Active NPI 1174586440 Individual Practitioner Male Practitioner

Dr. Olaf Jonathan Rustad , MD

Dermatology • White Bear Lake, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Olaf Rustad, MD is a certified Dermatology practicing in White Bear Lake, MN. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Rustad delivers high-quality medical care to the local community at 4480 CENTERVILLE ROAD.

Dr. Rustad is affiliated with Advanced Dermatology Care Medical Cosmetic And Surgery Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, ultrasonic guidance for placement of radiation therapy fields, obtaining data needed to develop the optimal radiation treatment, 1 treatment area. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4480 Centerville Road

White Bear Lake, MN 551273674

Telephone 6514842724

Fax 6514842723

Associated Practice Facility / Clinic

🏢 Advanced Dermatology Care Medical Cosmetic And Surgery Pa Facility NPI 1073614558

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in White Bear Lake, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +2.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

2 Specialists

Practicing in White Bear Lake, MN (337 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rustad (37 Years) 37 Yrs

White Bear Lake Specialty Average (34.5 Years) 34.5 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	571	106	$7.40	$6.73
G6001 Ultrasonic guidance for placement of radiation therapy fields	470	37	$205.82	$181.12
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	448	34	$315.50	$271.26
77401 Radiation treatment delivery, superficial	426	32	$48.59	$41.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	258	$137.04	$124.63
99213 Established patient office or other outpatient visit, typically 15 minutes	297	182	$102.44	$88.50
17000 Destruction of skin growth	175	128	$70.56	$49.59
77336 Continuing radiation therapy consultation per week	88	28	$93.63	$84.82
17110 Destruction of up to 14 skin growths	70	62	$121.16	$103.85
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	63	57	$730.19	$509.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$60.35	$55.39
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	40	36	$443.48	$406.83
77300 Calculation of radiation therapy dose	33	24	$75.18	$65.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	22	$205.91	$140.54
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	30	28	$121.00	$103.13
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	28	$505.17	$315.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	26	13	$2.00	$0.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$177.68	$161.99
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	24	20	$144.17	$92.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$116.22	$108.21
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	20	$143.00	$104.37
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	19	$411.82	$388.96
77332 Design and construction of simple radiation treatment device	22	15	$40.50	$38.55
77261 Simple radiation therapy planning	22	22	$85.64	$68.12
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	19	$485.00	$284.77
96574 Application of light with debridement to destroy precancer skin growth	19	19	$324.79	$279.45
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	16	$201.00	$175.75
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	16	$115.78	$74.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$482.60	$337.27
11900 Injection into skin growth, 1-7 growths	14	11	$72.14	$48.42
11102 Tangential biopsy of single skin lesion	13	13	$107.00	$65.36
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$164.67	$107.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	510	95	$7.80	$6.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	225	$137.34	$124.02
G6001 Ultrasonic guidance for placement of radiation therapy fields	322	29	$257.77	$182.19
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	303	24	$411.07	$272.76
77401 Radiation treatment delivery, superficial	293	24	$63.19	$41.58
99213 Established patient office or other outpatient visit, typically 15 minutes	202	165	$99.76	$87.80
17000 Destruction of skin growth	173	134	$72.53	$52.98
17110 Destruction of up to 14 skin growths	70	60	$121.16	$101.08
77336 Continuing radiation therapy consultation per week	59	25	$122.42	$84.87
77427 Radiation treatment management, 5 treatments	57	24	$297.67	$185.35
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	56	47	$723.50	$503.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$67.29	$55.31
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	41	32	$458.10	$409.34
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	33	28	$124.67	$78.73
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	31	28	$130.97	$90.36
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	22	$411.33	$384.66
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	25	$137.68	$93.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$189.36	$161.32
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	16	$194.24	$131.00
96574 Application of light with debridement to destroy precancer skin growth	24	22	$316.75	$285.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$143.65	$105.65
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$499.68	$310.79
77300 Calculation of radiation therapy dose	15	11	$106.60	$65.43
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	14	$168.93	$112.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$517.00	$286.56
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	13	13	$726.15	$583.42
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$219.00	$163.62
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$412.00	$295.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$174.27	$113.89
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$1054.09	$900.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	691	123	$7.47	$6.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	365	253	$135.67	$126.17
99213 Established patient office or other outpatient visit, typically 15 minutes	263	209	$95.95	$89.18
17000 Destruction of skin growth	211	161	$72.66	$50.41
17110 Destruction of up to 14 skin growths	89	70	$121.33	$103.93
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	79	13	$502.00	$273.17
77401 Radiation treatment delivery, superficial	77	13	$77.00	$41.86
G6001 Ultrasonic guidance for placement of radiation therapy fields	76	13	$307.00	$181.90
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	73	62	$754.22	$493.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	46	$59.00	$55.71
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	44	37	$479.05	$412.29
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	43	36	$130.30	$99.44
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	30	$412.05	$378.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$126.97	$107.05
96574 Application of light with debridement to destroy precancer skin growth	32	30	$321.63	$293.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$176.71	$158.12
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	19	$158.83	$104.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	11	$2.00	$1.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	22	22	$547.73	$269.34
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	15	$122.19	$79.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$488.47	$327.90
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	17	$136.50	$107.50
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	17	$428.76	$365.72
77336 Continuing radiation therapy consultation per week	17	11	$154.00	$82.04
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	13	$185.18	$111.36
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	13	$217.25	$199.34
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$87.50	$71.92
11102 Tangential biopsy of single skin lesion	16	16	$115.38	$84.23
17004 Destruction of precancer skin growth, 15 or more growths	15	13	$178.80	$170.06
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$179.14	$135.38
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	14	$146.43	$111.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$265.83	$122.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$213.00	$163.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	534	85	$7.54	$6.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	214	$137.44	$128.46
99213 Established patient office or other outpatient visit, typically 15 minutes	205	162	$94.13	$90.61
17000 Destruction of skin growth	157	117	$73.94	$55.00
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	70	64	$723.79	$507.08
17110 Destruction of up to 14 skin growths	52	43	$130.50	$105.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$63.17	$56.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	38	34	$451.39	$419.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$137.19	$111.85
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	25	24	$127.40	$109.83
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	23	15	$422.17	$390.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$356.43	$215.27
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	20	18	$172.65	$114.74
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	15	12	$735.53	$444.92
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$200.71	$185.55
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	12	$262.79	$187.12
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$145.00	$123.52
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$765.33	$770.27
96574 Application of light with debridement to destroy precancer skin growth	12	12	$379.08	$299.24
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$855.73	$618.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$183.73	$166.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	389	80	$7.07	$6.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	222	$114.03	$108.36
99213 Established patient office or other outpatient visit, typically 15 minutes	152	118	$77.91	$74.65
17000 Destruction of skin growth	138	113	$70.22	$52.12
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	133	106	$687.42	$541.05
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	53	39	$406.00	$405.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$176.54	$104.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	35	33	$484.14	$270.38
17110 Destruction of up to 14 skin growths	35	29	$113.86	$91.63
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	23	$189.57	$136.43
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	22	$152.64	$106.64
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	24	21	$124.25	$91.26
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	22	18	$640.00	$475.78
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	21	19	$410.95	$393.09
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	20	15	$139.80	$86.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$322.89	$210.70
96574 Application of light with debridement to destroy precancer skin growth	19	19	$284.37	$277.00
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	15	$149.28	$111.10
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$89.33	$76.18
11102 Tangential biopsy of single skin lesion	16	15	$101.88	$82.93
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	13	$211.00	$194.85
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	$761.64	$704.91
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$772.00	$774.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	607	109	$6.53	$5.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	229	$118.07	$107.26
99213 Established patient office or other outpatient visit, typically 15 minutes	250	184	$77.97	$73.10
17000 Destruction of skin growth	182	141	$70.99	$50.53
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	140	119	$700.21	$528.77
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	65	47	$417.74	$391.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	45	$48.78	$44.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$119.59	$105.94
17110 Destruction of up to 14 skin growths	36	30	$122.86	$98.04
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	35	29	$123.17	$103.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	31	$517.34	$278.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	23	$180.19	$148.17
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	27	23	$138.63	$105.72
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	25	23	$107.20	$80.10
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	23	22	$135.48	$111.51
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$310.55	$219.02
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	22	21	$650.95	$462.34
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$86.57	$72.60
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	17	$157.60	$103.99
11900 Injection into skin growth, 1-7 growths	19	12	$91.74	$38.11
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	19	19	$798.79	$718.25
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$143.94	$118.77
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$305.82	$139.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	517	101	$8.45	$5.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	218	$128.26	$105.57
99213 Established patient office or other outpatient visit, typically 15 minutes	250	176	$84.26	$71.82
17000 Destruction of skin growth	169	133	$83.63	$55.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	85	73	$770.04	$455.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$133.65	$104.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	35	28	$465.34	$378.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	25	$209.41	$140.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$49.74	$43.37
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	19	$131.18	$87.51
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	19	$135.43	$111.02
17110 Destruction of up to 14 skin growths	20	20	$133.85	$100.54
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$96.29	$73.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$369.12	$263.76
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	$817.13	$742.60
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	16	$135.69	$100.87
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	16	13	$148.38	$101.04
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	13	$119.40	$84.88
17004 Destruction of precancer skin growth, 15 or more growths	14	13	$173.57	$142.29
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$544.69	$251.70
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	13	11	$708.54	$421.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$1191.31	$132.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	604	106	$25.00	$5.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	204	$230.00	$104.74
99213 Established patient office or other outpatient visit, typically 15 minutes	194	138	$157.38	$71.81
17000 Destruction of skin growth	175	131	$180.00	$55.34
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	109	89	$1433.00	$448.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$233.00	$104.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	51	37	$858.00	$382.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$95.00	$42.92
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	26	$254.00	$82.65
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	26	$1048.00	$259.92
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	26	21	$252.00	$95.86
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	14	$365.18	$354.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	21	$1707.00	$734.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	14	$387.00	$141.57
17110 Destruction of up to 14 skin growths	20	14	$247.00	$104.72
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	14	$311.00	$136.58
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$161.00	$73.55
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	12	$1308.00	$433.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$673.00	$235.53
11100 Biopsy of single growth of skin and/or tissue	13	11	$230.00	$86.44
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	13	$266.00	$114.98
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	11	$217.00	$81.34
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$318.00	$129.75

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MN 1938363

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

Commercial Insurance / Payer ID Rr Medicare Pin

070003227

Hospital & Practice Group Affiliations

Advanced Dermatology Care Medical Cosmetic And Surgery Pa

4480 Centerville Rd, White Bear Lake, MN 551273674

Phone: 6514842724

Advanced Dermatology Care Medical Cosmetic And Surgery Pa

25 Lake St N, Forest Lake, MN 550252537

Phone: 6514302724

Advanced Dermatology Care Medical Cosmetic And Surgery Pa

14130 60th St N, Stillwater, MN 550826354

Phone: 6514842724

Practice Associates & Co-Workers

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

9 Associated Practitioners

Emmah Griswold , PA-C

Physician Assistant

NPI 1013884691

Physician Assistant (Certified)

Brooke Elvehjem , PA-C

Physician Assistant

NPI 1174281034

Physician Assistant (Certified)

Vanessa Seiberlich

Physician Assistant

NPI 1275265514

Abigail Tracy , PA-C

Physician Assistant

NPI 1336724590

Physician Assistant (Certified)

Allison Nelson , PA-C

Physician Assistant

NPI 1497399901

Physician Assistant (Certified)

Alaysia Freetly

Physician Assistant

NPI 1609636182

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2010

Registered at 4480 CENTERVILLE ROAD, WHITE BEAR LAKE, MN 551273674 (Tel: 6514842724)

📍

Updated Business Mailing Address September 29, 2010

Registered at 4480 CENTERVILLE ROAD, WHITE BEAR LAKE, MN 551273674 (Tel: 6514842724)

👤

Provider Name / Credentials Updated September 29, 2010

Recorded as OLAF RUSTAD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2010

Dermatology (License #1938363 in MN)

🟢

Initial NPI Registration & Enumeration April 08, 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: 1174586440

Entity Type:

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

Enumeration Date: April 08, 2006

Last Update: September 29, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4480 Centerville Road

White Bear Lake, MN 551273674

Phone: 6514842724

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.