Active NPI 1699290783 Individual Practitioner Female Practitioner

Gretchen Lynne Shull , PA-C

Physician Assistant • Mentor, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gretchen Shull, PA-C is a certified Physician Assistant practicing in Mentor, OH. With approximately 9 years of clinical experience since completing medical education in 2017, Gretchen Shull delivers high-quality medical care to the local community at 7676 REYNOLDS RD.

Gretchen Shull is affiliated with Optima Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, 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

7676 Reynolds Rd

Mentor, OH 440605110

Telephone 4402833015

Fax 4402833010

Associated Practice Facility / Clinic

🏢 Circadia Sleep Diagnostics, Llc Facility NPI 1477683639

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 Physician Assistant in Mentor, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -1.2 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

18 Specialists

Practicing in Mentor, OH (5376 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shull (9 Years) 9 Yrs

Mentor Specialty Average (10.2 Years) 10.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	178	127	$139.54	$72.40
17003 Destruction of precancer skin growth, 2-14 growths	151	43	$10.08	$5.16
17000 Destruction of skin growth	92	72	$102.80	$43.21
11102 Tangential biopsy of single skin lesion	72	63	$154.54	$71.86
17110 Destruction of up to 14 skin growths	67	54	$172.53	$87.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$173.70	$89.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	39	$197.71	$102.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$86.91	$44.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$258.56	$134.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	257	54	$22.38	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	169	119	$123.50	$72.70
17000 Destruction of skin growth	140	99	$97.96	$43.83
17110 Destruction of up to 14 skin growths	86	60	$159.81	$88.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$152.94	$90.18
11102 Tangential biopsy of single skin lesion	75	64	$146.54	$71.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	43	$177.00	$103.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$78.78	$45.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$230.93	$135.29
11103 Biopsy of related skin growth, each additional growth	24	15	$74.38	$40.22
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$97.14	$58.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	184	51	$42.41	$5.50
99213 Established patient office or other outpatient visit, typically 15 minutes	99	97	$113.37	$75.36
17000 Destruction of skin growth	80	78	$96.89	$40.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$143.66	$92.39
11102 Tangential biopsy of single skin lesion	72	70	$147.00	$78.06
17110 Destruction of up to 14 skin growths	46	45	$156.65	$91.95
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$99.67	$59.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$66.55	$46.60
11103 Biopsy of related skin growth, each additional growth	22	13	$76.82	$41.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$159.00	$101.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$215.75	$137.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	434	115	$42.00	$5.36
99213 Established patient office or other outpatient visit, typically 15 minutes	373	308	$118.14	$75.94
17000 Destruction of skin growth	203	179	$102.00	$42.64
11102 Tangential biopsy of single skin lesion	183	171	$156.00	$78.30
17110 Destruction of up to 14 skin growths	116	101	$174.00	$91.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$169.00	$92.12
11103 Biopsy of related skin growth, each additional growth	75	42	$83.00	$43.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	64	$71.00	$46.20
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$119.00	$60.59
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	20	$249.30	$118.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$171.00	$107.98
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$273.00	$137.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	384	104	$42.00	$4.95
17000 Destruction of skin growth	166	155	$100.37	$41.38
11102 Tangential biopsy of single skin lesion	154	146	$137.73	$78.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	136	$160.93	$90.89
99213 Established patient office or other outpatient visit, typically 15 minutes	117	98	$112.31	$62.52
11103 Biopsy of related skin growth, each additional growth	99	54	$74.11	$44.07
17110 Destruction of up to 14 skin growths	75	66	$156.21	$91.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$160.39	$89.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	51	$66.00	$37.66
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$113.23	$63.23
99201 New patient office or other outpatient visit, typically 10 minutes	38	38	$66.32	$37.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	12	$248.11	$108.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	419	110	$42.00	$4.62
17000 Destruction of skin growth	206	180	$100.00	$42.36
99213 Established patient office or other outpatient visit, typically 15 minutes	168	146	$100.00	$61.21
11102 Tangential biopsy of single skin lesion	150	139	$135.00	$76.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	125	$146.00	$89.70
17110 Destruction of up to 14 skin growths	84	80	$150.80	$90.03
11103 Biopsy of related skin growth, each additional growth	67	35	$73.00	$43.49
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$102.00	$62.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	63	$60.00	$36.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$148.00	$89.35
99201 New patient office or other outpatient visit, typically 10 minutes	27	27	$60.00	$37.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	16	$238.00	$116.82
11104 Punch biopsy, first skin growth	20	20	$169.00	$101.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	417	89	$42.00	$4.34
99213 Established patient office or other outpatient visit, typically 15 minutes	206	162	$100.00	$60.25
17000 Destruction of skin growth	156	128	$100.00	$43.30
11100 Biopsy of single growth of skin and/or tissue	137	127	$140.00	$79.88
17110 Destruction of up to 14 skin growths	103	71	$150.00	$91.34
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$102.00	$61.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$146.00	$89.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	45	$60.00	$36.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$148.00	$89.35
11101 Biopsy of each additional growth of skin and/or tissue	38	28	$67.00	$27.19
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$60.00	$36.72

Medical Specialties & State Licenses

CMS Verified: 2024-01-31

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.007682

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

103368190 (PA)

Hospital & Practice Group Affiliations

Optima Dermatology Llc

987 Boardman Canfield Rd, Boardman, OH 445124222

Phone: 3309658760

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kendra Mariacher , PA-C

Physician Assistant

NPI 1518570373

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address January 31, 2024

Registered at 111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 038012864 (Tel: 8029092053)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2024

Physician Assistant (License #50.007682 in OH)

📍

Updated Practice Location August 02, 2022

Registered at 7676 REYNOLDS RD, MENTOR, OH 440605110 (Tel: 4402833015)

📍

Updated Business Mailing Address August 02, 2022

Registered at 290 HERITAGE AVE, PORTSMOUTH, NH 038016874 (Tel: 8029092053)

📍

Updated Business Mailing Address October 01, 2019

Registered at 54 ROGAN LN, NEW WILMINGTON, PA 161422633 (Tel: 4407960912)

👤

Provider Name / Credentials Updated October 01, 2019

Recorded as GRETCHEN SHULL, PA-C

✅

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 09, 2017

Registered at 100 INNOVATION DR STE 103, SLIPPERY ROCK, PA 160572468 (Tel: 7247947923)

📍

Updated Business Mailing Address August 09, 2017

Registered at 138 E CLEN MOORE BLVD, NEW CASTLE, PA 161052140 (Tel: 4407960912)

👤

Provider Name / Credentials Updated August 09, 2017

Recorded as GRETCHEN MILLER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699290783

Entity Type:

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

Enumeration Date: August 09, 2017

Last Update: January 31, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 New Hampshire Ave Ste 2

Portsmouth, NH 038012864

Phone: 8029092053

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.