Active NPI 1124032990 Individual Practitioner Male Practitioner

Dr. David Alan Tack , MD

Dermatology • Carson City, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Tack, MD is a certified Dermatology practicing in Carson City, NV. With approximately 27 years of clinical experience since graduating from University Of Nevada School Of Medicine in 1999, Dr. Tack delivers high-quality medical care to the local community at 1100 S CARSON ST.

Dr. Tack is affiliated with Clemmensen, Adams, And Tack Psc and accepts Medicare assignment.

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

1100 S Carson St

Carson City, NV 897015232

Telephone 7758837811

Associated Practice Facility / Clinic

🏢 Clemmensen, Adams, & Tack Psc Facility NPI 1780852368

Medicare Profile & Education

Medical School

University Of Nevada School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Carson City, NV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +12.3 yrs vs City Avg

City Avg: 14.7 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Carson City, NV (93 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tack (27 Years) 27 Yrs

Carson City Specialty Average (14.7 Years) 14.7 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	6,868	1,177	$8.08	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	2,403	1,671	$95.05	$90.36
17000 Destruction of skin growth	2,012	1,511	$74.69	$44.95
17110 Destruction of up to 14 skin growths	1,377	1,049	$120.35	$111.50
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,053	595	$76.32	$36.01
11102 Tangential biopsy of single skin lesion	643	530	$112.45	$72.32
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	311	258	$727.51	$570.35
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	242	138	$435.10	$407.66
17004 Destruction of precancer skin growth, 15 or more growths	208	164	$190.70	$167.33
11103 Biopsy of related skin growth, each additional growth	168	121	$58.11	$49.91
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	167	151	$322.67	$300.57
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	138	128	$521.71	$234.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	92	$58.55	$56.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$121.73	$110.77
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	85	78	$264.16	$122.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	15	$1.69	$0.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	77	65	$453.67	$211.96
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	51	44	$679.82	$593.52
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	39	$298.94	$139.05
69100 Biopsy of ear	39	36	$107.79	$68.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$134.95	$125.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	35	35	$537.63	$246.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$186.29	$85.91
88304 Pathology examination of tissue using a microscope, moderately low complexity	33	32	$47.93	$10.95
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	32	32	$891.09	$709.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	26	$185.08	$160.03
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	23	$325.64	$310.02
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	21	$212.88	$162.44
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	23	23	$1055.71	$993.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	21	21	$1079.46	$996.86
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	21	16	$412.99	$394.38
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$276.07	$126.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	13	$18.33	$14.28
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	13	$197.32	$169.09
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	15	15	$230.68	$174.10
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	15	$354.71	$322.94
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	15	$1022.29	$891.07
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$238.88	$183.35
11104 Punch biopsy, first skin growth	13	12	$137.70	$124.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,833	1,141	$8.20	$6.73
99213 Established patient office or other outpatient visit, typically 15 minutes	2,335	1,610	$94.64	$90.38
17000 Destruction of skin growth	1,996	1,506	$74.92	$43.60
17110 Destruction of up to 14 skin growths	1,445	1,140	$120.79	$112.29
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,209	669	$76.80	$36.55
11102 Tangential biopsy of single skin lesion	737	592	$112.88	$73.04
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	311	250	$725.93	$577.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	189	166	$326.14	$304.12
11103 Biopsy of related skin growth, each additional growth	184	138	$61.36	$50.66
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	177	110	$432.87	$418.32
17004 Destruction of precancer skin growth, 15 or more growths	171	140	$188.84	$171.86
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	156	140	$522.00	$241.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$118.81	$110.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	89	$57.75	$56.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	18	$1.35	$1.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	74	66	$454.07	$243.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	61	$266.15	$124.58
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	51	$188.72	$87.60
69100 Biopsy of ear	56	54	$107.91	$64.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	55	51	$305.53	$142.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$134.43	$128.75
88304 Pathology examination of tissue using a microscope, moderately low complexity	45	43	$48.77	$11.20
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	42	38	$667.25	$547.01
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	38	37	$1055.71	$996.81
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	29	29	$320.01	$315.72
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$865.49	$780.84
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	22	22	$562.81	$276.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$14.44	$14.25
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$281.83	$134.80
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	14	$400.95	$400.29
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	20	18	$365.93	$298.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	17	$218.36	$176.12
88342 Special stained specimen slides to examine tissue, initial procedure	17	16	$114.74	$100.88
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	12	$236.08	$161.85
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	16	16	$1019.71	$937.09
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$1089.87	$1013.98
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	14	12	$138.33	$129.97
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	12	$350.58	$184.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$189.75	$165.39
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$246.21	$209.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,521	1,232	$7.48	$6.21
99213 Established patient office or other outpatient visit, typically 15 minutes	2,364	1,640	$76.83	$76.56
17000 Destruction of skin growth	2,132	1,553	$74.39	$41.07
17110 Destruction of up to 14 skin growths	1,760	1,294	$120.68	$111.81
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,425	752	$77.17	$37.58
11102 Tangential biopsy of single skin lesion	829	666	$112.31	$68.18
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	286	233	$713.41	$569.48
11103 Biopsy of related skin growth, each additional growth	196	147	$60.17	$52.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	191	171	$330.59	$310.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	166	101	$416.37	$409.04
17004 Destruction of precancer skin growth, 15 or more growths	159	132	$183.20	$162.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	142	128	$515.32	$267.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$118.48	$111.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	73	$47.15	$46.42
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	82	73	$264.39	$127.35
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	71	59	$450.27	$276.15
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	69	67	$192.28	$85.88
69100 Biopsy of ear	64	58	$111.04	$59.92
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	53	52	$323.77	$302.41
88304 Pathology examination of tissue using a microscope, moderately low complexity	44	42	$44.87	$11.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	42	37	$296.70	$145.09
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	32	25	$643.03	$534.94
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	32	32	$276.65	$131.83
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	31	31	$893.80	$760.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	29	28	$526.09	$260.71
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	26	23	$1055.71	$1029.68
88342 Special stained specimen slides to examine tissue, initial procedure	22	20	$108.94	$90.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$112.08	$111.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	19	$189.92	$168.55
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	19	11	$389.77	$391.25
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$232.92	$188.70
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$154.95	$132.75
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	16	$1053.43	$1035.62
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	16	13	$146.04	$134.22
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	14	14	$340.94	$308.82
17111 Destruction of skin growth, 15 or more growths	13	11	$140.58	$137.20
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$230.96	$185.47
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	12	$205.97	$189.80
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$208.81	$93.83
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	11	11	$192.50	$176.01
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$208.77	$103.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,337	1,189	$7.65	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	2,344	1,609	$76.87	$77.05
17000 Destruction of skin growth	2,087	1,525	$75.10	$42.02
17110 Destruction of up to 14 skin growths	1,611	1,204	$120.96	$112.65
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,414	762	$77.59	$38.26
11102 Tangential biopsy of single skin lesion	831	679	$113.61	$72.95
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	279	229	$733.86	$566.05
11103 Biopsy of related skin growth, each additional growth	220	159	$59.78	$54.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	196	120	$428.11	$411.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	177	157	$334.09	$313.33
17004 Destruction of precancer skin growth, 15 or more growths	171	144	$175.81	$163.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$116.11	$111.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	134	$47.83	$48.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	154	130	$513.71	$286.86
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	85	78	$454.52	$287.63
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	75	69	$180.30	$90.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	59	$271.52	$129.79
69100 Biopsy of ear	63	61	$109.36	$60.90
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	47	41	$301.93	$147.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	45	36	$670.03	$586.13
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	37	36	$1098.10	$1039.80
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	29	21	$398.47	$394.02
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	29	29	$316.33	$287.51
88304 Pathology examination of tissue using a microscope, moderately low complexity	28	28	$47.78	$11.78
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	24	22	$140.90	$137.28
88342 Special stained specimen slides to examine tissue, initial procedure	22	19	$107.19	$107.44
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	21	$281.15	$127.82
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$877.81	$803.17
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	$1152.96	$918.11
17111 Destruction of skin growth, 15 or more growths	18	16	$136.96	$134.28
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	16	$411.78	$352.36
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	15	$226.98	$163.07
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	16	13	$215.73	$197.34
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$551.33	$266.32
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$193.15	$181.97
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	13	$340.66	$188.88
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$225.46	$198.93
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	14	14	$312.39	$157.09
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	14	$127.26	$126.56
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$215.37	$104.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$181.58	$174.96
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	11	11	$192.50	$180.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,974	1,171	$7.38	$6.09
17000 Destruction of skin growth	2,143	1,541	$74.32	$43.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,930	1,517	$114.32	$111.26
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,733	855	$66.55	$39.83
17110 Destruction of up to 14 skin growths	1,380	1,059	$119.83	$111.08
11102 Tangential biopsy of single skin lesion	974	774	$110.49	$74.64
99213 Established patient office or other outpatient visit, typically 15 minutes	499	384	$76.19	$76.27
11103 Biopsy of related skin growth, each additional growth	320	234	$61.41	$54.82
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	317	240	$723.96	$597.45
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	229	123	$440.08	$405.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	205	183	$330.20	$311.65
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	177	143	$515.75	$273.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$116.52	$110.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	110	$46.97	$46.22
17004 Destruction of precancer skin growth, 15 or more growths	123	100	$166.20	$161.09
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	81	77	$184.51	$88.43
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	81	73	$453.18	$298.60
69100 Biopsy of ear	71	65	$111.21	$63.97
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	69	58	$303.30	$146.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	67	64	$264.50	$126.98
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	35	34	$537.63	$263.65
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	33	33	$308.91	$308.19
96900 Application of ultraviolet light to skin	33	13	$22.76	$22.38
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	32	29	$680.99	$544.41
88304 Pathology examination of tissue using a microscope, moderately low complexity	32	31	$32.79	$12.03
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	22	$218.74	$179.08
88342 Special stained specimen slides to examine tissue, initial procedure	27	21	$106.70	$105.30
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	27	24	$142.90	$137.57
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	25	25	$1118.45	$1040.19
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	23	$266.76	$132.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	19	$431.21	$356.50
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	21	20	$1105.48	$1046.85
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	19	$941.57	$770.24
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	19	$217.03	$177.48
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$215.79	$102.32
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$80.26	$77.58
11104 Punch biopsy, first skin growth	17	14	$127.79	$125.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$186.49	$153.00
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	16	13	$131.35	$126.24
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	16	11	$436.44	$391.99
17111 Destruction of skin growth, 15 or more growths	15	12	$140.10	$135.05
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$191.63	$93.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,868	1,114	$6.97	$5.65
17000 Destruction of skin growth	1,920	1,433	$73.30	$44.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,827	1,530	$113.78	$108.61
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,626	839	$51.06	$39.06
17110 Destruction of up to 14 skin growths	1,039	839	$118.28	$108.18
11102 Tangential biopsy of single skin lesion	934	765	$106.41	$78.37
99213 Established patient office or other outpatient visit, typically 15 minutes	594	446	$75.65	$73.94
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	276	222	$712.73	$587.38
11103 Biopsy of related skin growth, each additional growth	256	189	$56.26	$53.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	250	137	$417.67	$398.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	226	195	$326.11	$301.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	156	$46.16	$44.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	166	145	$514.20	$283.89
17004 Destruction of precancer skin growth, 15 or more growths	165	130	$175.09	$153.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$115.02	$108.56
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	108	99	$182.93	$86.21
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	76	62	$449.58	$308.27
69100 Biopsy of ear	64	62	$109.14	$67.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	61	$268.49	$128.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	55	49	$302.60	$144.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	13	$1.35	$1.33
88342 Special stained specimen slides to examine tissue, initial procedure	39	31	$89.51	$85.07
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	33	33	$587.29	$259.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	29	$184.46	$160.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	28	22	$643.03	$543.00
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	27	$806.96	$787.97
88304 Pathology examination of tissue using a microscope, moderately low complexity	26	26	$22.63	$11.73
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	25	15	$388.24	$382.27
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	23	$212.03	$195.22
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	22	$304.85	$256.03
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$78.85	$76.34
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	20	18	$189.46	$180.14
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$203.32	$98.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	18	$205.09	$175.34
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	19	11	$127.26	$123.40
17111 Destruction of skin growth, 15 or more growths	18	18	$136.96	$132.94
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	18	15	$145.18	$134.73
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	12	$411.66	$310.40
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	17	15	$332.88	$187.87
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	16	$1053.43	$1029.91
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	15	14	$1055.71	$1025.93
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$266.76	$130.37
11104 Punch biopsy, first skin growth	15	14	$134.61	$125.22
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$185.77	$90.38
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$204.56	$88.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,469	1,094	$6.57	$5.18
17000 Destruction of skin growth	1,956	1,411	$72.05	$45.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,724	1,454	$113.13	$105.46
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,379	735	$74.12	$38.51
17110 Destruction of up to 14 skin growths	1,035	809	$116.67	$107.08
11100 Biopsy of single growth of skin and/or tissue	808	657	$108.82	$81.67
99213 Established patient office or other outpatient visit, typically 15 minutes	682	512	$75.56	$71.60
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	292	247	$700.99	$572.37
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	266	152	$408.46	$384.19
11101 Biopsy of each additional growth of skin and/or tissue	214	171	$35.63	$32.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	210	189	$45.50	$42.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	189	170	$317.77	$293.73
17004 Destruction of precancer skin growth, 15 or more growths	181	149	$167.30	$142.84
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	162	143	$503.84	$265.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$112.46	$105.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	106	97	$262.74	$121.86
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	93	87	$446.34	$305.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	19	$1.43	$1.39
69100 Biopsy of ear	59	53	$106.95	$69.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	57	52	$302.07	$136.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	47	46	$543.28	$270.91
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	40	$174.11	$84.52
88304 Pathology examination of tissue using a microscope, moderately low complexity	39	34	$44.40	$12.49
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	34	33	$271.41	$126.90
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	34	33	$301.79	$277.23
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	29	29	$138.33	$131.22
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$77.75	$73.82
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	27	$212.03	$168.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	16	$40.71	$20.28
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	24	15	$388.24	$366.87
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	24	20	$643.03	$534.15
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	22	$836.22	$749.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	16	$190.85	$125.41
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	18	18	$1053.43	$999.44
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$202.28	$95.26
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	17	15	$333.47	$192.36
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$193.15	$140.95
17111 Destruction of skin growth, 15 or more growths	16	15	$138.40	$131.10
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	15	$326.13	$267.89
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	15	14	$185.63	$175.56
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	14	14	$1055.71	$1000.52
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$415.38	$390.99
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$200.03	$87.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,579	984	$6.50	$5.54
17000 Destruction of skin growth	1,766	1,318	$72.10	$45.99
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,455	830	$72.54	$40.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,397	1,186	$112.80	$105.15
17110 Destruction of up to 14 skin growths	956	787	$116.57	$104.97
11100 Biopsy of single growth of skin and/or tissue	716	606	$109.63	$79.40
99213 Established patient office or other outpatient visit, typically 15 minutes	635	477	$75.50	$71.34
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	243	215	$714.38	$564.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	227	140	$415.28	$379.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	224	190	$45.75	$42.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	185	166	$318.25	$297.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	178	178	$114.97	$106.36
11101 Biopsy of each additional growth of skin and/or tissue	166	131	$37.24	$31.58
17004 Destruction of precancer skin growth, 15 or more growths	150	119	$160.91	$148.28
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	148	135	$508.67	$268.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	18	$1.43	$1.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	97	87	$262.28	$123.73
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	75	67	$448.45	$331.40
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	70	65	$174.50	$81.85
69100 Biopsy of ear	61	56	$105.66	$64.53
96900 Application of ultraviolet light to skin	50	11	$21.86	$20.75
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	34	$300.52	$139.82
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	35	34	$280.34	$126.57
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	31	29	$305.14	$266.76
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	28	28	$540.63	$276.37
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	28	$855.38	$748.17
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	27	25	$140.79	$131.26
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$78.48	$73.52
88304 Pathology examination of tissue using a microscope, moderately low complexity	27	23	$40.53	$13.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	19	$39.33	$24.63
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	26	13	$394.00	$368.42
17111 Destruction of skin growth, 15 or more growths	21	16	$136.97	$127.10
88342 Special stained specimen slides to examine tissue, initial procedure	18	14	$91.43	$46.33
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	17	15	$686.66	$538.42
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$235.71	$166.11
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	15	13	$1108.00	$1002.22
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$226.51	$170.26
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$199.35	$94.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$188.53	$143.59
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	11	11	$185.48	$175.98

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NV 11209

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 Nv State Med. Lic #

11209 (NV)

Hospital & Practice Group Affiliations

Clemmensen, Adams, And Tack Psc

1505 Medical Pkwy, Carson City, NV 897034634

Phone: 7758837811

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Jay Adams , MD

Dermatology - Procedural Dermatology

NPI 1518923424

Doctor of Medicine (M.D.)

Brianne Madsen , PA-C

Dermatology

NPI 1831478254

Physician Assistant (Certified)

Dr. Ruth Adams , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1841214632

Doctor of Medicine (M.D.)

Dr. Charles Clemmensen , MD

Internal Medicine

NPI 1871551747

Doctor of Medicine (M.D.)

Emily Field , AGNP-C

Nurse Practitioner - Gerontology

NPI 1881479327

Adult-Gerontology Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1100 S CARSON ST, CARSON CITY, NV 897015232 (Tel: 7758837811)

📍

Updated Business Mailing Address July 08, 2007

Registered at 227 ST ALBANS PL, CARSON CITY, NV 897034546 (Tel: 7758415259)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID TACK, M.D.

🎓

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

Dermatology (License #11209 in NV)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1124032990

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

227 St Albans Pl

Carson City, NV 897034546

Phone: 7758415259

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.