Active NPI 1225017247 Individual Practitioner Male Practitioner

Dr. Donald E Davis , MD

Dermatology • Mankato, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Davis, MD is a certified Dermatology practicing in Mankato, MN. With approximately 36 years of clinical experience since graduating from University Of Minnesota Medical School in 1990, Dr. Davis delivers high-quality medical care to the local community at 1230 E MAIN ST.

Dr. Davis is affiliated with Mankato Clinic Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, 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

1230 E Main St
Mankato Clinic At Main Street

Mankato, MN 560028674

Telephone 5076251811

Associated Practice Facility / Clinic

🏢 Mankato Clinic Endoscopy Center Llc Facility NPI 1225004625

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Mankato, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +18.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Mankato, MN (337 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (36 Years) 36 Yrs

Mankato Specialty Average (17.8 Years) 17.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	787	605	$268.00	$88.06
17003 Destruction of precancer skin growth, 2-14 growths	771	242	$27.60	$6.67
17000 Destruction of skin growth	470	362	$277.38	$57.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	407	275	$292.56	$35.92
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	261	220	$2804.16	$592.70
11102 Tangential biopsy of single skin lesion	224	194	$420.90	$96.22
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	118	115	$1311.00	$157.49
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	117	109	$1259.94	$241.42
96900 Application of ultraviolet light to skin	111	14	$78.84	$24.91
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	73	53	$1702.92	$404.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	39	$168.00	$55.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	43	40	$1155.06	$135.29
11103 Biopsy of related skin growth, each additional growth	40	29	$208.38	$49.32
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	33	32	$1284.78	$154.55
88304 Pathology examination of tissue using a microscope, moderately low complexity	32	24	$175.26	$31.92
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	31	29	$1386.90	$278.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$333.00	$107.38
36415 Insertion of needle into vein for collection of blood sample	25	15	$27.56	$8.65
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	22	$1012.92	$119.33
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	18	$49.00	$14.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	17	$379.00	$124.36
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	22	22	$3135.36	$719.15
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	22	21	$1512.48	$185.10
88341 Special stained specimen slides to examine tissue	22	17	$354.66	$63.79
11104 Punch biopsy, first skin growth	22	21	$521.64	$120.15
88342 Special stained specimen slides to examine tissue, initial procedure	21	20	$411.24	$72.36
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	14	$2633.04	$608.93
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	20	20	$1286.16	$195.88
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$215.00	$70.20
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	13	$712.08	$83.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	930	294	$27.60	$6.87
99213 Established patient office or other outpatient visit, typically 15 minutes	862	636	$258.02	$89.33
17000 Destruction of skin growth	531	394	$274.62	$59.39
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	258	215	$2742.06	$605.78
11102 Tangential biopsy of single skin lesion	205	185	$420.90	$100.44
88305 Pathology examination of tissue using a microscope, intermediate complexity	203	150	$287.04	$35.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	114	107	$1246.14	$248.18
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	113	111	$1301.34	$165.01
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	98	75	$1671.18	$416.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	70	$161.02	$56.26
11103 Biopsy of related skin growth, each additional growth	42	37	$209.76	$51.08
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	41	40	$1279.26	$183.29
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	34	27	$2576.46	$576.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	32	$1139.88	$139.83
36415 Insertion of needle into vein for collection of blood sample	27	16	$27.56	$8.40
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	22	$709.32	$86.60
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	24	23	$3082.92	$707.76
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	23	23	$1504.20	$183.83
11104 Punch biopsy, first skin growth	21	20	$523.02	$123.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$1001.88	$123.35
88341 Special stained specimen slides to examine tissue	20	11	$357.42	$60.57
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	19	18	$1380.00	$230.25
69100 Biopsy of ear	19	16	$397.44	$79.54
88342 Special stained specimen slides to examine tissue, initial procedure	16	14	$408.48	$67.95
17110 Destruction of up to 14 skin growths	15	13	$465.06	$112.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$319.13	$110.15
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$207.58	$71.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	893	673	$249.10	$90.61
17003 Destruction of precancer skin growth, 2-14 growths	871	281	$26.22	$7.01
17000 Destruction of skin growth	520	391	$266.34	$59.99
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	225	197	$2729.64	$614.24
11102 Tangential biopsy of single skin lesion	208	174	$420.90	$103.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	114	108	$1250.28	$242.46
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	106	102	$1284.78	$164.79
96900 Application of ultraviolet light to skin	90	13	$71.40	$24.75
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	79	63	$1658.76	$418.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$306.44	$111.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$153.22	$56.34
11103 Biopsy of related skin growth, each additional growth	36	30	$213.90	$52.44
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	33	33	$1262.70	$168.89
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	27	$1003.26	$124.52
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$199.28	$72.69
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	21	$2562.66	$578.37
36415 Insertion of needle into vein for collection of blood sample	25	16	$27.56	$2.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$702.42	$87.92
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	21	$1139.88	$141.18
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	18	18	$1501.44	$167.23
17110 Destruction of up to 14 skin growths	16	16	$459.54	$116.21
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	14	$3055.32	$758.02
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	13	$3089.82	$740.46
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$807.30	$100.22
11104 Punch biopsy, first skin growth	12	12	$527.16	$130.59
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	12	11	$1367.58	$299.59
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$1272.36	$255.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	947	713	$221.55	$91.76
17003 Destruction of precancer skin growth, 2-14 growths	940	306	$24.31	$6.78
17000 Destruction of skin growth	568	443	$264.55	$57.32
11102 Tangential biopsy of single skin lesion	307	265	$406.12	$105.11
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	286	223	$2694.12	$599.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	169	153	$1228.37	$249.34
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	122	116	$1239.81	$165.91
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	107	77	$1615.90	$421.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$318.15	$112.17
11103 Biopsy of related skin growth, each additional growth	78	53	$215.93	$54.34
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	62	56	$1003.86	$126.61
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	47	46	$1221.22	$179.78
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	31	$690.69	$86.11
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	30	24	$2525.38	$584.65
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	22	20	$3083.08	$746.76
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	16	$1144.00	$150.21
87071 Bacterial culture and colony count	21	21	$55.91	$9.89
11104 Punch biopsy, first skin growth	19	19	$510.51	$134.11
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	17	$3131.70	$751.10
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	17	16	$1452.88	$188.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$134.40	$56.67
87077 Bacterial culture for aerobic isolates	15	14	$38.30	$8.08
69100 Biopsy of ear	11	11	$398.97	$83.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	967	308	$22.88	$6.25
99213 Established patient office or other outpatient visit, typically 15 minutes	899	681	$209.00	$75.36
17000 Destruction of skin growth	568	447	$264.55	$57.43
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	260	210	$2714.14	$613.50
11102 Tangential biopsy of single skin lesion	235	210	$400.40	$101.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	150	137	$1236.95	$262.25
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	136	129	$1222.65	$161.95
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	110	85	$1610.18	$407.59
99202 New patient office or other outpatient visit, typically 20 minutes	103	103	$215.00	$76.26
96900 Application of ultraviolet light to skin	97	12	$61.00	$22.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	50	$1009.58	$125.74
11103 Biopsy of related skin growth, each additional growth	53	36	$215.93	$54.37
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	38	$683.54	$86.26
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	43	41	$1202.63	$191.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$127.00	$45.76
36415 Insertion of needle into vein for collection of blood sample	26	14	$27.56	$2.98
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	19	$1154.01	$142.17
87071 Bacterial culture and colony count	16	16	$55.91	$9.80
69100 Biopsy of ear	16	16	$398.97	$84.56
11104 Punch biopsy, first skin growth	16	16	$503.36	$129.02
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	15	14	$1430.00	$181.84
87077 Bacterial culture for aerobic isolates	15	14	$38.30	$8.02
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$3103.10	$766.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	13	$716.43	$138.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,298	394	$21.45	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	1,074	807	$206.00	$73.99
17000 Destruction of skin growth	706	538	$268.84	$56.53
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	321	256	$2691.26	$583.32
11102 Tangential biopsy of single skin lesion	296	261	$400.40	$97.66
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	157	148	$1199.77	$153.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	140	135	$1231.23	$255.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	124	96	$1583.01	$396.90
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$212.00	$76.01
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	55	47	$1012.44	$124.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	51	$124.00	$45.09
11103 Biopsy of related skin growth, each additional growth	51	41	$215.93	$53.61
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	48	45	$1178.32	$194.68
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	29	$680.68	$82.28
36415 Insertion of needle into vein for collection of blood sample	27	16	$27.56	$2.84
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	22	$3166.02	$769.44
69100 Biopsy of ear	20	20	$410.41	$73.96
87071 Bacterial culture and colony count	18	18	$55.91	$10.28
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	18	18	$1408.55	$175.80
11104 Punch biopsy, first skin growth	16	16	$503.36	$117.35
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	16	16	$3103.10	$732.77
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$832.26	$168.09
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	11	$1046.76	$128.00
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$1159.73	$141.22
87077 Bacterial culture for aerobic isolates	13	13	$38.30	$8.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	644	209	$22.88	$5.13
99213 Established patient office or other outpatient visit, typically 15 minutes	629	465	$206.00	$71.95
17000 Destruction of skin growth	381	291	$270.27	$58.52
11100 Biopsy of single growth of skin and/or tissue	159	141	$418.99	$102.71
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	149	127	$2686.97	$545.74
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$211.00	$73.91
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	72	70	$1194.05	$150.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	64	57	$1231.23	$247.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	59	41	$1578.72	$383.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	25	$1008.15	$122.55
36415 Insertion of needle into vein for collection of blood sample	30	12	$27.56	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$123.00	$43.38
11101 Biopsy of each additional growth of skin and/or tissue	23	21	$132.99	$31.76
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	21	$1174.03	$173.78
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	17	$3164.59	$758.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	699	239	$21.84	$5.47
99213 Established patient office or other outpatient visit, typically 15 minutes	686	477	$201.93	$71.70
17000 Destruction of skin growth	443	320	$257.99	$57.49
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	174	134	$2555.28	$557.25
11100 Biopsy of single growth of skin and/or tissue	164	145	$398.58	$100.04
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	89	82	$1137.05	$153.73
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	87	58	$1501.50	$382.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	75	68	$1171.17	$238.81
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$206.85	$73.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	25	$958.23	$121.78
36415 Insertion of needle into vein for collection of blood sample	30	16	$26.25	$2.86
11101 Biopsy of each additional growth of skin and/or tissue	26	23	$126.95	$31.70
84450 Liver enzyme (sgot), level	25	13	$25.70	$2.80
82565 Blood creatinine level	24	13	$25.43	$2.77
84460 Liver enzyme (sgpt), level	24	13	$26.26	$2.85
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	11	$46.39	$10.45
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	18	$1116.57	$172.93
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$3015.29	$733.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$120.17	$43.01
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	14	13	$1333.61	$193.37
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$638.82	$81.35

Medical Specialties & State Licenses

CMS Verified: 2020-07-10

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MN 34461

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

937813 (IA)

Medicaid State Provider ID

984325600 (MN)

Commercial Insurance / Payer ID Preferred One

NA2951023824 (MN)

Commercial Insurance / Payer ID Medica

0301642 (MN)

Commercial Insurance / Payer ID Americas Ppo

882331 (MN)

Commercial Insurance / Payer ID Champus

410849339 56001 C100

Commercial Insurance / Payer ID Health Partners

HP25594 (MN)

Commercial Insurance / Payer ID Rr Medicare

070007599

Commercial Insurance / Payer ID U Care

115538 (MN)

Commercial Insurance / Payer ID Bc Bs

4T624DA (MN)

Hospital & Practice Group Affiliations

Mankato Clinic Ltd

1421 Premier Dr, Mankato, MN 560028674

Mankato Clinic Ltd

1230 E Main St, Mankato, MN 560028674

Mankato Clinic Ltd

1230 E Main St, Mankato, MN 560015066

Phone: 5073898509

Mankato Clinic Ltd

1230 Main St E, Mankato, MN 560028674

Phone: 5076251811

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alyssa Stitt , MD

Family Medicine

NPI 1003895095

Doctor of Medicine (M.D.)

Dr. Timothy Huisken , MD

Surgery

NPI 1013008366

Doctor of Medicine (M.D.)

Dr. Ignacio Jusue Torres , MD

Neurological Surgery

NPI 1013393305

Doctor of Medicine (M.D.)

Katlyn Christenson , MA, LMFT

Marriage & Family Therapist

NPI 1013804814

Master of Arts, Licensed Marriage and Family Therapist

Dr. Gary Goldberg , MD

Urology

NPI 1013995034

Doctor of Medicine (M.D.)

Dr. Michael Rath , MD

Family Medicine

NPI 1013996008

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 August 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2011

Registered at 1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 560028674 (Tel: 5076251811)

📍

Updated Business Mailing Address August 18, 2011

Registered at PO BOX 8674, MANKATO CLINIC LTD 1230 E. MAIN STREET, MANKATO, MN 560028674 (Tel: 5076251811)

👤

Provider Name / Credentials Updated August 18, 2011

Recorded as DONALD DAVIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2011

Dermatology (License #34461 in MN)

🟢

Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1225017247

Entity Type:

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

Enumeration Date: January 10, 2006

Last Update: July 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8674, Mankato Clinic Ltd 1230 E. Main Street

Mankato, MN 560028674

Phone: 5076251811

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.