Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558400788 Individual Practitioner Male Practitioner

Dr. Raffaele Pennella , MD

Dermatology • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raffaele Pennella, MD is a certified Dermatology practicing in Springfield, MO. With approximately 35 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1991, Dr. Pennella delivers high-quality medical care to the local community at 3808 S GREYSTONE CT.

Dr. Pennella is affiliated with Craig Naugle Md Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3808 S Greystone Ct

Springfield, MO 65804

Telephone 4178893332
Fax 4178811410
Associated Practice Facility / Clinic
🏢 Raffaele Pennella Md Llc Facility NPI 1568992782

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +9.9 yrs vs City Avg
City Avg: 25.1 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Springfield, MO (287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pennella (35 Years) 35 Yrs
Springfield Specialty Average (25.1 Years) 25.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
3,023 1,886 $88.67 $34.14
17003 Destruction of precancer skin growth, 2-14 growths
1,729 419 $11.79 $5.80
99213 Established patient office or other outpatient visit, typically 15 minutes
1,364 1,122 $168.63 $83.73
17000 Destruction of skin growth
774 616 $122.49 $45.08
17110 Destruction of up to 14 skin growths
462 422 $202.71 $96.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
414 365 $103.98 $51.67
11102 Tangential biopsy of single skin lesion
322 297 $178.90 $75.38
88304 Pathology examination of tissue using a microscope, moderately low complexity
124 111 $19.38 $10.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
89 77 $323.62 $149.84
88341 Special stained specimen slides to examine tissue
73 19 $51.58 $25.61
11103 Biopsy of related skin growth, each additional growth
72 54 $89.94 $43.63
69100 Biopsy of ear
47 47 $171.88 $60.87
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
45 39 $268.25 $112.46
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth
37 36 $327.01 $149.34
88342 Special stained specimen slides to examine tissue, initial procedure
31 28 $64.17 $31.88
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
28 27 $343.14 $167.47
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
26 25 $301.62 $126.73
99202 New patient office or other outpatient visit, typically 20 minutes
26 26 $132.77 $66.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $206.85 $102.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
18 17 $3.13 $1.00
88312 Special stained specimen slides to identify organisms including interpretation and report
18 15 $49.09 $24.37
11900 Injection into skin growth, 1-7 growths
18 18 $104.00 $38.20
17111 Destruction of skin growth, 15 or more growths
17 15 $238.97 $118.65
17004 Destruction of precancer skin growth, 15 or more growths
16 12 $300.70 $149.39
11104 Punch biopsy, first skin growth
14 14 $222.54 $110.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $238.98 $118.73
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
13 13 $374.92 $186.10
11200 Removal of skin tag, 1-15 skin tags
11 11 $167.94 $60.63

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MO 110288

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
156123001 (AR)
Medicaid State Provider ID
208269902 (MO)
Commercial Insurance / Payer ID Ark Blue Shield
81292 (AR)
Commercial Insurance / Payer ID Mo Blue Shield
31905 (MO)

Hospital & Practice Group Affiliations

Craig Naugle Md Llc

3808 S Greystone Ct, Springfield, MO 658046561

Phone: 4178893332

Practice Associates & Co-Workers

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

8 Associated Practitioners
Erin York , PA-C

Physician Assistant

NPI 1013456045

Physician Assistant (Certified)

Dr. Craig Naugle , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1104805381

Doctor of Medicine (M.D.)

NPI 1295963536

Doctor of Medicine (M.D.)

Amanda Goddard , PA-C

Physician Assistant

NPI 1356570576

Physician Assistant (Certified)

Erin Lewis , NP-C

Nurse Practitioner

NPI 1356955231

Nurse Practitioner (Certified)

NPI 1801866231

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 December 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2016

Registered at 3808 S GREYSTONE CT, SPRINGFIELD, MO 65804 (Tel: 4178893332)

📍
Updated Business Mailing Address December 08, 2016

Registered at 3808 S GREYSTONE CT, SPRINGFIELD, MO 65804 (Tel: 4178893332)

👤
Provider Name / Credentials Updated December 08, 2016

Recorded as RAFFAELE PENNELLA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Dermatology (License #110288 in MO)

🟢
Initial NPI Registration & Enumeration February 05, 2007

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: 1558400788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2007
Last Update: December 08, 2016
Sole Proprietor: Yes

Mailing Address

3808 S Greystone Ct

Springfield, MO 65804

Phone: 4178893332

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.