Active NPI 1538505847 Individual Practitioner Female Practitioner

Dr. Jacqueline Guidry , MD

Dermatology • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Guidry, MD is a certified Dermatology practicing in Tulsa, OK. With approximately 13 years of clinical experience since graduating from Baylor College Of Medicine in 2013, Dr. Guidry delivers high-quality medical care to the local community at 2424 E 21ST ST STE 340.

Dr. Guidry is affiliated with Midtown Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, destruction of precancer skin growth, 2-14 growths, removal and microscopic exam of growth of head, neck, hands, feet, or genitals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2424 E 21st St Ste 340

Tulsa, OK 741141722

Telephone 9187283100

Fax 9187283376

Associated Practice Facility / Clinic

🏢 Women's Health Care, P.c. Facility NPI 1063518900

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Tulsa, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -12.2 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

35 Specialists

Practicing in Tulsa, OK (129 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guidry (13 Years) 13 Yrs

Tulsa Specialty Average (25.2 Years) 25.2 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
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	408	323	$1250.35	$559.66
17003 Destruction of precancer skin growth, 2-14 growths	235	53	$12.15	$6.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	182	126	$755.48	$394.64
99213 Established patient office or other outpatient visit, typically 15 minutes	163	127	$170.28	$88.35
17000 Destruction of skin growth	103	78	$124.76	$42.73
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	72	68	$580.22	$152.13
11102 Tangential biopsy of single skin lesion	64	57	$182.86	$76.99
17110 Destruction of up to 14 skin growths	57	50	$207.94	$96.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	45	$105.21	$54.89
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	50	41	$1171.29	$506.25
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	44	$865.30	$226.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	41	$556.57	$190.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$209.40	$107.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$240.79	$124.89
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	24	$570.42	$162.16
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	23	$519.06	$147.88
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	21	16	$723.02	$379.43
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	21	21	$667.20	$174.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$782.13	$205.07
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	18	$1409.74	$738.33
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	16	$1855.79	$973.43
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1426.61	$746.41
11103 Biopsy of related skin growth, each additional growth	17	14	$92.03	$48.22
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$1716.75	$841.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	320	248	$1262.76	$538.92
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	151	101	$763.91	$377.08
17003 Destruction of precancer skin growth, 2-14 growths	142	30	$12.32	$6.11
99213 Established patient office or other outpatient visit, typically 15 minutes	116	97	$170.13	$83.51
17000 Destruction of skin growth	60	53	$125.01	$44.44
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	56	55	$588.74	$146.39
11102 Tangential biopsy of single skin lesion	54	51	$187.74	$67.26
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	51	46	$1182.38	$535.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	50	49	$564.32	$185.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	35	$105.81	$52.58
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	35	$882.74	$219.12
17110 Destruction of up to 14 skin growths	31	26	$209.43	$88.05
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$1443.94	$700.94
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	22	18	$730.00	$362.71
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	22	$578.76	$149.98
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	13	$522.30	$137.56
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$529.02	$148.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	11	$795.70	$197.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	330	53	$11.46	$6.20
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	274	221	$1173.57	$527.00
99213 Established patient office or other outpatient visit, typically 15 minutes	127	96	$157.94	$84.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	116	75	$708.12	$377.33
17000 Destruction of skin growth	106	80	$116.96	$44.71
17110 Destruction of up to 14 skin growths	67	54	$194.66	$99.20
11102 Tangential biopsy of single skin lesion	61	48	$175.88	$75.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$192.85	$105.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	40	$97.16	$52.42
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	49	45	$553.73	$156.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	47	44	$522.26	$182.68
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	36	28	$1101.75	$510.08
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	26	$1356.45	$713.73
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	20	$545.02	$188.65
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	20	$486.60	$139.40
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$856.94	$220.49
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$1338.04	$706.31
11104 Punch biopsy, first skin growth	12	11	$217.62	$117.95
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$129.52	$68.22
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	11	11	$683.47	$360.18
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	11	11	$637.96	$170.00
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$1756.48	$925.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	806	106	$12.04	$6.02
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	227	193	$1263.17	$505.12
17000 Destruction of skin growth	211	151	$123.40	$49.26
99213 Established patient office or other outpatient visit, typically 15 minutes	210	155	$173.04	$85.39
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	130	87	$764.42	$381.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$212.58	$106.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	83	$105.77	$53.41
17110 Destruction of up to 14 skin growths	100	86	$210.16	$104.65
11102 Tangential biopsy of single skin lesion	91	76	$192.66	$85.07
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	44	43	$593.69	$153.70
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	37	$576.16	$195.53
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	38	23	$778.21	$367.55
11103 Biopsy of related skin growth, each additional growth	32	20	$98.18	$48.12
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$145.39	$69.36
11104 Punch biopsy, first skin growth	23	23	$241.48	$119.31
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	17	$1184.30	$540.53
17004 Destruction of precancer skin growth, 15 or more growths	20	15	$309.05	$143.53
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1446.42	$731.70
96574 Application of light with debridement to destroy precancer skin growth	19	14	$530.10	$268.01
96573 Application of light by qualified health care professional to destroy precancer skin growth	19	14	$428.08	$199.06
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	18	18	$532.04	$164.54
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	18	18	$1869.45	$873.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$246.14	$124.46
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$901.98	$228.24
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$1883.37	$951.44
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$582.75	$191.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	470	88	$18.28	$5.56
99213 Established patient office or other outpatient visit, typically 15 minutes	166	143	$125.91	$70.20
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	145	126	$1139.78	$508.29
17000 Destruction of skin growth	133	123	$127.75	$44.71
88305 Pathology examination of tissue using a microscope, intermediate complexity	129	93	$125.43	$64.70
11102 Tangential biopsy of single skin lesion	93	88	$172.15	$84.73
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	71	55	$684.38	$370.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$192.11	$101.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	47	$76.17	$42.23
17110 Destruction of up to 14 skin growths	52	48	$194.75	$98.62
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$133.19	$71.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	37	35	$512.27	$239.75
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	30	30	$509.40	$143.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$421.79	$115.30
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	20	12	$120.00	$104.29
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	19	$944.93	$223.42
11103 Biopsy of related skin growth, each additional growth	19	15	$92.36	$49.29
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1318.78	$703.01
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	12	12	$1030.00	$483.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$186.71	$102.65
11104 Punch biopsy, first skin growth	11	11	$212.27	$116.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	278	63	$20.00	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	103	100	$124.00	$68.96
17000 Destruction of skin growth	97	90	$129.00	$47.53
88305 Pathology examination of tissue using a microscope, intermediate complexity	86	68	$125.00	$64.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$181.00	$100.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$74.00	$41.78
11102 Tangential biopsy of single skin lesion	40	38	$167.00	$80.47
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	36	35	$1108.00	$555.93
17110 Destruction of up to 14 skin growths	29	26	$187.00	$96.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$505.00	$245.17
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	16	14	$658.00	$364.87
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$947.00	$221.87
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	13	11	$450.00	$385.51
11104 Punch biopsy, first skin growth	13	13	$210.00	$113.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$417.00	$124.05
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$218.00	$111.81

Medical Specialties & State Licenses

CMS Verified: 2026-01-13

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OK 38269

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License ID M-13903

Hospital & Practice Group Affiliations

Midtown Dermatology Llc

2424 E 21st St, Tulsa, OK 741141722

Phone: 9187434046

Secondary Practice Locations

9306 S Toledo Ct Ste 100

Tulsa, OK 74137

Phone: 9184940400

2199 N Merritt Creek Loop

Coeur D Alene, ID 838144949

Phone: 2086657546

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Lynn Anderson , MD

Dermatology

NPI 1124076161

Doctor of Medicine (M.D.)

Dr. Michelle Walters , MD

Dermatology

NPI 1477538585

Doctor of Medicine (M.D.)

Dr. Kristen Rice , MD

Dermatology

NPI 1871826115

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location December 01, 2021

Registered at 2424 E 21ST ST STE 340, TULSA, OK 741141722 (Tel: 9187283100)

📍

Updated Business Mailing Address December 01, 2021

Registered at 2424 E 21ST ST STE 340, TULSA, OK 741141722 (Tel: 9187283100)

📍

Updated Practice Location July 25, 2019

Registered at 2199 N MERRITT CREEK LOOP, COEUR D ALENE, ID 838144949 (Tel: 2086657546)

📍

Updated Business Mailing Address July 25, 2019

Registered at 2199 N MERRITT CREEK LOOP, COEUR D ALENE, ID 838144949 (Tel: 2086657546)

✅

NPI Profile Active January 30, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2018

Registered at 1665 AURORA CT, AURORA, CO 800452517 (Tel: 7208480500)

📍

Updated Business Mailing Address January 30, 2018

Registered at 2359 VERBENA ST, DENVER, CO 802383106 (Tel: 9184044123)

👤

Provider Name / Credentials Updated January 30, 2018

Recorded as JACQUELINE GUIDRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2018

Dermatology (License #M-13903 in ID)

✅

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2015

Registered at 602 HEIGHTS BLVD, APT 8, HOUSTON, TX 770072524 (Tel: 8322424113)

📍

Updated Business Mailing Address April 14, 2015

Registered at 602 HEIGHTS BLVD, APT 8, HOUSTON, TX 770072524 (Tel: 8322424113)

👤

Provider Name / Credentials Updated April 14, 2015

Recorded as JACQUELINE GUIDRY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Internal Medicine (License #Q1157 in TX)

🟢

Initial NPI Registration & Enumeration May 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538505847

Entity Type:

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

Enumeration Date: May 14, 2013

Last Update: January 13, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2424 E 21st St Ste 340

Tulsa, OK 741141722

Phone: 9187283100

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.