Active NPI 1295707123 Individual Practitioner Male Practitioner

Dr. San Wan , MD

Dermatology • Braintree, MA

Professional Overview & Biography Verified Profile Summary

Dr. San Wan, MD is a registered healthcare professional specializing in Dermatology in Braintree, MA. Practice services are available at 340 WOOD RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

340 Wood Rd

Braintree, MA 021842401

Telephone 7818491111

Fax 7817942280

Associated Practice Facility / Clinic

🏢 San Wan, Mdpc Facility NPI 1699748541

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Braintree, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Braintree, MA (648 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

15.9% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	94	$100.00	$94.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$140.00	$117.34
17110 Destruction of up to 14 skin growths	55	48	$140.00	$125.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$140.00	$133.62
11102 Tangential biopsy of single skin lesion	16	16	$137.50	$112.33
17004 Destruction of precancer skin growth, 15 or more growths	16	13	$210.00	$184.86
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	13	$445.00	$335.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	92	$100.00	$96.51
17110 Destruction of up to 14 skin growths	81	70	$140.00	$127.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$140.00	$118.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$145.64	$135.88
67850 Destruction of growth of eyelid margin, 1.0 cm or less	17	13	$351.18	$241.55
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	16	14	$430.00	$343.89
17004 Destruction of precancer skin growth, 15 or more growths	16	16	$210.00	$187.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	102	$100.00	$97.84
17110 Destruction of up to 14 skin growths	76	67	$141.05	$128.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$141.43	$120.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$140.00	$138.46
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	20	$400.00	$297.63
17004 Destruction of precancer skin growth, 15 or more growths	23	18	$210.00	$184.86
11102 Tangential biopsy of single skin lesion	16	15	$141.25	$117.66
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	14	13	$430.00	$349.73
67850 Destruction of growth of eyelid margin, 1.0 cm or less	14	12	$300.71	$249.44
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$105.45	$78.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	107	$100.00	$80.28
17110 Destruction of up to 14 skin growths	71	61	$140.00	$124.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$140.00	$115.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$140.00	$115.81
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$400.00	$290.28
17004 Destruction of precancer skin growth, 15 or more growths	15	14	$208.00	$174.65
67850 Destruction of growth of eyelid margin, 1.0 cm or less	14	14	$277.14	$237.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	110	$100.00	$78.07
17110 Destruction of up to 14 skin growths	88	71	$140.00	$120.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$140.00	$113.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$140.00	$114.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	19	$400.00	$299.90
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	27	21	$430.00	$342.50
67850 Destruction of growth of eyelid margin, 1.0 cm or less	22	22	$260.91	$227.49
17004 Destruction of precancer skin growth, 15 or more growths	19	18	$208.42	$164.12
11102 Tangential biopsy of single skin lesion	16	15	$154.38	$107.67
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$100.00	$80.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	106	$100.00	$71.47
17003 Destruction of precancer skin growth, 2-14 growths	82	13	$10.00	$5.38
17110 Destruction of up to 14 skin growths	79	68	$140.00	$113.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$142.00	$105.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$157.50	$106.22
17004 Destruction of precancer skin growth, 15 or more growths	28	24	$206.79	$146.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	15	$400.00	$285.04
17000 Destruction of skin growth	20	19	$100.00	$66.95
67850 Destruction of growth of eyelid margin, 1.0 cm or less	15	13	$230.67	$218.42
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	14	12	$430.00	$317.74
11100 Biopsy of single growth of skin and/or tissue	13	11	$140.00	$108.50
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$100.00	$72.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	129	20	$10.00	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	118	85	$100.00	$69.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	61	$159.73	$102.55
17110 Destruction of up to 14 skin growths	67	52	$140.00	$109.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$141.95	$102.73
17000 Destruction of skin growth	32	29	$100.00	$65.03
17004 Destruction of precancer skin growth, 15 or more growths	27	22	$210.00	$148.28
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	15	$409.00	$270.57
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	13	12	$430.00	$309.11

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MA 46315

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

Medicaid State Provider ID

0156736 (MA)

Commercial Insurance / Payer ID Aetna

2430963

Commercial Insurance / Payer ID Railroad Medicare

P00034200

Commercial Insurance / Payer ID Cigna

B20406102

Commercial Insurance / Payer ID Tufts Health Plans

713618 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Healthcar

401197 (MA)

Commercial Insurance / Payer ID Blue Cross Blue Shield Of

B36040 (MA)

Commercial Insurance / Payer ID Anthem

01Y000581MA01

Commercial Insurance / Payer ID United Healthcare

0300380

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Madhvendra Singh , MD

Internal Medicine

NPI 1174590681

Doctor of Medicine (M.D.)

Dr. Louis Maggio , MD

Internal Medicine

NPI 1518929637

Doctor of Medicine (M.D.)

Cristine Waldron , FNP-BC

Nurse Practitioner - Adult Health

NPI 1639393374

Family Nurse Practitioner (Board Certified)

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 340 WOOD RD, BRAINTREE, MA 021842401 (Tel: 7818491111)

📍

Updated Business Mailing Address July 08, 2007

Registered at 8 WILDFLOWER LN, WESTON, MA 024931167 (Tel: 7816479863)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SAN WAN, M.D.

🎓

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

Dermatology (License #46315 in MA)

🟢

Initial NPI Registration & Enumeration February 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: 1295707123

Entity Type:

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

Enumeration Date: February 04, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8 Wildflower Ln

Weston, MA 024931167

Phone: 7816479863

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.