Active NPI 1073561866 Individual Practitioner Male Practitioner

Dr. David J Kouba , MD

Dermatology • Wauseon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Kouba, MD is a certified Dermatology practicing in Wauseon, OH. With approximately 26 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2000, Dr. Kouba delivers high-quality medical care to the local community at 1090 N SHOOP AVE.

Dr. Kouba is affiliated with Toledo Clinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, skin application of tar and ultraviolet b or petrolatum and ultraviolet b. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1090 N Shoop Ave

Wauseon, OH 435671821

Telephone 4193305200

Associated Practice Facility / Clinic

🏢 Toledo Clinic Pllc Facility NPI 1326538703

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Wauseon, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +9.5 yrs vs City Avg

City Avg: 16.5 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Wauseon, OH (528 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kouba (26 Years) 26 Yrs

Wauseon Specialty Average (16.5 Years) 16.5 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	6,040	2,258	$137.14	$60.07
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	1,172	812	$1529.00	$550.74
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	1,142	50	$212.00	$106.05
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	1,089	616	$896.00	$380.03
88342 Special stained specimen slides to examine tissue, initial procedure	483	454	$200.55	$91.57
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	450	391	$1107.00	$223.35
77401 Radiation treatment delivery, superficial	310	23	$76.00	$37.34
17003 Destruction of precancer skin growth, 2-14 growths	309	108	$15.00	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	255	171	$141.00	$85.39
17000 Destruction of skin growth	248	217	$153.00	$32.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	128	$83.00	$52.56
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	171	145	$1429.00	$553.92
88312 Special stained specimen slides to identify organisms including interpretation and report	170	152	$184.79	$97.90
G6001 Ultrasonic guidance for placement of radiation therapy fields	129	34	$337.00	$162.94
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	118	90	$858.00	$364.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	105	$208.00	$120.17
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	110	23	$496.96	$243.30
88341 Special stained specimen slides to examine tissue	98	84	$169.00	$79.16
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	81	78	$987.00	$209.42
88304 Pathology examination of tissue using a microscope, moderately low complexity	72	68	$85.50	$36.19
88344 Special stained specimen slides to examine tissue	60	51	$324.00	$131.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	55	55	$2371.00	$937.65
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	51	48	$2207.00	$867.43
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	47	47	$2373.00	$935.19
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	40	40	$1821.00	$712.80
11102 Tangential biopsy of single skin lesion	36	31	$228.00	$57.66
77300 Calculation of radiation therapy dose	35	31	$65.00	$61.05
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	33	31	$856.45	$405.69
97597 Removal of tissue from wound, 20.0 sq cm or less	30	18	$142.00	$92.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	29	17	$4.00	$0.98
77261 Simple radiation therapy planning	28	26	$136.00	$67.07
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	28	27	$1782.00	$701.46
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	26	26	$1179.00	$231.87
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	23	$914.00	$239.46
11900 Injection into skin growth, 1-7 growths	23	16	$128.00	$47.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	18	$38.00	$21.39
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	19	19	$312.00	$118.84
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	17	15	$944.00	$367.57
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	14	14	$2038.00	$816.97
17110 Destruction of up to 14 skin growths	14	14	$253.00	$59.65
15050 Skin graft (2 centimeters) to tip of finger or toe	13	13	$1373.00	$379.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$209.00	$105.34
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$2531.00	$1018.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	4,927	1,942	$140.93	$66.52
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	1,266	686	$896.00	$385.17
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	1,246	830	$1528.45	$575.79
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	1,053	39	$212.00	$107.45
Q4158 Kerecis omega3, per square centimeter	948	35	$387.12	$158.29
17003 Destruction of precancer skin growth, 2-14 growths	729	219	$14.29	$6.20
88342 Special stained specimen slides to examine tissue, initial procedure	543	511	$201.00	$92.45
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	445	370	$1107.00	$226.50
17000 Destruction of skin growth	438	349	$153.00	$32.05
99213 Established patient office or other outpatient visit, typically 15 minutes	336	281	$141.00	$85.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	171	$83.00	$53.43
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	209	179	$1429.00	$575.51
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	187	135	$858.00	$369.87
88312 Special stained specimen slides to identify organisms including interpretation and report	131	125	$185.00	$102.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	110	$208.00	$121.19
88341 Special stained specimen slides to examine tissue	107	94	$169.00	$79.78
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	62	19	$351.00	$150.47
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	57	17	$388.74	$145.44
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	57	54	$2371.00	$948.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	56	53	$987.00	$233.71
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	42	42	$2373.00	$933.26
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	36	36	$2207.00	$877.13
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	35	33	$914.00	$247.56
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	32	32	$1821.00	$731.60
97597 Removal of tissue from wound, 20.0 sq cm or less	29	25	$142.00	$90.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	24	$38.00	$21.56
88304 Pathology examination of tissue using a microscope, moderately low complexity	26	23	$86.00	$39.35
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	26	24	$1179.00	$245.43
17110 Destruction of up to 14 skin growths	25	25	$253.00	$59.92
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	25	24	$1782.00	$721.72
11102 Tangential biopsy of single skin lesion	24	18	$228.00	$63.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	13	$4.00	$1.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$209.00	$107.01
11900 Injection into skin growth, 1-7 growths	15	13	$128.00	$44.85
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	14	$2531.00	$1034.33
88313 Special stained specimen slides to examine tissue including interpretation and report	14	13	$128.00	$74.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$573.00	$132.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,972	1,707	$141.00	$67.19
Q4186 Epifix, per square centimeter	952	32	$321.00	$153.96
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	947	682	$1529.00	$577.68
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	902	516	$896.00	$388.77
17003 Destruction of precancer skin growth, 2-14 growths	758	213	$13.00	$6.29
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	690	36	$212.00	$109.51
88342 Special stained specimen slides to examine tissue, initial procedure	500	440	$201.00	$94.65
17000 Destruction of skin growth	408	333	$153.00	$34.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	362	318	$1107.00	$233.07
99213 Established patient office or other outpatient visit, typically 15 minutes	289	247	$141.00	$86.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	210	171	$83.00	$54.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	150	$208.00	$121.97
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	153	134	$1429.00	$580.44
88312 Special stained specimen slides to identify organisms including interpretation and report	152	142	$185.00	$104.67
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	109	84	$858.00	$372.18
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	80	22	$330.00	$140.47
88341 Special stained specimen slides to examine tissue	73	63	$169.00	$82.58
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	72	22	$351.00	$146.17
29580 Strapping, unna boot	57	14	$144.16	$39.59
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	51	50	$2373.00	$952.31
11102 Tangential biopsy of single skin lesion	46	44	$228.00	$81.88
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	44	44	$2207.00	$871.57
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	44	44	$2371.00	$956.20
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	41	41	$987.00	$245.64
88304 Pathology examination of tissue using a microscope, moderately low complexity	36	34	$82.50	$37.29
17110 Destruction of up to 14 skin growths	35	34	$253.00	$75.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$209.00	$108.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	24	24	$914.00	$263.79
97597 Removal of tissue from wound, 20.0 sq cm or less	24	20	$142.00	$97.17
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	24	$1179.00	$240.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$320.00	$161.86
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	22	21	$944.00	$385.08
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	21	$1821.00	$737.83
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	16	16	$2531.00	$1049.49
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$657.00	$151.08
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$669.00	$150.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,368	1,566	$141.00	$67.31
Q4186 Epifix, per square centimeter	1,105	46	$321.00	$155.01
17003 Destruction of precancer skin growth, 2-14 growths	853	229	$13.00	$6.10
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	804	597	$1529.00	$591.01
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	744	458	$896.00	$392.86
17000 Destruction of skin growth	443	350	$153.00	$35.07
88342 Special stained specimen slides to examine tissue, initial procedure	430	380	$201.00	$97.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	341	$208.00	$125.45
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	376	18	$212.00	$111.59
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	327	284	$1107.00	$241.48
99213 Established patient office or other outpatient visit, typically 15 minutes	245	200	$141.00	$88.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	127	$83.00	$53.88
88312 Special stained specimen slides to identify organisms including interpretation and report	145	136	$185.00	$103.71
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	109	95	$1429.00	$589.77
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	100	27	$351.00	$138.49
11102 Tangential biopsy of single skin lesion	74	65	$228.00	$82.00
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	63	52	$858.00	$377.37
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	58	22	$330.00	$128.72
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	44	43	$987.00	$244.36
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	40	39	$2207.00	$875.31
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	37	37	$2371.00	$972.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	36	36	$1179.00	$240.19
17110 Destruction of up to 14 skin growths	34	30	$253.00	$86.24
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	31	31	$2373.00	$966.97
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	25	$914.00	$318.85
88341 Special stained specimen slides to examine tissue	28	25	$169.00	$84.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$320.00	$159.87
11103 Biopsy of related skin growth, each additional growth	27	18	$123.00	$50.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$209.00	$109.63
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	20	$1821.00	$747.37
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	19	$86.00	$39.34
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$657.00	$145.98
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$681.00	$153.73
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	13	$944.00	$394.39
88313 Special stained specimen slides to examine tissue including interpretation and report	12	11	$128.00	$75.40
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$2531.00	$1064.42
11104 Punch biopsy, first skin growth	11	11	$286.00	$96.37
97597 Removal of tissue from wound, 20.0 sq cm or less	11	11	$142.00	$91.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,667	1,264	$146.69	$68.07
Q4186 Epifix, per square centimeter	1,396	81	$321.00	$158.68
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	802	582	$1529.00	$586.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	648	412	$896.00	$386.59
17003 Destruction of precancer skin growth, 2-14 growths	491	122	$13.00	$5.79
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	317	278	$1107.00	$242.33
17000 Destruction of skin growth	250	223	$153.00	$40.92
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	197	11	$212.00	$109.38
88342 Special stained specimen slides to examine tissue, initial procedure	190	178	$201.00	$101.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	138	$208.00	$106.67
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	113	51	$351.00	$122.10
11102 Tangential biopsy of single skin lesion	106	95	$220.83	$90.74
88312 Special stained specimen slides to identify organisms including interpretation and report	79	75	$182.32	$99.67
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	76	32	$330.00	$120.48
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	74	67	$1429.00	$588.09
11103 Biopsy of related skin growth, each additional growth	68	37	$119.60	$51.83
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$141.00	$73.79
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	46	38	$858.00	$371.41
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	45	44	$2207.00	$874.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$209.00	$104.37
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	42	39	$987.00	$327.10
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$144.00	$74.65
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	30	30	$2373.00	$986.23
17110 Destruction of up to 14 skin growths	29	28	$253.00	$93.45
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	24	$1179.00	$249.01
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$1821.00	$762.94
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	21	21	$2371.00	$992.28
11104 Punch biopsy, first skin growth	19	17	$275.47	$118.75
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	19	$914.00	$292.33
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	18	$657.00	$145.81
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	14	$86.00	$39.15
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	14	14	$312.00	$130.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$573.00	$121.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$83.00	$44.57
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	13	13	$944.00	$398.65
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$2531.00	$1077.19
17004 Destruction of precancer skin growth, 15 or more growths	12	12	$347.00	$154.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,653	1,597	$151.43	$66.30
Q4186 Epifix, per square centimeter	1,517	74	$321.00	$157.21
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	923	672	$1529.00	$598.28
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	624	418	$896.00	$380.39
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	363	316	$1107.00	$232.39
17003 Destruction of precancer skin growth, 2-14 growths	360	82	$13.00	$5.43
17000 Destruction of skin growth	229	194	$153.00	$39.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	119	$208.00	$103.87
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	154	52	$351.00	$123.74
88342 Special stained specimen slides to examine tissue, initial procedure	105	105	$201.00	$99.91
11102 Tangential biopsy of single skin lesion	79	72	$190.00	$92.76
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	70	58	$1429.00	$558.68
88312 Special stained specimen slides to identify organisms including interpretation and report	59	57	$177.27	$94.94
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	57	26	$330.00	$117.98
99213 Established patient office or other outpatient visit, typically 15 minutes	55	48	$141.00	$71.26
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	41	40	$2373.00	$987.88
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	39	39	$1179.00	$260.55
11103 Biopsy of related skin growth, each additional growth	39	27	$102.00	$51.06
96574 Application of light with debridement to destroy precancer skin growth	38	15	$463.00	$242.14
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	38	15	$655.00	$391.89
88304 Pathology examination of tissue using a microscope, moderately low complexity	36	34	$86.00	$38.30
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$144.00	$72.69
17004 Destruction of precancer skin growth, 15 or more growths	32	17	$347.00	$141.17
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	32	22	$858.00	$364.84
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	31	30	$2207.00	$919.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	31	31	$987.00	$345.24
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	26	$914.00	$358.77
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$1821.00	$760.45
97597 Removal of tissue from wound, 20.0 sq cm or less	20	17	$142.00	$84.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.00	$105.22
17110 Destruction of up to 14 skin growths	19	18	$253.00	$95.51
11104 Punch biopsy, first skin growth	18	14	$238.00	$105.65
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	16	$657.00	$155.13
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	15	$732.00	$153.00
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$2371.00	$991.87
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	13	$284.00	$118.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$573.00	$129.55
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$2373.00	$745.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,373	1,542	$141.04	$65.39
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	903	640	$1528.13	$585.43
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	633	401	$895.47	$367.84
Q4131 Epifix or epicord, per square centimeter	620	24	$321.00	$157.39
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	323	284	$1107.00	$235.34
17003 Destruction of precancer skin growth, 2-14 growths	282	72	$13.00	$4.95
17000 Destruction of skin growth	194	170	$153.00	$39.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	95	$208.00	$101.36
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	88	71	$1429.00	$560.50
11100 Biopsy of single growth of skin and/or tissue	85	78	$238.00	$94.04
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	72	22	$351.00	$126.28
88312 Special stained specimen slides to identify organisms including interpretation and report	51	49	$185.00	$91.30
11101 Biopsy of each additional growth of skin and/or tissue	51	35	$76.00	$30.64
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	47	35	$858.00	$353.82
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$144.00	$70.12
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$141.00	$70.04
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	36	36	$2207.00	$887.62
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	35	16	$655.00	$398.12
96574 Application of light with debridement to destroy precancer skin growth	34	16	$463.00	$227.91
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	29	29	$2373.00	$803.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	29	$987.00	$286.02
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	26	$914.00	$280.25
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	22	$1821.00	$750.56
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	21	21	$1179.00	$278.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$209.00	$101.14
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	19	19	$1782.00	$734.20
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$2531.00	$867.13
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	14	14	$2373.00	$978.57
88313 Special stained specimen slides to examine tissue including interpretation and report	13	13	$128.00	$65.73
17004 Destruction of precancer skin growth, 15 or more growths	12	12	$347.00	$129.80
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	12	$2207.00	$745.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	3,311	1,551	$140.91	$64.84
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	798	593	$1528.02	$578.53
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	671	440	$896.00	$366.40
17003 Destruction of precancer skin growth, 2-14 growths	516	105	$12.97	$5.27
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	287	260	$1107.00	$239.29
17000 Destruction of skin growth	197	171	$152.64	$42.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	131	$208.00	$101.96
11100 Biopsy of single growth of skin and/or tissue	160	145	$237.31	$93.11
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	116	38	$655.00	$354.56
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	112	38	$251.00	$124.03
11101 Biopsy of each additional growth of skin and/or tissue	106	66	$76.00	$30.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$209.00	$101.72
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	73	61	$1429.00	$560.68
88312 Special stained specimen slides to identify organisms including interpretation and report	60	56	$185.00	$91.77
99213 Established patient office or other outpatient visit, typically 15 minutes	57	43	$141.00	$66.61
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	53	53	$2373.00	$799.10
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	43	37	$858.00	$353.49
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	40	37	$2531.00	$839.32
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	39	38	$2207.00	$907.79
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	39	11	$186.00	$76.80
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	30	30	$2207.00	$751.43
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$142.33	$69.54
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	26	$1821.00	$748.08
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	25	25	$1179.00	$235.10
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	21	$987.00	$271.03
17004 Destruction of precancer skin growth, 15 or more growths	24	23	$347.00	$142.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	16	$914.00	$323.81
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$1782.00	$731.75
17110 Destruction of up to 14 skin growths	13	13	$253.00	$90.02
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	12	12	$2187.00	$750.77
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$2373.00	$976.10

Medical Specialties & State Licenses

CMS Verified: 2025-12-05

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OH 35089766

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

2809876 (OH)

Hospital & Practice Group Affiliations

Toledo Clinic Pllc

675 Cooper St, Monroe, MI 481611676

Phone: 4194795791

Toledo Clinic Pllc

1090 N Shoop Ave, Wauseon, OH 435671821

Phone: 4193305200

Toledo Clinic Pllc

1100 W Main St, Woodville, OH 434699723

Phone: 4197245820

Toledo Clinic Pllc

417 4th St, Defiance, OH 435122605

Phone: 4197854660

Toledo Clinic Pllc

341 Trenton Ave, Findlay, OH 458403745

Phone: 5672508212

Toledo Clinic Pllc

1136 Country Club Rd, Adrian, MI 492218209

Phone: 5173665110

Toledo Clinic Pllc

7301 Secor Rd, Lambertville, MI 481449737

Phone: 4194795795

Toledo Clinic Pllc

1070 N Shoop Ave, Wauseon, OH 435671821

Phone: 4193305200

Secondary Practice Locations

7301 Secor Rd

Lambertville, MI 481449737

Phone: 4194795795

341 Trenton Ave

Findlay, OH 458403745

Phone: 5672508212

1100 W Main St

Woodville, OH 434699723

Phone: 4197245820

1136 Country Club Rd Unit C

Adrian, MI 492218209

Phone: 5173665110

675 Cooper St

Monroe, MI 481611676

Phone: 4194795791

1070 N Shoop Ave

Wauseon, OH 435671821

Phone: 4193305200

106 S Lafayette St

South Lyon, MI 481781404

Phone: 9473481176

417 4th St

Defiance, OH 435122605

Phone: 4197854660

Practice Associates & Co-Workers

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

3 Associated Practitioners

Christine Kuhlman , CNP

Nurse Practitioner - Family

NPI 1285917757

Certified Nurse Practitioner

Emily Baer

Physician Assistant

NPI 1326855305

Adam Levin

Dermatology

NPI 1952862468

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 09, 2025

Registered at 1090 N SHOOP AVE, WAUSEON, OH 435671821 (Tel: 4193305200)

✅

NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2011

Registered at 4235 SECOR ROAD, TOLEDO, OH 43623 (Tel: 4194795795)

📍

Updated Business Mailing Address June 20, 2011

Registered at 4235 SECOR RD, TOLEDO, OH 43623 (Tel: 4102152723)

👤

Provider Name / Credentials Updated June 20, 2011

Recorded as DAVID KOUBA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Dermatology (License #35089766 in OH)

🟢

Initial NPI Registration & Enumeration May 04, 2006

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: 1073561866

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: December 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4235 Secor Rd

Toledo, OH 43623

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.