Deactivated NPI 1487696407 Deactivated / Inactive NPI Male Practitioner

Dr. L. Robert Smith , MD

Specialist • Vineland, NJ

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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. L. Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 12, 2006

NPI Deactivation Date April 03, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. L. Smith, MD was a registered Specialist practicing in Vineland, NJ. Throughout an active medical career spanning 19 years, Dr. Smith provided care at the practice location at 1176 KARIN ST until profile deactivation on 2025-04-03.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, 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

1176 Karin St

Vineland, NJ 083604209

Telephone 8566911737

Fax 8566914991

Associated Practice Facility / Clinic

🏢 A & A Dermatology Associate Pa Facility NPI 1770913634

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Vineland, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.0 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

21 Specialists

Practicing in Vineland, NJ (1802 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	175	34	$15.34	$7.38
99213 Established patient office or other outpatient visit, typically 15 minutes	149	87	$197.74	$96.50
17000 Destruction of skin growth	73	48	$151.62	$67.41
17110 Destruction of up to 14 skin growths	35	27	$260.52	$125.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$245.24	$119.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	213	55	$9.13	$7.67
99213 Established patient office or other outpatient visit, typically 15 minutes	164	111	$104.70	$98.64
17000 Destruction of skin growth	111	79	$84.53	$69.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$130.92	$121.60
17110 Destruction of up to 14 skin growths	27	24	$143.47	$126.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	431	74	$23.26	$7.51
99213 Established patient office or other outpatient visit, typically 15 minutes	255	138	$162.60	$100.61
17000 Destruction of skin growth	169	107	$171.26	$67.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	40	$239.24	$143.50
17110 Destruction of up to 14 skin growths	52	34	$250.94	$128.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$240.66	$124.24
11104 Punch biopsy, first skin growth	24	23	$400.00	$150.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	272	61	$23.26	$6.53
17000 Destruction of skin growth	107	80	$171.26	$61.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	82	$239.24	$114.49
99213 Established patient office or other outpatient visit, typically 15 minutes	68	50	$162.60	$79.16
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$166.40	$80.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$98.28	$48.45
17110 Destruction of up to 14 skin growths	23	19	$250.94	$117.79
11104 Punch biopsy, first skin growth	17	17	$400.00	$136.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$240.66	$114.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	532	93	$23.26	$5.98
17000 Destruction of skin growth	175	123	$171.26	$63.28
99213 Established patient office or other outpatient visit, typically 15 minutes	160	119	$162.35	$77.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	91	$239.24	$112.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	32	$98.28	$47.44
11104 Punch biopsy, first skin growth	40	35	$400.00	$132.51
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$166.40	$80.04
17110 Destruction of up to 14 skin growths	33	22	$250.94	$115.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	11	$20.00	$1.58
11102 Tangential biopsy of single skin lesion	28	24	$400.00	$103.81
17004 Destruction of precancer skin growth, 15 or more growths	15	12	$338.22	$160.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$240.66	$112.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,033	371	$60.00	$5.31
17000 Destruction of skin growth	784	511	$150.00	$66.59
99213 Established patient office or other outpatient visit, typically 15 minutes	612	427	$150.00	$72.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	279	195	$130.00	$43.73
11100 Biopsy of single growth of skin and/or tissue	222	177	$240.00	$106.81
99201 New patient office or other outpatient visit, typically 10 minutes	180	180	$140.00	$44.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	47	$200.00	$106.36
17004 Destruction of precancer skin growth, 15 or more growths	59	40	$700.00	$145.39
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	32	28	$300.00	$118.07
17110 Destruction of up to 14 skin growths	27	18	$150.00	$113.81
11101 Biopsy of each additional growth of skin and/or tissue	26	23	$240.00	$32.40
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	20	$730.00	$204.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$590.00	$171.17
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	14	$240.00	$93.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,816	370	$60.00	$5.70
17000 Destruction of skin growth	708	469	$150.00	$66.73
99213 Established patient office or other outpatient visit, typically 15 minutes	683	456	$150.00	$72.16
11100 Biopsy of single growth of skin and/or tissue	252	201	$240.00	$103.26
99201 New patient office or other outpatient visit, typically 10 minutes	180	180	$140.00	$43.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	98	$130.00	$43.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	47	$200.00	$105.96
17110 Destruction of up to 14 skin growths	52	26	$150.00	$112.52
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	45	39	$300.00	$120.63
17004 Destruction of precancer skin growth, 15 or more growths	42	32	$700.00	$151.22
11101 Biopsy of each additional growth of skin and/or tissue	37	26	$240.00	$32.48
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$730.00	$204.80
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	18	$240.00	$96.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$590.00	$175.35
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	12	$670.00	$178.13

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA03230500

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

✅

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 1176 KARIN ST, VINELAND, NJ 083604209 (Tel: 8566911737)

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Updated Business Mailing Address July 08, 2007

Registered at 175 WINDING WAY, HADDONFIELD, NJ 080333608 (Tel: 8564298363)

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Provider Name / Credentials Updated July 08, 2007

Recorded as L. SMITH, M.D.

🎓

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

Specialist (License #25MA03230500 in NJ)

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Initial NPI Registration & Enumeration June 12, 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: 1487696407

Entity Type:

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

Enumeration Date: June 12, 2006

Last Update: July 08, 2007

Deactivation Date: April 03, 2025

Update or Correct Profile

Mailing Address

175 Winding Way

Haddonfield, NJ 080333608

Phone: 8564298363

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.