Active NPI 1780758003 Individual Practitioner Male Practitioner

Dr. Kyle L Wagamon , MD

Dermatology - Dermatopathology • Warren, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Wagamon, MD is a certified Dermatology - Dermatopathology practicing in Warren, OH. With approximately 24 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2002, Dr. Wagamon delivers high-quality medical care to the local community at 1745 NILES CORTLAND RD NE STE 5.

Dr. Wagamon is affiliated with Warren Dermatology And Mohs Surgery Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1745 Niles Cortland Rd Ne Ste 5

Warren, OH 444846046

Telephone 3308566365

Fax 3304743981

Associated Practice Facility / Clinic

🏢 Warrendermatologyand Allergymanagementcorp Facility NPI 1093842478

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - Dermatopathology in Warren, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 30.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Warren, OH (25 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagamon (24 Years) 24 Yrs

Warren Specialty Average (24.0 Years) 24.0 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	5,139	880	$19.56	$5.68
17000 Destruction of skin growth	1,320	1,075	$89.71	$48.75
99213 Established patient office or other outpatient visit, typically 15 minutes	1,140	937	$99.77	$80.33
11102 Tangential biopsy of single skin lesion	437	398	$134.04	$78.25
17110 Destruction of up to 14 skin growths	402	338	$111.83	$97.70
96900 Application of ultraviolet light to skin	366	13	$39.61	$20.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	135	$59.61	$49.53
17004 Destruction of precancer skin growth, 15 or more growths	130	108	$199.30	$145.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$123.62	$99.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	41	$130.18	$111.77
11103 Biopsy of related skin growth, each additional growth	81	69	$59.75	$43.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	21	$15.00	$1.00
11900 Injection into skin growth, 1-7 growths	35	20	$67.74	$44.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	32	$249.53	$212.10
69100 Biopsy of ear	20	19	$154.60	$64.29
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$80.59	$64.29
17111 Destruction of skin growth, 15 or more growths	17	14	$149.71	$116.15
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	13	12	$140.00	$107.07
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$170.25	$142.70
11104 Punch biopsy, first skin growth	12	12	$145.00	$106.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,797	1,020	$20.00	$6.18
17000 Destruction of skin growth	1,820	1,286	$86.60	$51.39
99213 Established patient office or other outpatient visit, typically 15 minutes	1,690	1,246	$96.37	$85.35
11102 Tangential biopsy of single skin lesion	710	590	$125.21	$84.23
17110 Destruction of up to 14 skin growths	581	474	$112.00	$104.36
96900 Application of ultraviolet light to skin	394	15	$38.00	$22.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	188	$58.46	$53.28
17004 Destruction of precancer skin growth, 15 or more growths	175	122	$200.00	$157.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$123.17	$106.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	50	$130.00	$119.61
11103 Biopsy of related skin growth, each additional growth	118	88	$57.80	$46.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	82	26	$15.00	$1.06
11900 Injection into skin growth, 1-7 growths	58	25	$62.07	$49.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	39	$250.00	$230.28
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$78.06	$68.69
17111 Destruction of skin growth, 15 or more growths	27	20	$150.00	$117.99
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$300.00	$229.47
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$395.00	$250.94
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	13	$185.00	$158.64
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$170.00	$158.26
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	15	$315.00	$218.83
11104 Punch biopsy, first skin growth	16	16	$143.13	$118.07
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	14	$158.00	$125.59
69100 Biopsy of ear	14	14	$150.00	$71.72
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$300.00	$260.80
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	13	13	$140.00	$116.94
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	12	$230.00	$207.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,107	1,066	$20.01	$6.34
17000 Destruction of skin growth	1,882	1,352	$80.00	$51.79
99213 Established patient office or other outpatient visit, typically 15 minutes	1,841	1,333	$90.00	$87.08
11102 Tangential biopsy of single skin lesion	739	628	$110.00	$87.32
17110 Destruction of up to 14 skin growths	663	546	$112.00	$105.50
96900 Application of ultraviolet light to skin	394	18	$38.00	$22.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	306	284	$55.00	$54.42
17004 Destruction of precancer skin growth, 15 or more growths	219	153	$200.00	$160.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$120.00	$107.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	59	$130.00	$120.93
11103 Biopsy of related skin growth, each additional growth	117	87	$55.00	$46.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	26	$15.00	$1.14
11900 Injection into skin growth, 1-7 growths	84	26	$55.00	$48.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	67	53	$250.00	$228.20
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$75.00	$70.29
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	27	26	$140.00	$128.24
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	21	$395.00	$256.30
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	20	$158.00	$125.26
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$170.00	$156.39
69100 Biopsy of ear	19	19	$145.00	$71.02
17111 Destruction of skin growth, 15 or more growths	17	14	$150.00	$111.52
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$300.00	$237.23
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$300.00	$254.86
11104 Punch biopsy, first skin growth	14	14	$135.00	$121.37
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$315.00	$218.16
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$160.00	$148.88
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$175.00	$162.78
11621 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$235.00	$216.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,936	1,058	$20.00	$6.14
17000 Destruction of skin growth	1,898	1,386	$80.00	$49.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,196	965	$88.22	$86.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	883	748	$53.82	$53.10
11102 Tangential biopsy of single skin lesion	781	673	$110.00	$86.69
17110 Destruction of up to 14 skin growths	706	574	$112.00	$103.43
96900 Application of ultraviolet light to skin	359	19	$38.00	$21.73
17004 Destruction of precancer skin growth, 15 or more growths	279	203	$200.00	$158.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	157	$125.31	$119.90
11103 Biopsy of related skin growth, each additional growth	136	113	$55.00	$48.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$120.00	$107.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	34	$15.00	$1.27
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$75.00	$69.76
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	86	75	$130.00	$108.20
11900 Injection into skin growth, 1-7 growths	84	33	$55.00	$49.92
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	71	63	$250.00	$226.57
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	31	$300.00	$232.87
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	31	30	$160.00	$128.86
69100 Biopsy of ear	28	27	$145.00	$78.64
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	22	$158.00	$114.48
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	23	$300.00	$266.99
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	24	24	$145.00	$113.17
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	19	17	$140.00	$125.36
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	16	$160.00	$151.15
17111 Destruction of skin growth, 15 or more growths	18	14	$150.00	$123.44
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	18	$175.00	$169.12
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	17	$315.00	$230.08
11104 Punch biopsy, first skin growth	16	15	$135.00	$124.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$165.00	$155.24
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	15	14	$230.00	$217.32
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$395.00	$263.18
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	14	13	$95.00	$71.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	11	$170.00	$161.77
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$150.00	$126.51
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	12	11	$145.00	$132.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,575	1,065	$20.00	$5.71
17000 Destruction of skin growth	1,724	1,333	$80.00	$48.63
99213 Established patient office or other outpatient visit, typically 15 minutes	1,287	1,000	$79.83	$72.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	943	781	$50.00	$43.72
17110 Destruction of up to 14 skin growths	640	524	$112.00	$98.65
11102 Tangential biopsy of single skin lesion	576	529	$110.00	$79.92
96900 Application of ultraviolet light to skin	450	25	$38.00	$20.72
17004 Destruction of precancer skin growth, 15 or more growths	304	228	$200.00	$151.87
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	256	231	$130.00	$109.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$119.73	$104.18
99202 New patient office or other outpatient visit, typically 20 minutes	98	98	$75.00	$73.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	24	$15.00	$1.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	35	$114.88	$103.10
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	77	71	$145.00	$114.42
11900 Injection into skin growth, 1-7 growths	77	22	$54.35	$50.44
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	76	70	$160.00	$126.44
11103 Biopsy of related skin growth, each additional growth	70	67	$51.57	$48.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	46	$250.00	$231.18
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	32	29	$158.00	$121.92
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	31	$300.00	$268.55
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	28	$300.00	$247.32
17111 Destruction of skin growth, 15 or more growths	23	17	$150.00	$125.74
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	22	22	$150.00	$132.13
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$170.00	$158.99
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$395.00	$261.93
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	15	$158.82	$138.41
11104 Punch biopsy, first skin growth	16	15	$135.00	$120.36
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	15	15	$140.00	$116.10
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	14	$315.00	$202.87
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	13	12	$145.00	$138.46
69100 Biopsy of ear	13	13	$145.00	$76.48
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$175.00	$164.66
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$179.09	$155.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,523	1,172	$20.00	$5.34
17000 Destruction of skin growth	1,987	1,484	$80.00	$48.25
99213 Established patient office or other outpatient visit, typically 15 minutes	1,449	1,063	$74.94	$70.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,158	940	$49.90	$42.84
17110 Destruction of up to 14 skin growths	801	594	$112.00	$96.47
11102 Tangential biopsy of single skin lesion	652	578	$110.00	$78.65
96900 Application of ultraviolet light to skin	582	21	$38.00	$19.72
17004 Destruction of precancer skin growth, 15 or more growths	374	255	$200.00	$145.06
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	229	214	$130.00	$107.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$114.86	$102.76
99202 New patient office or other outpatient visit, typically 20 minutes	148	148	$74.99	$72.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	85	26	$15.00	$1.56
11900 Injection into skin growth, 1-7 growths	81	26	$50.00	$45.32
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	81	76	$160.00	$123.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	35	$109.94	$102.04
11103 Biopsy of related skin growth, each additional growth	75	70	$30.60	$30.12
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	67	65	$110.00	$71.02
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	66	65	$145.00	$111.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	58	52	$250.00	$235.42
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	36	$170.00	$146.82
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	36	36	$135.00	$100.48
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	35	33	$300.00	$264.31
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	35	34	$138.00	$126.30
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	33	31	$395.00	$256.42
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	30	27	$150.00	$126.45
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	28	$300.00	$245.84
11104 Punch biopsy, first skin growth	28	28	$135.00	$113.22
69100 Biopsy of ear	28	27	$144.29	$82.00
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	27	25	$170.00	$155.21
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	24	24	$125.00	$76.84
17111 Destruction of skin growth, 15 or more growths	21	18	$150.00	$124.29
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	21	20	$140.00	$123.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$185.00	$150.17
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	16	$150.00	$134.12
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	17	17	$125.00	$110.95
40490 Biopsy of lip	16	15	$175.00	$113.31
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	13	$315.00	$228.10
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	13	12	$95.00	$63.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,887	1,113	$20.00	$4.86
17000 Destruction of skin growth	1,912	1,418	$80.00	$47.36
99213 Established patient office or other outpatient visit, typically 15 minutes	1,369	1,023	$72.00	$67.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,170	940	$45.00	$40.57
11100 Biopsy of single growth of skin and/or tissue	1,079	909	$110.00	$86.80
17110 Destruction of up to 14 skin growths	817	622	$112.00	$100.12
96900 Application of ultraviolet light to skin	563	30	$38.00	$18.67
17004 Destruction of precancer skin growth, 15 or more growths	341	243	$197.07	$134.70
11101 Biopsy of each additional growth of skin and/or tissue	205	179	$40.00	$30.46
99202 New patient office or other outpatient visit, typically 20 minutes	167	167	$74.00	$69.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$110.00	$100.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	36	$105.06	$100.08
11900 Injection into skin growth, 1-7 growths	89	21	$50.00	$47.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	20	$15.00	$1.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	61	58	$250.00	$229.40
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	36	$165.00	$151.70
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	36	$292.36	$262.18
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	34	$395.00	$253.26
17111 Destruction of skin growth, 15 or more growths	27	27	$150.00	$118.32
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	20	$170.00	$155.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	22	$138.00	$118.62
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$300.00	$239.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	20	$185.00	$159.57
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	20	20	$140.00	$128.01
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$185.00	$170.14
69100 Biopsy of ear	15	15	$131.33	$77.09
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	14	13	$95.00	$73.16
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	14	14	$433.93	$299.85
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	14	$315.00	$221.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	7,253	1,133	$20.00	$5.12
17000 Destruction of skin growth	1,916	1,417	$80.00	$47.28
99213 Established patient office or other outpatient visit, typically 15 minutes	1,445	1,047	$72.00	$67.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,205	974	$44.82	$39.77
11100 Biopsy of single growth of skin and/or tissue	1,108	933	$110.00	$83.78
17110 Destruction of up to 14 skin growths	831	651	$112.00	$98.17
17004 Destruction of precancer skin growth, 15 or more growths	391	280	$150.00	$137.80
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	386	30	$38.00	$36.82
96900 Application of ultraviolet light to skin	231	13	$38.00	$18.48
11101 Biopsy of each additional growth of skin and/or tissue	200	178	$40.00	$30.12
99202 New patient office or other outpatient visit, typically 20 minutes	194	194	$74.00	$68.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$110.00	$97.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	42	$105.00	$99.65
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	42	40	$275.00	$255.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	37	$250.00	$227.69
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	34	$165.00	$144.44
17111 Destruction of skin growth, 15 or more growths	34	31	$150.00	$118.25
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	29	28	$395.00	$250.20
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	26	$300.00	$231.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	22	$185.00	$143.56
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	21	$138.00	$113.93
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	19	18	$140.00	$119.48
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	15	14	$450.00	$295.90
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	14	$170.00	$159.15
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	13	$150.00	$140.26
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	12	12	$345.00	$277.34
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	12	11	$125.00	$116.70
11200 Removal of skin tag, 1-15 skin tags	11	11	$86.36	$44.46

Medical Specialties & State Licenses

CMS Verified: 2026-03-27

Dermatology - Dermatopathology Primary Specialty

NUCC Taxonomy Code: 207ND0900X

State License OH 35083746

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License OH 35083746

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

2754827 (OH)

Commercial Insurance / Payer ID Unison

000000217451 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00406585 (OH)

Commercial Insurance / Payer ID Aetna

7474933 (OH)

Commercial Insurance / Payer ID Anthem

000000527821 (OH)

Commercial Insurance / Payer ID Buckeye

748956 (OH)

Commercial Insurance / Payer ID Wellcare

415051 (OH)

Hospital & Practice Group Affiliations

Warren Dermatology And Mohs Surgery Llc

1745 Niles Corland Rd Ne, Warren, OH 44484

Phone: 3308566365

Secondary Practice Locations

2660 E Market St

Warren, OH 444836204

Phone: 3303934000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Wendy Demetrios , FNP-C

Nurse Practitioner - Family

NPI 1124450291

Family Nurse Practitioner (Certified)

Victoria Dennis , FNP

Nurse Practitioner - Family

NPI 1295331429

Family Nurse Practitioner

Dr. Indira Krishnarao , MD

Dermatology

NPI 1417943796

Doctor of Medicine (M.D.)

Krista Crowley , PA-C

Physician Assistant

NPI 1790237584

Physician Assistant (Certified)

Morgan Hott

Dermatology - MOHS-Micrographic Surgery

NPI 1902006117

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 27, 2026

Registered at 1745 NILES CORTLAND RD NE STE 5, WARREN, OH 444846046 (Tel: 3308566365)

✅

NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2014

Registered at 2660 E MARKET ST, WARREN, OH 444836204 (Tel: 3303934000)

📍

Updated Business Mailing Address January 17, 2014

Registered at 19301 CYCLONE DR, CLEVELAND, OH 441351731 (Tel: 3303934000)

👤

Provider Name / Credentials Updated January 17, 2014

Recorded as KYLE WAGAMON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Dermatology (License #35083746 in OH)

🟢

Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kyle Wagamon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780758003

Entity Type:

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

Enumeration Date: November 20, 2006

Last Update: March 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

19301 Cyclone Dr

Cleveland, OH 441351731

Phone: 3303934000

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.