.02
17000 Destruction of skin growth	96	71	$157.00	$39.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	68	$88.00	$46.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$171.00	$91.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	39	$171.00	$105.04
11102 Tangential biopsy of single skin lesion	31	30	$155.00	$75.75
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	29	13	$645.00	$388.48
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	21	13	$254.00	$111.96
17111 Destruction of skin growth, 15 or more growths	16	14	$269.00	$110.14
17004 Destruction of precancer skin growth, 15 or more growths	14	11	$433.00	$137.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	437	60	$37.00	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	197	141	$116.00	$72.28
17110 Destruction of up to 14 skin growths	133	95	$197.00	$88.87
17000 Destruction of skin growth	125	86	$157.00	$39.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	62	$88.00	$45.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	32	$171.00	$102.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$171.00	$89.51
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	19	$637.20	$384.60
11102 Tangential biopsy of single skin lesion	27	27	$155.00	$69.00
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	25	18	$254.00	$110.60
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$433.00	$134.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$262.00	$133.69
17111 Destruction of skin growth, 15 or more growths	15	13	$269.00	$105.86
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$119.00	$57.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	528	74	$37.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	143	98	$116.00	$73.11
17000 Destruction of skin growth	141	89	$157.00	$38.86
17110 Destruction of up to 14 skin growths	137	99	$197.00	$88.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	85	$88.00	$45.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$171.00	$89.70
11102 Tangential biopsy of single skin lesion	46	44	$155.78	$70.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	17	$171.00	$102.87
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	18	$632.00	$387.97
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	26	18	$254.00	$113.71
17004 Destruction of precancer skin growth, 15 or more growths	25	19	$433.00	$135.20
17111 Destruction of skin growth, 15 or more growths	20	14	$269.00	$106.09
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$119.00	$58.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$262.00	$134.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	504	66	$37.00	$5.25
17000 Destruction of skin growth	123	79	$157.00	$39.16
99213 Established patient office or other outpatient visit, typically 15 minutes	116	87	$116.00	$73.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	90	$82.96	$45.43
17110 Destruction of up to 14 skin growths	99	73	$197.00	$90.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$171.00	$90.67
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	40	24	$632.00	$379.16
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	35	24	$254.00	$111.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	20	$171.00	$105.33
17004 Destruction of precancer skin growth, 15 or more growths	30	24	$433.00	$133.24
11102 Tangential biopsy of single skin lesion	29	28	$155.00	$77.89
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$119.00	$58.75
17111 Destruction of skin growth, 15 or more growths	17	15	$269.00	$106.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	397	47	$37.00	$4.90
99213 Established patient office or other outpatient visit, typically 15 minutes	123	83	$116.00	$60.26
17110 Destruction of up to 14 skin growths	91	68	$197.00	$87.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	66	$171.00	$88.73
17000 Destruction of skin growth	84	58	$157.00	$37.52
17004 Destruction of precancer skin growth, 15 or more growths	28	21	$433.00	$128.22
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$119.00	$61.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$171.00	$87.25
11102 Tangential biopsy of single skin lesion	19	18	$155.00	$72.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$69.00	$36.59
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	12	11	$254.00	$105.55
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	12	11	$632.00	$390.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	541	70	$37.00	$4.43
99213 Established patient office or other outpatient visit, typically 15 minutes	203	131	$116.00	$59.73
17000 Destruction of skin growth	118	78	$157.00	$37.98
17110 Destruction of up to 14 skin growths	105	77	$197.00	$82.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	52	$171.00	$87.96
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$119.00	$61.35
11102 Tangential biopsy of single skin lesion	47	45	$178.74	$72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$171.00	$86.88
17004 Destruction of precancer skin growth, 15 or more growths	28	23	$433.00	$121.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$69.00	$36.18
17111 Destruction of skin growth, 15 or more growths	15	12	$269.00	$100.88
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$230.00	$76.57
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$215.00	$103.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	633	87	$37.00	$4.07
99213 Established patient office or other outpatient visit, typically 15 minutes	241	161	$116.00	$58.35
17000 Destruction of skin growth	141	102	$157.00	$38.25
17110 Destruction of up to 14 skin growths	91	71	$197.00	$84.40
11100 Biopsy of single growth of skin and/or tissue	60	55	$172.00	$80.44
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$119.00	$58.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$171.00	$83.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$171.00	$83.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$69.00	$34.88
17004 Destruction of precancer skin growth, 15 or more growths	22	17	$433.00	$114.01
10060 Simple or single drainage of skin abscess	15	15	$227.00	$88.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	609	90	$37.00	$4.39
99213 Established patient office or other outpatient visit, typically 15 minutes	242	169	$116.00	$57.81
17000 Destruction of skin growth	129	98	$157.00	$36.75
17110 Destruction of up to 14 skin growths	118	95	$197.00	$84.07
11100 Biopsy of single growth of skin and/or tissue	95	89	$172.00	$71.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	71	$171.00	$85.58
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$119.00	$59.10
11101 Biopsy of each additional growth of skin and/or tissue	41	26	$101.00	$25.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$171.00	$84.20
17004 Destruction of precancer skin growth, 15 or more growths	25	20	$433.00	$118.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$69.00	$34.64
10060 Simple or single drainage of skin abscess	17	17	$227.00	$90.62

Medical Specialties & State Licenses

CMS Verified: 2025-06-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71006259A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP60520310

Definition to come...

Hospital & Practice Group Affiliations

Randall Dermatology, Pc

124 Sagamore Pkwy W, West Lafayette, IN 479061569

Phone: 7654636722

Practice Associates & Co-Workers

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

12 Associated Practitioners

Laura Wavra , NP

Nurse Practitioner - Family

NPI 1003876434

Nurse Practitioner

Stephanie Davitto , NP

Nurse Practitioner

NPI 1053757047

Nurse Practitioner

Bradley Hurliman , PA

Physician Assistant

NPI 1144357740

Physician Assistant

Katrina Masterson , NP

Nurse Practitioner

NPI 1164459863

Nurse Practitioner

Nicole Sherer , ARNP

Nurse Practitioner

NPI 1225282049

Advanced Registered Nurse Practitioner

Kathy Arnold , NP

Nurse Practitioner

NPI 1275562829

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Nurse Practitioner (License #71006259A in IN)

✅

NPI Profile Active August 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2016

Registered at 124 SAGAMORE PKWY WEST, WEST LAFAYETTE, IN 47906 (Tel: 7654636722)

📍

Updated Business Mailing Address August 04, 2016

Registered at 124 SAGAMORE PKWY WEST, WEST LAFAYETTE, IN 47906 (Tel: 7654636722)

👤

Provider Name / Credentials Updated August 04, 2016

Recorded as MARK MANNING, DNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Nurse Practitioner (License #AP60520310 in WA)

🟢

Initial NPI Registration & Enumeration November 10, 2014

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: 1699171215

Entity Type:

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

Enumeration Date: November 10, 2014

Last Update: June 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

124 Sagamore Pkwy West

West Lafayette, IN 47906

Phone: 7654636722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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