Active NPI 1427041151 Individual Practitioner Male Practitioner

Dr. Drore Eisen , MD

Dermatology • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Drore Eisen, MD is a certified Dermatology practicing in Cincinnati, OH. With approximately 40 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 1986, Dr. Eisen delivers high-quality medical care to the local community at 10506 MONTGOMERY RD.

Dr. Eisen maintains professional affiliations with Oxford Physical Therapy And Rehabilitation, Dermatologists Of Southwestern Ohio, 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

10506 Montgomery Rd
#402

Cincinnati, OH 452424487

Telephone 5137916161

Associated Practice Facility / Clinic

🏢 Bethesda Hospiatl Inc Facility NPI 1487613238

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +20.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

60 Specialists

Practicing in Cincinnati, OH (528 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Eisen (40 Years) 40 Yrs

Cincinnati Specialty Average (19.7 Years) 19.7 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	3,281	561	$10.80	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	1,911	1,551	$155.02	$85.53
17000 Destruction of skin growth	976	765	$111.39	$53.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	487	372	$221.38	$120.48
11102 Tangential biopsy of single skin lesion	243	224	$174.09	$85.69
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	221	183	$209.83	$99.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	125	103	$301.89	$148.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$287.26	$158.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	80	$96.23	$52.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$192.20	$105.16
17110 Destruction of up to 14 skin growths	52	48	$190.03	$96.59
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	42	40	$304.41	$153.91
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	41	39	$250.43	$120.80
17004 Destruction of precancer skin growth, 15 or more growths	41	31	$275.02	$151.96
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	40	35	$319.85	$162.34
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	28	$350.16	$181.24
40808 Biopsy of mouth	27	25	$285.22	$149.59
11103 Biopsy of related skin growth, each additional growth	25	22	$88.88	$46.15
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$124.13	$67.61
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$239.84	$126.52
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	17	$211.26	$109.50
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	12	$281.35	$143.93
11200 Removal of skin tag, 1-15 skin tags	13	13	$151.97	$85.96
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$236.97	$121.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,391	567	$10.80	$6.21
99213 Established patient office or other outpatient visit, typically 15 minutes	1,932	1,550	$155.02	$85.91
17000 Destruction of skin growth	985	762	$111.39	$53.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	437	342	$221.38	$121.66
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	251	197	$209.83	$102.49
11102 Tangential biopsy of single skin lesion	198	189	$174.09	$87.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	110	85	$301.89	$149.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$192.20	$107.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	67	$96.23	$53.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$287.26	$157.27
17110 Destruction of up to 14 skin growths	55	55	$190.03	$93.92
17004 Destruction of precancer skin growth, 15 or more growths	52	40	$279.11	$159.36
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	45	40	$304.41	$153.48
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	43	41	$239.84	$128.02
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	42	38	$319.85	$167.95
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	37	31	$250.43	$124.26
40808 Biopsy of mouth	33	28	$285.22	$146.97
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	26	$350.16	$191.38
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	25	25	$211.26	$111.43
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	23	$236.97	$129.56
11103 Biopsy of related skin growth, each additional growth	20	18	$88.88	$47.26
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	18	17	$327.20	$177.49
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$124.13	$68.58
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$281.35	$136.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,643	577	$10.80	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	1,956	1,581	$155.25	$87.62
17000 Destruction of skin growth	955	764	$111.39	$54.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	301	$219.70	$123.24
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	338	259	$209.83	$103.31
11102 Tangential biopsy of single skin lesion	145	138	$174.09	$88.59
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	124	99	$301.89	$155.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	108	$95.96	$54.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$192.08	$109.10
17004 Destruction of precancer skin growth, 15 or more growths	69	58	$279.11	$161.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$287.38	$162.52
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	55	48	$304.41	$160.31
17110 Destruction of up to 14 skin growths	45	42	$190.03	$94.51
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	42	36	$319.85	$164.24
40808 Biopsy of mouth	41	39	$285.22	$157.97
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	37	36	$250.43	$127.79
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	33	33	$239.84	$123.41
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	28	$350.16	$188.33
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	29	$236.97	$125.71
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$211.26	$115.31
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$124.13	$70.37
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$281.35	$140.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,049	585	$10.82	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	2,137	1,692	$155.82	$88.80
17000 Destruction of skin growth	911	726	$111.47	$52.72
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	371	287	$209.88	$105.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	249	$221.50	$126.28
17004 Destruction of precancer skin growth, 15 or more growths	239	173	$279.14	$159.49
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	145	106	$301.87	$153.63
11102 Tangential biopsy of single skin lesion	143	135	$174.22	$85.92
17110 Destruction of up to 14 skin growths	105	100	$190.26	$95.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	80	$95.25	$54.37
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	74	68	$239.85	$121.31
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	65	59	$304.41	$157.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$191.91	$108.29
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	37	$350.16	$189.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$288.09	$164.49
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	44	36	$319.85	$159.93
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	43	42	$236.98	$125.22
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	39	36	$250.43	$115.58
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	39	38	$211.32	$114.53
40808 Biopsy of mouth	23	21	$285.22	$155.89
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	22	16	$327.20	$178.47
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	21	$281.35	$131.54
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$124.13	$70.93
11103 Biopsy of related skin growth, each additional growth	19	16	$88.88	$48.79
11200 Removal of skin tag, 1-15 skin tags	13	13	$151.97	$60.12
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$270.48	$148.62
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$245.09	$140.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,939	498	$11.73	$5.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,741	1,518	$123.58	$70.56
17000 Destruction of skin growth	743	625	$111.94	$52.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	499	442	$78.49	$42.45
17004 Destruction of precancer skin growth, 15 or more growths	206	170	$261.46	$146.86
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	143	126	$199.95	$101.71
11102 Tangential biopsy of single skin lesion	132	124	$162.27	$83.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	98	78	$299.38	$146.79
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$128.37	$71.62
17110 Destruction of up to 14 skin growths	42	40	$184.02	$99.70
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	40	36	$321.66	$152.03
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	38	37	$226.01	$119.14
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	31	$248.87	$119.76
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	24	$325.74	$162.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$179.70	$101.46
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	18	$354.76	$175.88
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$223.96	$126.55
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	15	$291.14	$134.25
40808 Biopsy of mouth	13	12	$258.78	$141.96
11103 Biopsy of related skin growth, each additional growth	13	13	$88.59	$49.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,640	721	$17.26	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	2,618	2,034	$103.65	$69.22
17000 Destruction of skin growth	1,128	898	$115.07	$49.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	458	380	$78.87	$41.79
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	436	347	$173.67	$95.73
17004 Destruction of precancer skin growth, 15 or more growths	324	223	$243.70	$140.64
11102 Tangential biopsy of single skin lesion	177	165	$138.79	$82.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	156	112	$303.08	$142.74
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	101	93	$212.03	$118.66
99202 New patient office or other outpatient visit, typically 20 minutes	90	90	$123.78	$70.54
17110 Destruction of up to 14 skin growths	83	79	$157.33	$89.64
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	81	79	$189.26	$122.63
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	71	60	$343.59	$153.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$153.60	$101.43
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	56	55	$168.66	$99.59
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	52	49	$249.81	$122.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	36	$172.33	$101.72
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	42	33	$383.33	$167.32
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	40	34	$352.75	$165.22
40808 Biopsy of mouth	38	36	$225.00	$168.65
11103 Biopsy of related skin growth, each additional growth	21	17	$75.00	$48.86
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	20	$310.50	$136.87
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	18	$197.78	$133.66
11200 Removal of skin tag, 1-15 skin tags	14	14	$177.14	$67.08
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$270.00	$141.39
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	11	$335.00	$165.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,143	762	$20.00	$4.88
99213 Established patient office or other outpatient visit, typically 15 minutes	2,652	2,048	$105.00	$67.91
17000 Destruction of skin growth	1,248	962	$120.00	$52.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	434	359	$85.00	$40.57
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	292	245	$140.00	$100.64
17004 Destruction of precancer skin growth, 15 or more growths	242	179	$250.00	$132.78
11100 Biopsy of single growth of skin and/or tissue	210	194	$165.00	$88.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	139	117	$320.00	$151.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$155.00	$100.87
17110 Destruction of up to 14 skin growths	77	72	$158.00	$93.36
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	73	72	$220.00	$98.91
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$125.00	$69.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	50	40	$370.00	$158.00
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	44	41	$270.00	$120.00
40808 Biopsy of mouth	43	38	$225.00	$162.10
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	38	37	$170.00	$106.80
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	34	32	$170.00	$125.05
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	29	28	$370.00	$154.53
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	24	$420.00	$182.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$175.00	$100.73
11101 Biopsy of each additional growth of skin and/or tissue	20	19	$80.00	$30.66
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	14	$320.00	$152.03
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$200.00	$134.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,372	785	$20.00	$5.15
99213 Established patient office or other outpatient visit, typically 15 minutes	2,448	1,885	$105.00	$67.55
17000 Destruction of skin growth	1,276	970	$120.00	$54.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	382	324	$85.00	$40.10
11100 Biopsy of single growth of skin and/or tissue	199	179	$165.00	$87.84
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	164	144	$140.00	$102.25
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	108	89	$320.00	$148.73
17004 Destruction of precancer skin growth, 15 or more growths	106	87	$250.00	$137.67
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$125.00	$68.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$155.00	$100.28
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	51	49	$270.00	$118.41
17110 Destruction of up to 14 skin growths	50	47	$158.00	$96.08
40808 Biopsy of mouth	35	34	$225.00	$166.47
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	32	32	$220.00	$102.47
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	32	28	$170.00	$113.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$175.00	$98.45
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	27	$370.00	$165.52
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	26	24	$370.00	$157.61
11101 Biopsy of each additional growth of skin and/or tissue	23	17	$80.00	$30.39
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	22	$170.00	$109.57
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	14	$320.00	$150.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$30.00	$18.43
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$420.00	$188.34

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 35-05-9790

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

0866102 (OH)

Hospital & Practice Group Affiliations

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Dermatologists Of Southwestern Ohio, Llc

7691 5 Mile Rd, Cincinnati, OH 452304348

Phone: 5132323332

Practice Associates & Co-Workers

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

2 Associated Practitioners

Amy Andrews , FNP-C

Nurse Practitioner - Family

NPI 1205230356

Family Nurse Practitioner (Certified)

Dr. Paul Lucky , MD

Dermatology

NPI 1720119068

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2017

Registered at 10506 MONTGOMERY RD, #402, CINCINNATI, OH 452424487 (Tel: 5137916161)

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Updated Business Mailing Address June 08, 2017

Registered at 10506 MONTGOMERY RD, #402, CINCINNATI, OH 452424487 (Tel: 5137916161)

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Provider Name / Credentials Updated June 08, 2017

Recorded as DRORE EISEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Dermatology (License #35-05-9790 in OH)

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NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2016

Registered at 10506 MONTGOMERY RD, #402, CINCINNATI, OH 452424487 (Tel: 5137916161)

📍

Updated Business Mailing Address August 03, 2016

Registered at 10506 MONTGOMERY RD, #402, CINCINNATI, OH 452424487 (Tel: 5137916161)

👤

Provider Name / Credentials Updated August 03, 2016

Recorded as DRORE EISEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Dermatology (License #35-05-9790 in OH)

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Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427041151

Entity Type:

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

Enumeration Date: August 29, 2005

Last Update: June 08, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10506 Montgomery Rd, #402

Cincinnati, OH 452424487

Phone: 5137916161

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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