Active NPI 1720198112 Individual Practitioner Male Practitioner

Dr. Keith Perrine , MD

Plastic Surgery • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Keith Perrine, MD is a registered healthcare professional specializing in Plastic Surgery in Dayton, OH. Practice services are available at 5250 FAR HILLS AVE under active NPI credentials.

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

5250 Far Hills Ave
110

Dayton, OH 454292382

Telephone 9374329810

Fax 9374329815

Associated Practice Facility / Clinic

🏢 Allied Eye Physicians & Surgeons Inc Facility NPI 1326173964

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Dayton, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Dayton, OH (240 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.1% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	271	38	$14.99	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	116	68	$150.78	$85.61
17000 Destruction of skin growth	53	40	$162.00	$59.26
11102 Tangential biopsy of single skin lesion	36	26	$150.00	$92.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	463	45	$15.00	$6.21
99213 Established patient office or other outpatient visit, typically 15 minutes	128	76	$150.78	$86.00
17000 Destruction of skin growth	74	53	$162.00	$55.64
11102 Tangential biopsy of single skin lesion	50	38	$150.00	$93.27
11103 Biopsy of related skin growth, each additional growth	48	15	$150.00	$47.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	19	$89.12	$53.47
17004 Destruction of precancer skin growth, 15 or more growths	20	18	$308.90	$159.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	453	57	$15.00	$6.37
99213 Established patient office or other outpatient visit, typically 15 minutes	128	74	$150.78	$87.69
17000 Destruction of skin growth	104	66	$162.00	$56.77
11102 Tangential biopsy of single skin lesion	43	34	$150.00	$97.86
11103 Biopsy of related skin growth, each additional growth	26	12	$150.00	$48.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$89.12	$54.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	388	63	$15.00	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	109	71	$150.78	$89.00
17000 Destruction of skin growth	90	68	$162.00	$54.81
11102 Tangential biopsy of single skin lesion	56	48	$150.00	$99.48
11103 Biopsy of related skin growth, each additional growth	42	24	$150.00	$50.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$89.12	$54.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	394	64	$15.00	$5.73
99213 Established patient office or other outpatient visit, typically 15 minutes	86	71	$150.78	$72.89
17000 Destruction of skin growth	83	72	$162.00	$49.09
11102 Tangential biopsy of single skin lesion	58	50	$150.00	$94.57
11103 Biopsy of related skin growth, each additional growth	39	22	$150.00	$51.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	30	$89.12	$43.49
17004 Destruction of precancer skin growth, 15 or more growths	19	17	$308.90	$152.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	719	95	$15.00	$5.30
17000 Destruction of skin growth	164	108	$162.00	$52.90
99213 Established patient office or other outpatient visit, typically 15 minutes	160	106	$150.78	$71.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	55	$89.12	$42.83
11102 Tangential biopsy of single skin lesion	48	42	$150.00	$89.53
17004 Destruction of precancer skin growth, 15 or more growths	46	35	$308.90	$145.11
11103 Biopsy of related skin growth, each additional growth	24	17	$150.00	$50.45
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$154.10	$73.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	603	91	$15.00	$4.89
99213 Established patient office or other outpatient visit, typically 15 minutes	190	111	$150.78	$68.03
17000 Destruction of skin growth	165	102	$162.00	$49.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	50	$89.12	$40.79
17004 Destruction of precancer skin growth, 15 or more growths	45	33	$308.90	$133.93
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	25	$328.10	$123.55
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	15	$287.60	$91.03
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	17	$229.52	$73.92
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$154.10	$70.14
21920 Biopsy of tissue of back or flank, superficial	11	11	$532.48	$206.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	801	111	$15.00	$5.10
17000 Destruction of skin growth	181	123	$162.00	$50.04
99213 Established patient office or other outpatient visit, typically 15 minutes	176	119	$150.78	$67.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	40	$89.12	$40.15
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	25	$328.10	$110.27
17004 Destruction of precancer skin growth, 15 or more growths	27	21	$308.90	$137.84
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	11	$287.60	$88.02
21550 Biopsy of soft tissue of neck or chest	13	13	$1132.72	$240.94
27613 Biopsy of soft tissue of leg or ankle	13	11	$522.42	$196.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$222.54	$99.19
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$154.10	$68.99
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$244.24	$79.83

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License OH 35.051583

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License FL ME84583

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

263826600 (FL)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Marshall Wareham , MD

Ophthalmology

NPI 1114925112

Doctor of Medicine (M.D.)

Dr. Ramzieh Azmeh , MD

Pediatrics

NPI 1285735076

Doctor of Medicine (M.D.)

Shawon Gullette , CERTIFIED HAIR LOSS

Specialist - Prosthetics Case Management

NPI 1376085258

CERTIFIEDHAIRLOSS

Dr. Thomas Connon , OD

Optometrist

NPI 1386642205

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2012

Registered at 5250 FAR HILLS AVE, 110, DAYTON, OH 454292382 (Tel: 9374329810)

📍

Updated Business Mailing Address October 01, 2012

Registered at 5250 FAR HILLS AVE, 110, DAYTON, OH 454292382 (Tel: 9374329810)

👤

Provider Name / Credentials Updated October 01, 2012

Recorded as KEITH PERRINE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Plastic Surgery (License #35.051583 in OH)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1720198112

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: October 01, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5250 Far Hills Ave, 110

Dayton, OH 454292382

Phone: 9374329810

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.