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Active NPI 1366977027 Individual Practitioner Female Practitioner

Dr. Lacey Roybal , DO

Dermatology • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lacey Roybal, DO is a certified Dermatology practicing in Salem, OR. With approximately 9 years of clinical experience since graduating from Arizona College Of Osteopathic Medicine Mid Western University in 2017, Dr. Roybal delivers high-quality medical care to the local community at 1793 13TH ST SE.

Dr. Roybal is affiliated with Silver Falls Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, 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

1793 13th St Se

Salem, OR 973022541

Telephone 8665993376
Associated Practice Facility / Clinic
🏢 Silver Falls Dermatology, Llc Facility NPI 1134375421

Medicare Profile & Education

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Salem, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -7.3 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Salem, OR (217 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roybal (9 Years) 9 Yrs
Salem Specialty Average (16.3 Years) 16.3 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
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
3,000 12 $4.00 $1.65
17003 Destruction of precancer skin growth, 2-14 growths
850 171 $16.57 $6.48
99213 Established patient office or other outpatient visit, typically 15 minutes
404 327 $230.00 $87.54
17000 Destruction of skin growth
282 231 $168.36 $48.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
256 182 $330.00 $121.94
11102 Tangential biopsy of single skin lesion
193 180 $266.06 $86.63
17110 Destruction of up to 14 skin growths
149 126 $290.49 $109.17
11103 Biopsy of related skin growth, each additional growth
74 50 $135.21 $48.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
53 53 $285.00 $107.64
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
43 41 $790.33 $283.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
30 30 $425.00 $161.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
21 19 $634.18 $118.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
14 12 $456.23 $134.94
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
13 13 $720.54 $144.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $145.00 $54.64
11200 Removal of skin tag, 1-15 skin tags
12 11 $229.42 $71.00

Medical Specialties & State Licenses

CMS Verified: 2021-11-10
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR DO188595

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.

Hospital & Practice Group Affiliations

Silver Falls Dermatology Llc

1793 13th St Se, Salem, OR 973022541

Phone: 5033628385

Practice Associates & Co-Workers

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

9 Associated Practitioners
Kathleen Stewart , PA-C

Physician Assistant - Medical

NPI 1114110947

Physician Assistant (Certified)

Benjamin Matthews , ARNP

Nurse Practitioner - Family

NPI 1205372604

Advanced Registered Nurse Practitioner

NPI 1447555016

Doctor of Osteopathic Medicine (D.O.)

Jennifer Smith , FNP

Nurse Practitioner - Family

NPI 1497270268

Family Nurse Practitioner

Brittany West , PA-C

Physician Assistant - Medical

NPI 1568973931

Physician Assistant (Certified)

Guadalupe Mercado

Student in an Organized Health Care Education/Training Program

NPI 1609660158

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 10, 2021

Registered at 1793 13TH ST SE, SALEM, OR 973022541 (Tel: 8665993376)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2021

Dermatology (License #DO188595 in OR)

NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2017

Registered at 3600 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417684906)

📍
Updated Business Mailing Address May 01, 2017

Registered at 3600 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417684906)

👤
Provider Name / Credentials Updated May 01, 2017

Recorded as LACEY ROYBAL, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Internal Medicine (License #PG182901 in OR)

🟢
Initial NPI Registration & Enumeration May 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366977027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2017
Last Update: November 10, 2021
Sole Proprietor: No

Mailing Address

3600 Nw Samaritan Dr

Corvallis, OR 973303737

Phone: 5417684906

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.