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Active NPI 1659714913 Individual Practitioner Male Practitioner

Dr. Gregory Russell Hannon , MD

Dermatology • Edina, MN

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Hannon, MD is a registered Dermatology practitioner in Edina, MN. With approximately 13 years of clinical practice since graduating from Mayo Medical School in 2013, Dr. Hannon provides healthcare services at the registered practice location at 3316 W 66TH ST STE 200.

Dr. Hannon is affiliated with Dermatology Specialists, Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

3316 W 66th St Ste 200

Edina, MN 554352544

Telephone 9523038600
Fax 9529208899

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Edina, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -11.1 yrs vs City Avg
City Avg: 24.1 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Edina, MN (337 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hannon (13 Years) 13 Yrs
Edina Specialty Average (24.1 Years) 24.1 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
17003 Destruction of precancer skin growth, 2-14 growths
855 222 $20.00 $6.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
564 417 $379.00 $124.00
17000 Destruction of skin growth
419 323 $201.00 $48.11
17110 Destruction of up to 14 skin growths
219 187 $341.00 $102.19
99213 Established patient office or other outpatient visit, typically 15 minutes
198 187 $268.00 $87.33
11102 Tangential biopsy of single skin lesion
127 107 $305.00 $82.41
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
80 69 $367.00 $106.01
11103 Biopsy of related skin growth, each additional growth
59 32 $151.00 $49.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $333.00 $107.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
43 43 $494.00 $160.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
28 27 $536.00 $146.92
11900 Injection into skin growth, 1-7 growths
28 18 $171.00 $48.20
11104 Punch biopsy, first skin growth
27 27 $378.00 $120.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
24 22 $913.00 $291.35
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs
24 23 $305.00 $76.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
24 19 $15.00 $0.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
19 16 $734.00 $119.51
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
16 15 $444.00 $114.31
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
15 13 $318.00 $86.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $168.00 $55.07

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MN 59142

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Dermatology Specialists, Pa

3316 W 66th St, Edina, MN 554352544

Phone: 9529203808

Secondary Practice Locations

775 Prairie Center Dr Ste 370

Eden Prairie, MN 553447330

Phone: 9529203808

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Kristen Hook , MD

Dermatology - Pediatric Dermatology

NPI 1053465641

Doctor of Medicine (M.D.)

NPI 1063449957

Doctor of Medicine (M.D.)

NPI 1205416906

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1508805631

Doctor of Medicine (M.D.)

NPI 1629185483

Doctor of Medicine (M.D.)

NPI 1669589438

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2017

Registered at 3316 W 66TH ST STE 200, EDINA, MN 554352544 (Tel: 9523038600)

📍
Updated Business Mailing Address August 16, 2017

Registered at 3316 WEST 66TH ST, #200, EDINA, MN 55435 (Tel: (952) 920-3808)

👤
Provider Name / Credentials Updated August 16, 2017

Recorded as GREGORY HANNON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Dermatology (License #59142 in MN)

📍
Updated Business Mailing Address June 01, 2017

Registered at 3316 WEST 66TH ST, #200, EDINA, MN 55435 (Tel: 9529203808)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2017

Dermatology (License #59142 in MN)

NPI Profile Active February 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2015

Registered at 516 DELAWARE STREET S.E., MAIL CODE 98, PHILLIPS-WANGENSTEEN BLDG., SUITE 4-240, MINNEAPOLIS, MN 554550001 (Tel: 5072842511)

📍
Updated Business Mailing Address February 18, 2015

Registered at 2735 HUMBOLDT AVE S APT 4, MINNEAPOLIS, MN 554081041 (Tel: 5072618298)

👤
Provider Name / Credentials Updated February 18, 2015

Recorded as GREGORY HANNON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 16, 2013

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: 1659714913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

3316 West 66th St, #200

Edina, MN 55435

Phone: 9529203808

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.