Active NPI 1316268618 Individual Practitioner Male Practitioner

Dr. Nicholas Andrew Benner , DO

Dermatology • Columbus, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Benner, DO is a certified Dermatology practicing in Columbus, OH. With approximately 16 years of clinical experience since graduating from Ohio University, College Of Osteopathic Medicine in 2010, Dr. Benner delivers high-quality medical care to the local community at 3555 OLENTANGY RIVER RD.

Dr. Benner is affiliated with 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

3555 Olentangy River Rd
Ste. 4000

Columbus, OH 432143912

Telephone 6142682748

Fax 6142633376

Associated Practice Facility / Clinic

🏢 Orthopaedic Surgery Inc Facility NPI 1093816480

Medicare Profile & Education

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Columbus, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -5.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Columbus, OH (528 Statewide)

Telehealth Adoption Rate

11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benner (16 Years) 16 Yrs

Columbus Specialty Average (21.5 Years) 21.5 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	1,826	346	$10.80	$6.08
99213 Established patient office or other outpatient visit, typically 15 minutes	733	631	$155.05	$85.35
17000 Destruction of skin growth	598	492	$111.39	$49.18
11102 Tangential biopsy of single skin lesion	473	424	$174.09	$88.13
11103 Biopsy of related skin growth, each additional growth	215	134	$88.88	$46.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$192.19	$105.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	129	$96.22	$53.00
17110 Destruction of up to 14 skin growths	131	125	$190.03	$100.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	121	101	$521.36	$265.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	98	$221.38	$120.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	19	$5.00	$0.98
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$124.13	$67.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$287.30	$156.05
69100 Biopsy of ear	43	36	$167.53	$59.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	35	$420.12	$113.48
17004 Destruction of precancer skin growth, 15 or more growths	38	30	$279.11	$154.74
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	31	$479.01	$129.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$39.27	$13.35
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	21	19	$528.36	$269.56
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	16	$338.78	$91.81
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	15	$293.58	$79.70
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	16	$538.04	$273.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	13	$301.89	$143.33
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$460.57	$124.38
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	15	$209.83	$104.60
11104 Punch biopsy, first skin growth	14	14	$218.37	$110.72
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$433.81	$117.52
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$211.26	$96.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$250.43	$126.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,513	318	$10.80	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	675	570	$155.02	$85.61
17000 Destruction of skin growth	542	437	$111.39	$49.70
11102 Tangential biopsy of single skin lesion	425	380	$174.09	$90.25
11103 Biopsy of related skin growth, each additional growth	251	130	$88.88	$46.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$192.20	$106.87
17110 Destruction of up to 14 skin growths	139	127	$190.03	$101.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	131	$96.23	$53.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	125	$221.38	$120.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	113	96	$521.36	$272.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	15	$5.00	$1.06
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$124.13	$68.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	48	$420.12	$115.57
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	39	37	$479.01	$132.29
69100 Biopsy of ear	37	32	$167.53	$62.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$287.26	$159.40
17004 Destruction of precancer skin growth, 15 or more growths	30	26	$279.11	$159.27
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	14	$301.89	$119.01
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	19	$528.36	$285.55
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	14	$338.78	$88.50
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	15	15	$538.04	$259.54
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$460.57	$126.73
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$433.81	$119.48
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	11	$250.43	$102.24
11104 Punch biopsy, first skin growth	14	14	$218.37	$111.38
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$293.58	$81.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,406	259	$10.80	$6.34
99213 Established patient office or other outpatient visit, typically 15 minutes	561	473	$155.16	$87.27
17000 Destruction of skin growth	474	383	$111.39	$49.49
11102 Tangential biopsy of single skin lesion	389	351	$174.09	$91.27
11103 Biopsy of related skin growth, each additional growth	226	105	$88.88	$48.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	146	$219.64	$123.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	26	$5.00	$1.15
17110 Destruction of up to 14 skin growths	143	126	$190.03	$103.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$192.15	$108.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	102	$95.97	$53.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	84	78	$521.36	$281.14
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$124.13	$69.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	43	$420.12	$117.48
17004 Destruction of precancer skin growth, 15 or more growths	49	35	$279.11	$161.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$287.40	$159.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	28	$479.01	$134.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	16	$40.00	$13.71
69100 Biopsy of ear	24	24	$167.53	$71.58
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	15	$301.89	$134.55
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	19	$460.57	$129.38
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$293.58	$87.66
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$528.36	$290.48
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	16	$538.04	$269.52
10060 Simple or single drainage of skin abscess	13	12	$209.74	$112.47
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$433.81	$131.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,410	264	$10.81	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	597	514	$155.75	$89.08
17000 Destruction of skin growth	471	380	$111.40	$51.34
11102 Tangential biopsy of single skin lesion	305	269	$174.11	$94.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	35	$5.00	$1.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	117	$221.45	$126.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$191.91	$109.80
11103 Biopsy of related skin growth, each additional growth	141	78	$88.88	$51.23
17110 Destruction of up to 14 skin growths	135	123	$190.05	$106.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	104	$95.15	$54.79
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$124.13	$70.65
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	60	55	$521.36	$290.37
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	36	$420.12	$121.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	27	$40.00	$13.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$287.86	$161.14
17004 Destruction of precancer skin growth, 15 or more growths	31	26	$279.10	$160.81
69100 Biopsy of ear	27	26	$167.53	$69.71
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	24	$479.01	$143.79
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	17	$737.94	$413.39
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$460.57	$141.58
11900 Injection into skin growth, 1-7 growths	15	13	$105.00	$53.01
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$433.81	$125.02
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$815.82	$470.00
11104 Punch biopsy, first skin growth	12	11	$218.37	$125.77
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$528.36	$304.49
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$538.04	$253.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,378	252	$11.05	$5.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	432	$184.24	$106.13
17000 Destruction of skin growth	427	337	$111.35	$49.81
99213 Established patient office or other outpatient visit, typically 15 minutes	375	313	$125.48	$73.10
11102 Tangential biopsy of single skin lesion	291	262	$164.01	$90.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	222	36	$4.89	$1.45
17110 Destruction of up to 14 skin growths	128	123	$185.05	$104.54
11103 Biopsy of related skin growth, each additional growth	121	74	$89.32	$51.88
99202 New patient office or other outpatient visit, typically 20 minutes	106	106	$128.17	$73.90
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	83	74	$510.69	$281.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	59	53	$413.80	$127.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$179.36	$104.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	35	$38.40	$13.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	38	35	$474.89	$146.00
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	23	23	$506.35	$234.28
17004 Destruction of precancer skin growth, 15 or more growths	22	22	$265.60	$154.35
69100 Biopsy of ear	20	16	$166.86	$67.08
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$461.09	$133.32
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$428.71	$119.24
11104 Punch biopsy, first skin growth	19	19	$208.16	$121.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	12	$302.22	$132.55
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$732.16	$423.56
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$519.14	$289.08
11105 Punch biopsy, each additional skin growth	12	11	$99.33	$58.89
11900 Injection into skin growth, 1-7 growths	11	11	$99.25	$43.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,000	13	$2.45	$1.42
17003 Destruction of precancer skin growth, 2-14 growths	1,803	278	$18.44	$5.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	575	475	$170.86	$104.81
17000 Destruction of skin growth	442	347	$116.65	$49.61
11102 Tangential biopsy of single skin lesion	280	258	$139.14	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	253	216	$104.24	$71.53
99202 New patient office or other outpatient visit, typically 20 minutes	230	230	$124.15	$73.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	38	$5.00	$1.57
17110 Destruction of up to 14 skin growths	148	135	$156.86	$103.37
11103 Biopsy of related skin growth, each additional growth	115	65	$75.00	$51.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$154.51	$104.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	60	55	$500.00	$281.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	31	$38.98	$16.03
17004 Destruction of precancer skin growth, 15 or more growths	45	40	$248.00	$146.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	39	$370.93	$123.01
69100 Biopsy of ear	29	27	$151.90	$89.79
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	29	$412.41	$139.52
11104 Punch biopsy, first skin growth	23	22	$176.52	$118.78
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	20	$648.50	$417.67
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	17	$825.83	$466.50
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$475.00	$202.36
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$375.71	$124.42
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	11	$180.00	$98.65
96573 Application of light by qualified health care professional to destroy precancer skin growth	13	12	$282.08	$189.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$439.23	$131.88
10060 Simple or single drainage of skin abscess	12	11	$192.50	$110.32
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	11	11	$437.27	$252.56
11900 Injection into skin growth, 1-7 growths	11	11	$102.73	$42.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,781	282	$20.00	$4.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	504	405	$175.00	$99.78
17000 Destruction of skin growth	474	372	$120.00	$47.65
11100 Biopsy of single growth of skin and/or tissue	383	345	$165.00	$91.59
99213 Established patient office or other outpatient visit, typically 15 minutes	339	277	$105.00	$66.73
99202 New patient office or other outpatient visit, typically 20 minutes	240	240	$125.00	$69.51
17110 Destruction of up to 14 skin growths	189	165	$158.00	$99.25
11101 Biopsy of each additional growth of skin and/or tissue	150	104	$80.00	$30.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	126	30	$5.00	$1.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$155.00	$99.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	65	59	$500.00	$258.67
17004 Destruction of precancer skin growth, 15 or more growths	54	46	$250.00	$134.17
69100 Biopsy of ear	44	40	$155.00	$65.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	34	$375.00	$113.78
11900 Injection into skin growth, 1-7 growths	27	22	$105.00	$43.54
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	20	$415.00	$128.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	12	$38.00	$17.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	15	$320.00	$128.70
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	18	18	$485.00	$251.03
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	17	$470.00	$133.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$85.00	$40.61
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	12	$475.00	$217.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,256	214	$20.00	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	542	413	$120.50	$68.81
17000 Destruction of skin growth	377	304	$120.00	$49.66
11100 Biopsy of single growth of skin and/or tissue	351	309	$165.00	$91.14
99202 New patient office or other outpatient visit, typically 20 minutes	221	221	$125.00	$70.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	123	$175.00	$100.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$155.00	$99.31
11101 Biopsy of each additional growth of skin and/or tissue	122	87	$80.00	$30.84
17110 Destruction of up to 14 skin growths	122	112	$158.00	$100.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	78	72	$500.00	$271.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	51	20	$5.00	$1.60
17004 Destruction of precancer skin growth, 15 or more growths	40	34	$250.00	$140.62
69100 Biopsy of ear	34	32	$155.00	$70.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	29	$378.75	$116.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	28	$416.45	$137.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$85.00	$40.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	11	$320.00	$119.51
11900 Injection into skin growth, 1-7 growths	12	12	$105.00	$39.42
11200 Removal of skin tag, 1-15 skin tags	12	11	$200.00	$72.60
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$475.00	$237.49

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 34010705

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi

1316268618 (OH)

Hospital & Practice Group Affiliations

Dermatologists Of Southwestern Ohio, Llc

5300 Far Hills Ave, Dayton, OH 454292381

Phone: 9374337536

Dermatologists Of Southwestern Ohio, Llc

131 Lewis Ave, Circleville, OH 431131209

Phone: 6145391800

Dermatologists Of Southwestern Ohio, Llc

100 W 3rd Ave, Columbus, OH 432017204

Phone: 6142682748

Dermatologists Of Southwestern Ohio, Llc

1933 Ohio Dr, Grove City, OH 431234835

Phone: 6142779530

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Mary Kendrick , MD

Dermatology - Dermatopathology

NPI 1114097623

Doctor of Medicine (M.D.)

Dr. Clem Kirkland , MD

Dermatology

NPI 1164633467

Doctor of Medicine (M.D.)

Dr. Robert Rau , MD

Dermatology

NPI 1366621468

Doctor of Medicine (M.D.)

Jordyn Stone , PA-C

Physician Assistant

NPI 1730038142

Physician Assistant (Certified)

Kara Roche , PA-C

Physician Assistant

NPI 1811433923

Physician Assistant (Certified)

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

📍

Updated Practice Location June 08, 2017

Registered at 3555 OLENTANGY RIVER RD, STE. 4000, COLUMBUS, OH 432143912 (Tel: 6142682748)

📍

Updated Business Mailing Address June 08, 2017

Registered at 5300 FAR HILLS AVE, DAYTON, OH 454292381 (Tel: 9374342351)

👤

Provider Name / Credentials Updated June 08, 2017

Recorded as NICHOLAS BENNER, D.O.

🎓

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

Dermatology (License #34010705 in OH)

✅

NPI Profile Active May 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2016

Registered at 3555 OLENTANGY RIVER RD, STE. 4000, COLUMBUS, OH 432143912 (Tel: 6142682748)

📍

Updated Business Mailing Address May 26, 2016

Registered at 5300 FAR HILLS AVE, DAYTON, OH 454292381 (Tel: 9373123820)

👤

Provider Name / Credentials Updated May 26, 2016

Recorded as NICHOLAS BENNER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2016

Dermatology (License #34010705 in OH)

🟢

Initial NPI Registration & Enumeration June 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1316268618

Entity Type:

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

Enumeration Date: June 21, 2010

Last Update: June 08, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 Far Hills Ave

Dayton, OH 454292381

Phone: 9374342351

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.