Active NPI 1275551707 Individual Practitioner Male Practitioner

Dr. Jeffrey E Petersen , MD

Dermatology • Fenton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Petersen, MD is a certified Dermatology practicing in Fenton, MO. With approximately 31 years of clinical experience since graduating from Indiana University School Of Medicine in 1995, Dr. Petersen delivers high-quality medical care to the local community at 1011 BOWLES AVE.

Dr. Petersen is affiliated with St Louis Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1011 Bowles Ave
Suite 121

Fenton, MO 630262395

Telephone 3142002713

Fax 3142002714

Associated Practice Facility / Clinic

🏢 Peter J Anderson, Md Pc Facility NPI 1568433639

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Fenton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Fenton, MO (287 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (31 Years) 31 Yrs

Fenton Specialty Average (31.0 Years) 31.0 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	1,032	685	$176.86	$85.24
17003 Destruction of precancer skin growth, 2-14 growths	965	202	$12.76	$6.14
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	438	337	$1312.32	$527.33
17000 Destruction of skin growth	420	301	$131.00	$46.55
17110 Destruction of up to 14 skin growths	352	258	$219.15	$103.20
11102 Tangential biopsy of single skin lesion	315	272	$193.14	$81.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	226	226	$217.06	$105.00
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	199	181	$908.36	$227.92
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	167	125	$795.18	$385.12
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	121	109	$819.93	$236.32
11103 Biopsy of related skin growth, each additional growth	112	77	$96.77	$45.38
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	112	33	$174.82	$83.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	85	$109.81	$53.13
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	84	70	$1234.65	$541.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	18	$10.00	$0.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	53	47	$790.58	$389.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$249.87	$121.42
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	48	44	$259.45	$126.10
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	33	$346.08	$127.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	38	35	$540.09	$155.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	35	$585.69	$219.30
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	33	32	$1495.35	$713.90
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$139.72	$68.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	29	$472.81	$143.98
69100 Biopsy of ear	29	28	$184.22	$65.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	29	29	$958.92	$234.19
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	26	24	$2102.42	$989.48
11900 Injection into skin growth, 1-7 growths	22	14	$111.07	$41.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	19	$766.54	$292.86
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	19	16	$372.70	$147.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	15	$226.60	$110.43
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	17	16	$810.68	$316.67
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	15	15	$1935.54	$937.53
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$600.41	$189.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$325.36	$158.71
11104 Punch biopsy, first skin growth	12	12	$240.25	$116.57
10060 Simple or single drainage of skin abscess	12	12	$246.66	$120.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	807	560	$177.95	$86.90
17003 Destruction of precancer skin growth, 2-14 growths	775	179	$13.14	$6.48
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	439	318	$1339.18	$555.03
11102 Tangential biopsy of single skin lesion	342	304	$200.54	$89.43
17000 Destruction of skin growth	290	243	$132.55	$45.81
17110 Destruction of up to 14 skin growths	230	205	$224.07	$105.48
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	179	125	$812.30	$400.46
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	178	45	$189.99	$91.79
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	169	152	$934.32	$237.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$220.80	$107.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	146	132	$842.63	$251.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	86	$111.30	$54.89
11103 Biopsy of related skin growth, each additional growth	133	86	$99.30	$47.87
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	99	91	$1258.31	$563.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	69	12	$10.00	$0.66
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	54	49	$781.51	$384.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$251.12	$124.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	48	43	$274.34	$135.68
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	45	44	$985.33	$259.00
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	39	36	$552.49	$150.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	23	$353.63	$149.09
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	29	$787.98	$260.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	13	$27.77	$10.43
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$142.50	$69.72
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	28	$1521.50	$735.38
69100 Biopsy of ear	27	26	$191.13	$62.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$484.70	$165.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	26	$602.20	$210.87
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	20	19	$382.48	$167.93
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	19	$1821.14	$898.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$328.32	$162.19
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	18	18	$2145.65	$1057.47
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	16	$779.26	$383.48
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	17	17	$1967.60	$968.42
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	14	11	$836.93	$323.94
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	12	$234.90	$115.91
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$624.59	$154.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	725	507	$181.24	$90.37
17003 Destruction of precancer skin growth, 2-14 growths	678	165	$13.58	$6.81
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	442	327	$1348.94	$555.66
11102 Tangential biopsy of single skin lesion	320	277	$206.70	$93.29
17000 Destruction of skin growth	311	257	$135.02	$47.48
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	205	137	$821.60	$399.19
17110 Destruction of up to 14 skin growths	179	150	$228.32	$111.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$223.88	$110.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	148	138	$955.26	$244.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	77	$112.88	$56.59
11103 Biopsy of related skin growth, each additional growth	140	89	$103.06	$51.10
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	139	33	$214.98	$107.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	103	22	$10.00	$1.12
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	95	88	$862.70	$268.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	80	64	$1267.10	$548.38
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	73	65	$785.16	$377.74
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	64	58	$289.74	$141.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	37	$255.78	$128.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	41	$612.54	$195.60
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	36	34	$1006.30	$259.82
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	34	12	$430.56	$216.59
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	33	28	$2177.72	$1059.80
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	30	$1534.08	$743.75
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$145.56	$73.02
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	27	26	$388.98	$184.58
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	27	27	$1981.48	$959.05
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	25	25	$857.26	$258.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	25	$492.68	$168.38
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	22	$560.68	$152.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	17	$359.70	$135.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	12	$28.60	$12.74
69100 Biopsy of ear	21	20	$195.36	$72.27
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	19	$1839.58	$806.56
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	18	$807.26	$287.36
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	18	15	$872.38	$303.40
11900 Injection into skin growth, 1-7 growths	17	14	$114.04	$47.02
15576 Creation of flap graft to eyelids, nose, ears, lips, or mouth	14	13	$1576.08	$735.59
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	14	13	$420.36	$181.37
15630 Transfer of skin flap to eyelids, nose, ears, or lips	13	12	$927.50	$448.23
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	11	$628.90	$169.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$333.88	$154.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,114	231	$13.06	$6.52
99213 Established patient office or other outpatient visit, typically 15 minutes	854	603	$182.25	$91.45
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	491	371	$1354.56	$572.61
11102 Tangential biopsy of single skin lesion	407	342	$208.90	$95.29
17000 Destruction of skin growth	393	321	$132.32	$45.76
11103 Biopsy of related skin growth, each additional growth	217	133	$106.08	$53.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	213	213	$223.93	$110.90
17110 Destruction of up to 14 skin growths	203	175	$227.66	$109.97
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	191	125	$822.75	$413.15
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	173	35	$210.48	$104.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	156	96	$112.01	$56.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	143	133	$964.35	$251.28
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	90	83	$874.63	$280.99
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	63	55	$780.84	$390.42
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	59	54	$1271.08	$568.00
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	58	52	$289.97	$146.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	18	$10.00	$1.11
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	43	42	$865.14	$244.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	26	$259.32	$130.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	35	$620.01	$202.48
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	30	$358.39	$152.92
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	32	31	$795.10	$195.31
69100 Biopsy of ear	31	30	$199.18	$65.12
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	28	27	$1018.74	$249.09
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	28	27	$2177.64	$1093.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	27	$497.49	$186.76
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	26	$566.14	$165.42
11900 Injection into skin growth, 1-7 growths	26	14	$112.96	$37.83
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	25	$1534.16	$762.43
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$145.60	$70.80
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	23	$816.74	$333.15
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	22	19	$911.78	$297.42
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	21	21	$1995.44	$1006.94
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	18	18	$1844.10	$909.11
15630 Transfer of skin flap to eyelids, nose, ears, or lips	17	17	$927.75	$470.09
15576 Creation of flap graft to eyelids, nose, ears, lips, or mouth	17	17	$1593.10	$807.70
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	16	14	$3184.27	$1097.32
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$246.34	$118.28
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$413.57	$181.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$334.66	$169.60
17004 Destruction of precancer skin growth, 15 or more growths	13	11	$331.84	$168.13
11104 Punch biopsy, first skin growth	12	12	$261.89	$123.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,501	296	$11.98	$6.00
99213 Established patient office or other outpatient visit, typically 15 minutes	577	346	$149.62	$74.92
17000 Destruction of skin growth	505	410	$130.64	$47.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	470	470	$214.89	$107.45
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	434	341	$1330.37	$579.39
11102 Tangential biopsy of single skin lesion	365	310	$199.93	$93.01
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	192	146	$796.97	$402.18
11103 Biopsy of related skin growth, each additional growth	191	123	$106.37	$53.23
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	186	39	$184.60	$94.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	146	135	$960.27	$252.11
17110 Destruction of up to 14 skin growths	140	120	$223.08	$109.11
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	115	110	$864.36	$329.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	104	$217.25	$106.90
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$151.61	$75.09
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	74	58	$353.73	$159.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	11	$4.85	$1.48
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	55	52	$565.38	$163.16
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	44	42	$1246.73	$578.11
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	38	34	$787.50	$387.56
17004 Destruction of precancer skin growth, 15 or more growths	37	32	$316.03	$159.68
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	36	34	$784.83	$197.99
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	35	35	$857.55	$216.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	34	$605.93	$178.89
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	29	26	$263.42	$132.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	24	$495.74	$145.88
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	20	$1551.30	$726.57
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	20	$1015.55	$282.48
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	20	20	$2007.04	$986.11
69100 Biopsy of ear	20	20	$196.72	$74.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	17	$805.22	$342.32
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	17	16	$1867.74	$915.02
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	16	$2184.77	$1103.08
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	13	$241.37	$121.70
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	15	12	$926.61	$301.65
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$603.11	$175.59
11104 Punch biopsy, first skin growth	13	13	$251.35	$123.09
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$545.45	$165.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	500	390	$1336.58	$561.48
99213 Established patient office or other outpatient visit, typically 15 minutes	407	265	$147.80	$72.74
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	254	153	$791.40	$395.20
17003 Destruction of precancer skin growth, 2-14 growths	198	71	$11.24	$5.53
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	157	145	$963.16	$252.74
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	129	118	$863.26	$309.12
17000 Destruction of skin growth	117	104	$130.22	$45.30
11102 Tangential biopsy of single skin lesion	103	95	$196.10	$86.06
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	97	29	$172.64	$106.66
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	69	60	$792.95	$390.22
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	64	53	$1248.92	$545.72
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	60	53	$242.00	$120.86
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	56	52	$569.06	$159.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	40	$607.94	$175.95
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$151.90	$75.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$215.98	$105.87
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	36	36	$781.32	$200.51
17110 Destruction of up to 14 skin growths	36	34	$219.04	$97.24
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	33	$801.18	$315.22
11103 Biopsy of related skin growth, each additional growth	31	22	$105.84	$52.86
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	30	29	$2034.32	$998.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	25	$497.02	$128.70
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	25	$1564.66	$734.48
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	22	21	$1892.16	$923.44
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	20	19	$855.70	$213.66
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	20	$1022.10	$267.96
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	18	17	$2179.90	$1088.57
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	14	$385.30	$162.35
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$531.14	$150.31
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$490.48	$155.15
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$389.86	$123.31
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$336.26	$83.96
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$592.34	$147.91
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	12	12	$1313.58	$382.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	569	305	$145.13	$70.93
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	491	383	$1321.33	$557.39
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	242	51	$168.72	$92.87
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	204	145	$775.98	$382.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	157	144	$953.03	$249.95
17003 Destruction of precancer skin growth, 2-14 growths	122	50	$10.52	$5.07
11100 Biopsy of single growth of skin and/or tissue	110	102	$206.86	$92.37
17000 Destruction of skin growth	97	91	$131.86	$43.76
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	85	80	$853.84	$295.28
17110 Destruction of up to 14 skin growths	81	74	$221.92	$97.58
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	75	62	$1234.62	$530.51
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$148.94	$73.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$215.05	$103.26
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	45	44	$771.60	$186.59
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	39	35	$223.78	$110.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	38	$603.53	$175.41
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	35	$689.57	$398.17
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	34	34	$1014.13	$257.50
11101 Biopsy of each additional growth of skin and/or tissue	33	20	$65.67	$32.39
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	30	$570.69	$158.66
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	31	30	$1893.34	$908.85
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	30	29	$844.28	$208.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	24	$790.90	$288.65
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$496.56	$128.16
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	20	20	$2035.71	$1005.26
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	15	$2163.65	$1068.06
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$1560.50	$770.26
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	15	12	$740.72	$345.82
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$334.14	$94.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	678	329	$143.66	$71.03
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	357	288	$1303.88	$563.30
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	303	54	$120.54	$66.67
99202 New patient office or other outpatient visit, typically 20 minutes	206	206	$148.27	$72.84
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	144	101	$771.48	$377.39
11100 Biopsy of single growth of skin and/or tissue	142	128	$202.84	$82.63
17110 Destruction of up to 14 skin growths	131	113	$218.38	$99.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	127	16	$60.00	$1.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	119	114	$948.32	$241.13
17003 Destruction of precancer skin growth, 2-14 growths	110	44	$11.18	$5.51
17000 Destruction of skin growth	95	82	$132.18	$44.91
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	77	74	$849.10	$276.73
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	74	68	$1228.26	$555.38
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	62	53	$498.20	$353.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$214.78	$103.86
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	58	52	$260.66	$129.34
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	46	45	$760.92	$197.29
11101 Biopsy of each additional growth of skin and/or tissue	42	32	$65.50	$32.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$49.16	$24.62
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	27	27	$841.58	$207.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	25	$601.44	$183.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$213.36	$105.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$493.28	$127.13
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	21	$786.00	$294.72
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	15	$564.94	$155.33
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$378.88	$113.70
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$1004.72	$281.73
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	14	14	$1876.60	$896.97
69100 Biopsy of ear	13	11	$199.60	$75.60
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$575.04	$184.99
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1556.68	$766.13
15576 Creation of flap graft to eyelids, nose, ears, lips, or mouth	11	11	$1614.76	$794.46
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	11	11	$739.58	$363.87

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MO 2001020599

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 - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License MO 2001020599

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

205401409 (MO)

Commercial Insurance / Payer ID Aetna

703212 (MO)

Commercial Insurance / Payer ID Mo-Blue Shield

146422

Commercial Insurance / Payer ID Anthem

853972 (MO)

Commercial Insurance / Payer ID Cigna

3177332 (MO)

Hospital & Practice Group Affiliations

St Louis Dermatology Llc

1011 Bowles Ave, Fenton, MO 630262387

Phone: 3142002713

Practice Associates & Co-Workers

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

2 Associated Practitioners

Allison Brown , FNP

Nurse Practitioner - Family

NPI 1023729605

Family Nurse Practitioner

Anastasia Averbukh , NP

Nurse Practitioner - Family

NPI 1073903134

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2014

Registered at 1011 BOWLES AVE, SUITE 121, FENTON, MO 630262395 (Tel: 3142002713)

📍

Updated Business Mailing Address July 25, 2014

Registered at 1011 BOWLES AVE, SUITE 121, FENTON, MO 630262395 (Tel: 3142002713)

👤

Provider Name / Credentials Updated July 25, 2014

Recorded as JEFFREY PETERSEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2014

Dermatology (License #2001020599 in MO)

🟢

Initial NPI Registration & Enumeration July 17, 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: 1275551707

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: July 25, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1011 Bowles Ave, Suite 121

Fenton, MO 630262395

Phone: 3142002713

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.