Active NPI 1942857404 Individual Practitioner Female Practitioner

Kristina Petkovic , CNP

Nurse Practitioner • Ashtabula, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kristina Petkovic, CNP is a certified Nurse Practitioner practicing in Ashtabula, OH. With approximately 9 years of clinical experience since completing medical education in 2017, Kristina Petkovic delivers high-quality medical care to the local community at 2141 LAKE AVE.

Kristina Petkovic is affiliated with Apex Dermatology And Skin Surgery Center, Llc 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

2141 Lake Ave

Ashtabula, OH 440043435

Telephone 4406967546

Fax 4407558010

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ashtabula, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -2.7 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Ashtabula, OH (4294 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petkovic (9 Years) 9 Yrs

Ashtabula Specialty Average (11.7 Years) 11.7 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	839	164	$12.31	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	782	446	$173.48	$72.71
17000 Destruction of skin growth	421	260	$127.35	$42.29
17110 Destruction of up to 14 skin growths	322	219	$211.91	$82.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	291	291	$213.26	$89.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	55	$245.36	$102.83
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	69	61	$186.79	$56.18
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	62	60	$226.92	$92.09
11102 Tangential biopsy of single skin lesion	55	50	$186.86	$69.09
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	41	36	$215.33	$80.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	31	$107.05	$44.27
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	37	35	$256.53	$103.11
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	26	$228.65	$94.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	15	$1.97	$0.97
17004 Destruction of precancer skin growth, 15 or more growths	24	18	$314.16	$131.64
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	20	20	$196.32	$67.99
11900 Injection into skin growth, 1-7 growths	19	14	$108.03	$39.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$320.89	$134.33
11104 Punch biopsy, first skin growth	15	14	$233.02	$97.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	513	129	$12.56	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	420	336	$174.26	$73.33
17000 Destruction of skin growth	256	207	$128.07	$42.28
17110 Destruction of up to 14 skin growths	166	134	$214.87	$88.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$216.77	$91.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	37	$246.53	$103.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$108.19	$45.66
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	28	25	$192.65	$63.59
11102 Tangential biopsy of single skin lesion	25	25	$192.42	$72.96
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	24	23	$222.29	$85.81
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	24	20	$233.00	$91.75
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	15	$262.06	$103.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$323.20	$135.83
17004 Destruction of precancer skin growth, 15 or more growths	14	14	$322.15	$135.65
88305 Pathology examination of tissue using a microscope, intermediate complexity	13	12	$64.02	$31.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,290	243	$11.60	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	697	446	$156.64	$74.60
17000 Destruction of skin growth	571	358	$127.78	$43.08
17110 Destruction of up to 14 skin growths	347	250	$215.08	$87.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	324	324	$210.97	$92.47
88305 Pathology examination of tissue using a microscope, intermediate complexity	300	223	$119.71	$31.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	261	$214.57	$105.43
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	62	59	$234.86	$91.15
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	54	51	$265.15	$103.17
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	53	46	$269.96	$109.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	39	$98.19	$46.54
11102 Tangential biopsy of single skin lesion	31	31	$192.90	$70.54
17004 Destruction of precancer skin growth, 15 or more growths	31	25	$313.01	$137.80
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	25	$237.55	$97.69
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	24	$305.66	$121.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	14	$53.43	$1.12
11900 Injection into skin growth, 1-7 growths	21	14	$107.87	$39.80
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$277.78	$105.91
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	15	$197.86	$61.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,210	236	$11.00	$5.24
17000 Destruction of skin growth	568	354	$126.00	$41.45
99213 Established patient office or other outpatient visit, typically 15 minutes	536	338	$146.00	$75.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	377	377	$209.00	$92.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	306	$212.00	$107.31
17110 Destruction of up to 14 skin growths	348	229	$214.00	$83.28
88305 Pathology examination of tissue using a microscope, intermediate complexity	249	190	$135.00	$30.96
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	109	97	$234.00	$93.97
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	87	75	$270.00	$110.47
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	55	52	$265.00	$105.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	50	$88.00	$45.69
17004 Destruction of precancer skin growth, 15 or more growths	46	37	$305.00	$135.57
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	36	33	$306.00	$129.56
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	32	31	$237.00	$96.20
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	27	$278.00	$119.04
11102 Tangential biopsy of single skin lesion	29	28	$192.00	$75.81
11900 Injection into skin growth, 1-7 growths	16	14	$106.00	$44.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	14	$114.00	$1.29
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	13	12	$298.00	$118.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	258	82	$11.00	$4.75
99213 Established patient office or other outpatient visit, typically 15 minutes	145	120	$146.00	$61.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$209.00	$89.27
17000 Destruction of skin growth	137	118	$126.00	$39.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	106	$212.00	$89.40
17110 Destruction of up to 14 skin growths	71	63	$214.00	$82.14
88305 Pathology examination of tissue using a microscope, intermediate complexity	53	48	$135.00	$29.44
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	52	43	$270.00	$108.53
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	46	41	$234.00	$86.57
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	34	33	$265.00	$103.37
17004 Destruction of precancer skin growth, 15 or more growths	18	18	$305.00	$129.81
11102 Tangential biopsy of single skin lesion	14	14	$192.00	$67.16
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$237.00	$92.56

Medical Specialties & State Licenses

CMS Verified: 2025-10-20

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH RN.339687

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH CNP.024404

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0371450 (OH)

Hospital & Practice Group Affiliations

Apex Dermatology And Skin Surgery Center, Llc

7580 Auburn Rd, Painesville, OH 440779618

Phone: 4403527546

Practice Associates & Co-Workers

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

6 Associated Practitioners

Melissa Vance , FNP-BC, DCNP

Nurse Practitioner

NPI 1194798603

Family Nurse Practitioner (Board Certified), DCNP

Dr. Cynthia Henry , DO

Dermatology

NPI 1225027337

Doctor of Osteopathic Medicine (D.O.)

Dr. James Lavery , MD

Family Medicine

NPI 1225561194

Doctor of Medicine (M.D.)

Sean Deeley , PA-C

Physician Assistant

NPI 1336021609

Physician Assistant (Certified)

Eva Mahoney , PA

Physician Assistant

NPI 1518628494

Physician Assistant

Sophia Thorman , PA-C

Physician Assistant

NPI 1861087322

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 20, 2025

Registered at 2141 LAKE AVE, ASHTABULA, OH 440043435 (Tel: 4406967546)

📍

Updated Business Mailing Address October 20, 2025

Registered at 2000 AUBURN DR., STE. 350, BEACHWOOD, OH 441224327 (Tel: 4406461600)

👤

Provider Name / Credentials Updated October 20, 2025

Recorded as KRISTINA PETKOVIC, C.N.P.

✅

NPI Profile Active August 20, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2019

Registered at 7580 AUBURN RD STE 301, CONCORD TWP, OH 440779618 (Tel: 4404430423)

📍

Updated Business Mailing Address August 20, 2019

Registered at 5800 LANDERBROOK DR STE 200, MAYFIELD HEIGHTS, OH 441244083 (Tel: 4404430423)

👤

Provider Name / Credentials Updated August 20, 2019

Recorded as KRISTINA PETKOVIC, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Nurse Practitioner (License #CNP.024404 in OH)

🟢

Initial NPI Registration & Enumeration August 20, 2019

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: 1942857404

Entity Type:

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

Enumeration Date: August 20, 2019

Last Update: October 20, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Auburn Dr., Ste. 350

Beachwood, OH 441224327

Phone: 4406461600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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