Active NPI 1639115074 Individual Practitioner Male Practitioner

Dr. Jeffrey A Squires , MD

Specialist • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Squires, MD is a registered healthcare professional specializing in Specialist in Fridley, MN. Practice services are available at 7205 UNIVERSITY AVE NE under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7205 University Ave Ne

Fridley, MN 554323134

Telephone 7635714000

Fax 7635717202

Associated Practice Facility / Clinic

🏢 Associated Skin Care Specialists Facility NPI 1457885444

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fridley, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.2 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

19 Specialists

Practicing in Fridley, MN (877 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.1% 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	231	36	$14.00	$6.73
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	82	68	$1519.00	$650.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	48	$77.00	$56.52
88331 Pathology examination of specimen during surgery, first tissue block	63	36	$239.00	$104.35
17000 Destruction of skin growth	57	46	$153.00	$43.85
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$173.00	$89.86
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	44	24	$771.00	$419.73
17110 Destruction of up to 14 skin growths	44	36	$266.00	$103.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	40	34	$840.00	$250.23
11102 Tangential biopsy of single skin lesion	24	21	$158.00	$80.33
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	22	15	$1077.00	$647.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	17	$970.00	$231.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	556	77	$14.00	$6.24
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	256	163	$1519.00	$645.12
88331 Pathology examination of specimen during surgery, first tissue block	255	100	$239.00	$101.17
99213 Established patient office or other outpatient visit, typically 15 minutes	180	128	$173.00	$75.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	109	$77.00	$45.76
17000 Destruction of skin growth	135	92	$153.00	$41.59
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	128	63	$771.00	$407.18
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	127	96	$840.00	$248.98
11102 Tangential biopsy of single skin lesion	102	70	$157.23	$67.81
17110 Destruction of up to 14 skin growths	101	74	$261.09	$103.28
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	89	16	$145.00	$78.86
88332 Pathology examination of specimen during surgery, each additional tissue block	74	21	$131.00	$56.00
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	58	48	$970.00	$265.08
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	55	40	$1077.00	$624.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	37	30	$530.00	$208.35
11103 Biopsy of related skin growth, each additional growth	35	24	$81.00	$54.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$201.23	$109.31
17004 Destruction of precancer skin growth, 15 or more growths	23	15	$334.00	$161.56
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	21	$1110.00	$256.50
69100 Biopsy of ear	20	18	$167.60	$65.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	15	$213.00	$102.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	12	$437.00	$125.72
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	12	$221.00	$131.18
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	13	$200.00	$88.98
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$214.00	$106.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	532	92	$14.00	$5.46
88331 Pathology examination of specimen during surgery, first tissue block	300	136	$239.00	$98.67
99213 Established patient office or other outpatient visit, typically 15 minutes	278	202	$173.00	$73.71
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	274	192	$1519.00	$636.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	206	127	$77.00	$45.04
17000 Destruction of skin growth	172	124	$152.11	$44.65
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	166	93	$771.00	$397.00
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	143	111	$840.00	$244.32
11102 Tangential biopsy of single skin lesion	132	89	$158.00	$73.90
17110 Destruction of up to 14 skin growths	104	82	$258.00	$97.49
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	88	51	$1077.00	$606.83
88332 Pathology examination of specimen during surgery, each additional tissue block	66	17	$131.00	$54.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	65	50	$970.00	$248.52
11103 Biopsy of related skin growth, each additional growth	52	31	$77.88	$52.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	47	33	$530.00	$197.86
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	42	22	$145.00	$78.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$204.00	$108.45
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	24	20	$213.00	$100.48
17004 Destruction of precancer skin growth, 15 or more growths	22	12	$334.00	$151.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	15	$690.00	$238.66
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	18	$200.00	$92.82
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	18	$1110.00	$253.06
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$175.00	$76.02
69100 Biopsy of ear	17	15	$166.00	$60.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	13	$437.00	$124.04
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	13	$510.00	$179.33
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$205.00	$131.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	482	64	$14.00	$5.12
88331 Pathology examination of specimen during surgery, first tissue block	185	83	$237.00	$97.29
99213 Established patient office or other outpatient visit, typically 15 minutes	167	119	$170.00	$71.52
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	154	109	$1515.00	$619.35
17000 Destruction of skin growth	135	90	$150.00	$45.03
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	119	59	$765.00	$380.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	74	$75.04	$42.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	85	72	$756.00	$236.47
17110 Destruction of up to 14 skin growths	83	59	$255.00	$102.92
11100 Biopsy of single growth of skin and/or tissue	81	54	$235.00	$76.88
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	46	35	$970.00	$251.30
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	44	33	$1000.00	$609.13
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	31	16	$140.00	$78.33
11101 Biopsy of each additional growth of skin and/or tissue	27	17	$74.00	$31.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$200.00	$106.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	17	$483.00	$186.79
17004 Destruction of precancer skin growth, 15 or more growths	19	13	$326.00	$142.51
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	13	$199.00	$91.10
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	13	$628.00	$273.21
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	13	$185.00	$78.75
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$172.00	$73.90
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	11	$1110.00	$247.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	523	71	$15.75	$5.48
99213 Established patient office or other outpatient visit, typically 15 minutes	211	145	$167.11	$71.79
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	175	130	$1503.92	$619.02
88331 Pathology examination of specimen during surgery, first tissue block	159	83	$216.89	$97.05
17000 Destruction of skin growth	129	89	$152.00	$45.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	85	$69.16	$42.96
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	119	69	$734.87	$382.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	93	76	$754.34	$237.92
17110 Destruction of up to 14 skin growths	74	58	$252.28	$102.03
11100 Biopsy of single growth of skin and/or tissue	73	57	$233.05	$72.72
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	60	13	$128.00	$78.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	46	36	$963.63	$222.98
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	42	30	$981.90	$600.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$198.65	$105.61
11101 Biopsy of each additional growth of skin and/or tissue	24	16	$67.25	$31.70
17004 Destruction of precancer skin growth, 15 or more growths	19	13	$326.00	$147.73
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$172.00	$73.44
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$1077.15	$247.29
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$181.77	$100.12

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 31480

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

423898200 (MN)

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Steven Kempers , MD

Specialist

NPI 1003852427

Doctor of Medicine (M.D.)

Dr. Scott Prawer , MD

Dermatology

NPI 1013103837

Doctor of Medicine (M.D.)

Dr. Roger Weenig , MD

Dermatology

NPI 1134108772

Doctor of Medicine (M.D.)

Dr. Bailey Lee , MD

Dermatology

NPI 1225292535

Doctor of Medicine (M.D.)

Dr. Bart Endrizzi , MD, PhD

Dermatology - MOHS-Micrographic Surgery

NPI 1235323585

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

Dr. Frederick Fish , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1346281250

Doctor of Medicine (M.D.)

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 7205 UNIVERSITY AVE NE, FRIDLEY, MN 554323134 (Tel: 7635714000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 7205 UNIVERSITY AVE NE, FRIDLEY, MN 554323134 (Tel: 7635714000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY SQUIRES, M.D.

🎓

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

Specialist (License #31480 in MN)

🟢

Initial NPI Registration & Enumeration June 22, 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: 1639115074

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7205 University Ave Ne

Fridley, MN 554323134

Phone: 7635714000

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.