Active NPI 1578788659 Individual Practitioner Male Practitioner

David Wartman

Dermatology • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Wartman is a certified Dermatology practicing in Springfield, MA. With approximately 21 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 2005, David Wartman delivers high-quality medical care to the local community at 3455 MAIN ST.

David Wartman is affiliated with New England Dermatology Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, established patient outpatient office visit, skin application of tar and ultraviolet b or petrolatum and ultraviolet b. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3455 Main St
Ste. # 5

Springfield, MA 011071142

Telephone 4137339600

Fax 4137326534

Associated Practice Facility / Clinic

🏢 Orthotics West, Inc Facility NPI 1447255013

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -7.1 yrs vs City Avg

City Avg: 28.1 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Springfield, MA (648 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wartman (21 Years) 21 Yrs

Springfield Specialty Average (28.1 Years) 28.1 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,383	2,134	$273.65	$73.24
99213 Established patient office or other outpatient visit, typically 15 minutes	966	787	$224.16	$92.02
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	444	57	$310.33	$123.05
11102 Tangential biopsy of single skin lesion	212	176	$310.78	$96.38
17003 Destruction of precancer skin growth, 2-14 growths	207	91	$31.10	$6.88
17000 Destruction of skin growth	195	168	$201.00	$60.92
17110 Destruction of up to 14 skin growths	161	150	$344.57	$115.87
88304 Pathology examination of tissue using a microscope, moderately low complexity	106	99	$148.92	$44.27
88312 Special stained specimen slides to identify organisms including interpretation and report	89	70	$321.24	$116.34
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	89	70	$405.00	$388.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	84	70	$419.29	$142.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	83	82	$1101.54	$307.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	71	$140.55	$57.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	58	$313.39	$129.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	49	$712.22	$124.89
11103 Biopsy of related skin growth, each additional growth	52	35	$157.69	$51.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$276.48	$112.94
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	23	$502.52	$88.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	20	$518.72	$164.59
69100 Biopsy of ear	17	16	$308.94	$86.22
88342 Special stained specimen slides to examine tissue, initial procedure	15	15	$98.00	$33.75
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$734.00	$128.36
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$1086.67	$315.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,301	2,135	$300.00	$73.77
99213 Established patient office or other outpatient visit, typically 15 minutes	868	722	$215.00	$92.18
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	427	52	$305.00	$124.75
11102 Tangential biopsy of single skin lesion	225	195	$264.97	$101.39
17000 Destruction of skin growth	188	168	$205.00	$60.11
17003 Destruction of precancer skin growth, 2-14 growths	182	86	$30.00	$6.76
17110 Destruction of up to 14 skin growths	139	122	$355.00	$116.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	118	$135.00	$57.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	108	104	$1110.00	$312.72
88304 Pathology examination of tissue using a microscope, moderately low complexity	84	79	$165.00	$43.86
88312 Special stained specimen slides to identify organisms including interpretation and report	66	58	$272.42	$117.08
88341 Special stained specimen slides to examine tissue	66	32	$95.76	$27.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	66	54	$715.00	$125.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$300.00	$130.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$265.00	$114.75
11103 Biopsy of related skin growth, each additional growth	42	30	$140.95	$51.40
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	36	30	$405.00	$384.78
88342 Special stained specimen slides to examine tissue, initial procedure	35	35	$128.00	$33.99
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	34	30	$352.35	$149.31
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	34	$484.24	$86.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	26	$505.45	$177.16
69100 Biopsy of ear	12	12	$291.58	$79.91
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$512.00	$93.37
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$180.00	$74.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,469	2,229	$300.00	$74.44
99213 Established patient office or other outpatient visit, typically 15 minutes	879	669	$185.56	$94.27
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	486	52	$286.64	$127.08
11102 Tangential biopsy of single skin lesion	221	183	$260.00	$103.76
17003 Destruction of precancer skin growth, 2-14 growths	217	94	$30.00	$7.22
17000 Destruction of skin growth	214	185	$205.00	$62.92
17110 Destruction of up to 14 skin growths	124	105	$331.01	$120.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	100	$111.70	$59.09
88304 Pathology examination of tissue using a microscope, moderately low complexity	111	101	$165.00	$43.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	99	96	$950.91	$321.42
88312 Special stained specimen slides to identify organisms including interpretation and report	80	73	$265.00	$119.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	55	52	$715.00	$129.43
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	54	39	$405.00	$388.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$257.00	$114.65
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	46	39	$330.00	$155.69
88341 Special stained specimen slides to examine tissue	45	16	$72.78	$28.82
11103 Biopsy of related skin growth, each additional growth	42	26	$140.00	$54.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$274.04	$128.94
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	20	$505.00	$169.34
88342 Special stained specimen slides to examine tissue, initial procedure	22	21	$140.00	$35.58
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$480.00	$91.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	18	$815.00	$147.25
69100 Biopsy of ear	12	12	$290.00	$94.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,162	1,923	$291.75	$72.70
99213 Established patient office or other outpatient visit, typically 15 minutes	780	559	$175.00	$95.66
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	433	42	$280.00	$128.37
17003 Destruction of precancer skin growth, 2-14 growths	259	107	$30.00	$6.88
11102 Tangential biopsy of single skin lesion	256	200	$260.00	$103.66
17000 Destruction of skin growth	222	178	$205.00	$60.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	140	$105.00	$59.00
17110 Destruction of up to 14 skin growths	126	106	$320.00	$121.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	110	107	$885.00	$328.85
88304 Pathology examination of tissue using a microscope, moderately low complexity	98	88	$161.63	$42.95
88312 Special stained specimen slides to identify organisms including interpretation and report	87	76	$253.85	$112.75
11103 Biopsy of related skin growth, each additional growth	75	42	$140.00	$55.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	55	$715.00	$130.99
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	36	26	$405.00	$390.13
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	35	26	$330.00	$157.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$255.00	$135.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	25	$505.00	$165.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$255.00	$117.59
69100 Biopsy of ear	26	22	$290.00	$81.58
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	25	$815.00	$149.96
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	23	$480.00	$92.61
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$845.00	$327.75
88342 Special stained specimen slides to examine tissue, initial procedure	12	12	$154.17	$42.72
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$180.00	$76.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	6,102	1,919	$150.35	$37.37
99213 Established patient office or other outpatient visit, typically 15 minutes	593	442	$175.00	$78.43
11102 Tangential biopsy of single skin lesion	276	221	$260.00	$102.49
17003 Destruction of precancer skin growth, 2-14 growths	245	94	$30.00	$6.30
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	245	37	$280.00	$125.34
88312 Special stained specimen slides to identify organisms including interpretation and report	207	92	$135.70	$57.74
17000 Destruction of skin growth	192	155	$205.00	$56.16
88304 Pathology examination of tissue using a microscope, moderately low complexity	140	67	$81.89	$21.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	123	$255.00	$113.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	113	$105.00	$47.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	105	101	$885.00	$324.26
11103 Biopsy of related skin growth, each additional growth	86	56	$140.00	$57.04
17110 Destruction of up to 14 skin growths	81	75	$320.00	$118.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	52	$715.00	$132.27
88341 Special stained specimen slides to examine tissue	44	18	$65.00	$30.37
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	32	$815.00	$150.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	25	$505.00	$165.96
88342 Special stained specimen slides to examine tissue, initial procedure	25	24	$140.00	$37.89
69100 Biopsy of ear	20	18	$290.00	$84.31
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$480.00	$90.60
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$105.00	$47.10
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$180.00	$80.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$255.00	$113.33
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	13	11	$405.00	$392.77
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	13	11	$330.00	$144.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	6,079	2,021	$152.99	$36.96
99213 Established patient office or other outpatient visit, typically 15 minutes	606	455	$175.00	$77.58
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	260	45	$258.08	$122.63
11102 Tangential biopsy of single skin lesion	237	194	$259.90	$102.26
17003 Destruction of precancer skin growth, 2-14 growths	223	76	$29.87	$5.99
88304 Pathology examination of tissue using a microscope, moderately low complexity	198	94	$83.96	$21.77
88312 Special stained specimen slides to identify organisms including interpretation and report	175	76	$132.74	$53.25
17000 Destruction of skin growth	144	123	$205.00	$59.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	114	$105.00	$47.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	123	116	$847.93	$321.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	97	$255.00	$113.47
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	86	76	$617.05	$134.78
11103 Biopsy of related skin growth, each additional growth	82	45	$143.29	$56.49
17110 Destruction of up to 14 skin growths	40	34	$311.88	$117.40
88341 Special stained specimen slides to examine tissue	36	17	$60.14	$30.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	32	$444.59	$89.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$255.00	$113.41
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	25	21	$405.00	$392.29
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	24	22	$302.92	$132.89
88342 Special stained specimen slides to examine tissue, initial procedure	23	23	$140.00	$37.81
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$180.00	$80.08
69100 Biopsy of ear	14	12	$277.57	$78.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	7,977	2,467	$150.24	$34.91
99213 Established patient office or other outpatient visit, typically 15 minutes	582	440	$165.31	$73.66
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	268	50	$190.39	$117.11
88304 Pathology examination of tissue using a microscope, moderately low complexity	258	115	$83.16	$21.15
88312 Special stained specimen slides to identify organisms including interpretation and report	256	114	$133.16	$50.27
11100 Biopsy of single growth of skin and/or tissue	222	174	$260.25	$105.63
17003 Destruction of precancer skin growth, 2-14 growths	194	68	$26.73	$5.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	123	$99.10	$44.64
17000 Destruction of skin growth	133	112	$191.02	$59.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	90	$243.35	$108.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	87	83	$752.70	$304.06
11101 Biopsy of each additional growth of skin and/or tissue	81	41	$110.00	$33.23
88341 Special stained specimen slides to examine tissue	79	27	$40.00	$29.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	67	63	$499.00	$127.66
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	57	12	$378.86	$168.57
88342 Special stained specimen slides to examine tissue, initial procedure	46	41	$140.00	$36.80
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	43	27	$388.02	$381.58
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	40	27	$280.00	$118.48
17110 Destruction of up to 14 skin growths	33	30	$281.36	$115.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$241.09	$109.52
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$394.00	$81.63
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	18	$387.00	$149.65
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$174.29	$76.10
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	16	$590.00	$295.88
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$565.00	$138.24
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	14	14	$618.00	$301.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	7,864	2,428	$150.30	$35.76
99213 Established patient office or other outpatient visit, typically 15 minutes	639	452	$160.00	$75.37
88312 Special stained specimen slides to identify organisms including interpretation and report	269	116	$132.66	$51.95
88304 Pathology examination of tissue using a microscope, moderately low complexity	250	120	$82.84	$21.69
11100 Biopsy of single growth of skin and/or tissue	228	179	$250.00	$105.06
17003 Destruction of precancer skin growth, 2-14 growths	189	63	$25.00	$5.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	139	$95.00	$45.21
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	159	42	$175.00	$75.72
17000 Destruction of skin growth	133	112	$185.00	$62.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	84	$235.00	$111.01
11101 Biopsy of each additional growth of skin and/or tissue	79	47	$110.00	$33.44
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	75	73	$735.00	$314.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	55	51	$499.00	$135.40
17110 Destruction of up to 14 skin growths	46	38	$270.00	$115.45
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	28	$359.74	$351.64
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	38	28	$280.53	$144.35
88341 Special stained specimen slides to examine tissue	38	14	$40.00	$30.23
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	34	12	$375.00	$163.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$235.00	$111.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$387.00	$148.52
88342 Special stained specimen slides to examine tissue, initial procedure	26	26	$140.00	$37.89
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$394.00	$86.61
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$165.00	$77.39
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$590.00	$288.81

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MA 242901

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 NH 14398

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Connecticare

892633 (MA)

Commercial Insurance / Payer ID Hne

49282 (MA)

Commercial Insurance / Payer ID Cigna

7048969 (MA)

Commercial Insurance / Payer ID Tufts

753392 (MA)

Hospital & Practice Group Affiliations

New England Dermatology Pc

3455 Main St, Springfield, MA 011071147

Phone: 4137339600

New England Dermatology Pc

8 Atwood Dr, Northampton, MA 010604266

Phone: 4135865798

Practice Associates & Co-Workers

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

31 Associated Practitioners

Kiersten Revord , PA-C

Physician Assistant

NPI 1033535133

Physician Assistant (Certified)

Alyssa Desmarais , PA-C

Physician Assistant

NPI 1043736739

Physician Assistant (Certified)

Dr. Michael Loosemore , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1063619146

Doctor of Medicine (M.D.)

Amy Doyle , PA-C

Physician Assistant

NPI 1073130365

Physician Assistant (Certified)

David Goudreault , PA-C

Physician Assistant - Medical

NPI 1215668207

Physician Assistant (Certified)

Devan Chen

Physician Assistant

NPI 1285584466

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 18, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2010

Registered at 3455 MAIN ST, STE. # 5, SPRINGFIELD, MA 011071142 (Tel: 4137339600)

📍

Updated Business Mailing Address November 18, 2010

Registered at 3455 MAIN ST, STE. # 5, SPRINGFIELD, MA 011071142 (Tel: 4137339600)

👤

Provider Name / Credentials Updated November 18, 2010

Recorded as DAVID WARTMAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2010

Dermatology (License #242901 in MA)

🟢

Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578788659

Entity Type:

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

Enumeration Date: April 16, 2007

Last Update: November 18, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3455 Main St, Ste. # 5

Springfield, MA 011071142

Phone: 4137339600

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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