Deactivated NPI 1497723654 Deactivated / Inactive NPI Male Practitioner

Dr. John Robert Tkach , MD

Dermatology • Bozeman, MT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Tkach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2006

NPI Deactivation Date May 31, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Tkach, MD was a registered Dermatology practicing in Bozeman, MT. Throughout an active medical career spanning 17 years, Dr. Tkach provided care at the practice location at 300 N WILLSON until profile deactivation on 2023-05-31.

Historical Medicare Part B clinical services included destruction of precancer skin growth, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

300 N Willson
Ste 203b

Bozeman, MT 59715

Telephone 4065875442

Associated Practice Facility / Clinic

🏢 Bozeman Skin Clinic Professional Corporation Facility NPI 1275701351

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bozeman, MT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.3 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Bozeman, MT (58 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$176.71	$154.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,138	133	$6.54	$5.60
17004 Destruction of precancer skin growth, 15 or more growths	192	148	$173.90	$149.33
17000 Destruction of skin growth	174	140	$70.77	$60.76
99213 Established patient office or other outpatient visit, typically 15 minutes	76	50	$82.66	$70.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	34	$122.12	$104.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$51.35	$42.83
17110 Destruction of up to 14 skin growths	32	29	$113.52	$98.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$123.57	$106.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,041	116	$5.81	$5.02
17004 Destruction of precancer skin growth, 15 or more growths	216	153	$156.35	$135.59
17000 Destruction of skin growth	156	120	$67.89	$58.74
99213 Established patient office or other outpatient visit, typically 15 minutes	86	53	$77.41	$67.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	43	$114.06	$99.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	45	$45.72	$39.88
17110 Destruction of up to 14 skin growths	47	32	$104.75	$91.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$115.71	$100.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,177	140	$6.13	$5.26
17004 Destruction of precancer skin growth, 15 or more growths	220	170	$161.45	$138.50
17000 Destruction of skin growth	176	148	$69.01	$58.78
99213 Established patient office or other outpatient visit, typically 15 minutes	109	56	$78.36	$66.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	47	$114.53	$98.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$45.10	$38.77
17110 Destruction of up to 14 skin growths	38	27	$101.94	$89.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$116.07	$99.66

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MT 3871

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners

Holly Hausmann , PA-C

Physician Assistant - Medical

NPI 1174592604

Physician Assistant (Certified)

Lorinda Ross , NP

Nurse Practitioner - Women's Health

NPI 1477522076

Nurse Practitioner

Kathleen Damberger , CNP

Nurse Practitioner - Women's Health

NPI 1508835232

Certified Nurse Practitioner

Mary Lane , CNP

Nurse Practitioner - Women's Health

NPI 1578532032

Certified Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

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NPI Profile Deactivated May 31, 2023

Record deactivated on May 31, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2023

Dermatology (License #3871 in MT)

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 300 N WILLSON, STE 203B, BOZEMAN, MT 59715 (Tel: 4065875442)

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Updated Business Mailing Address July 08, 2007

Registered at 300 N WILLSON, STE 203B, BOZEMAN, MT 59715 (Tel: 4065875442)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN TKACH, MD

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

Dermatology (License #3871 in MT)

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Initial NPI Registration & Enumeration March 14, 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: 1497723654

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: July 08, 2007

Deactivation Date: May 31, 2023

Update or Correct Profile

Mailing Address

300 N Willson, Ste 203b

Bozeman, MT 59715

Phone: 4065875442

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.