Active NPI 1356516314 Individual Practitioner Female Practitioner

Amy L Ullan , PA

Physician Assistant • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Ullan, PA is a certified Physician Assistant practicing in Salem, OR. With approximately 25 years of clinical experience since completing medical education in 2001, Amy Ullan delivers high-quality medical care to the local community at 2441 GREAR ST NE.

Amy Ullan is affiliated with Dermatology Clinic Pc 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

2441 Grear St Ne

Salem, OR 973012749

Telephone 5035880469

Fax 5035662063

Associated Practice Facility / Clinic

🏢 Dermatology Clinic Pc Facility NPI 1831150846

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +16.0 yrs vs City Avg

City Avg: 9.0 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

128 Specialists

Practicing in Salem, OR (2106 Statewide)

Telehealth Adoption Rate

10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ullan (25 Years) 25 Yrs

Salem Specialty Average (9.0 Years) 9.0 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
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,001	14	$2.07	$1.69
17003 Destruction of precancer skin growth, 2-14 growths	906	188	$15.00	$5.81
99213 Established patient office or other outpatient visit, typically 15 minutes	547	388	$225.09	$78.23
17000 Destruction of skin growth	356	266	$150.00	$44.80
17110 Destruction of up to 14 skin growths	207	170	$250.00	$97.06
11102 Tangential biopsy of single skin lesion	158	132	$230.00	$75.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	102	$320.00	$110.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	42	$150.00	$48.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$275.00	$95.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	27	$690.00	$259.26
11103 Biopsy of related skin growth, each additional growth	25	19	$124.00	$43.84
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$560.00	$111.65
17111 Destruction of skin growth, 15 or more growths	16	15	$300.00	$115.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,800	21	$2.00	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	877	201	$15.00	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	545	375	$225.09	$74.29
17000 Destruction of skin growth	374	271	$150.00	$43.64
17110 Destruction of up to 14 skin growths	188	155	$250.00	$93.21
11102 Tangential biopsy of single skin lesion	162	137	$230.00	$73.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	92	$320.00	$106.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	60	$150.00	$46.35
11103 Biopsy of related skin growth, each additional growth	52	35	$124.00	$42.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$275.00	$90.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	21	$690.00	$253.87
96573 Application of light by qualified health care professional to destroy precancer skin growth	22	20	$400.00	$192.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	16	$560.00	$106.76
17111 Destruction of skin growth, 15 or more growths	20	19	$300.00	$110.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,600	19	$2.00	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	806	166	$15.00	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	487	353	$225.10	$73.71
17000 Destruction of skin growth	348	248	$150.00	$44.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	117	$320.00	$104.18
11102 Tangential biopsy of single skin lesion	154	131	$230.00	$75.84
17110 Destruction of up to 14 skin growths	148	123	$250.00	$90.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	49	$150.00	$45.38
11103 Biopsy of related skin growth, each additional growth	48	27	$124.00	$41.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$275.00	$88.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	21	$690.00	$250.26
96573 Application of light by qualified health care professional to destroy precancer skin growth	22	18	$400.00	$193.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$560.00	$100.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$410.00	$136.48
11900 Injection into skin growth, 1-7 growths	12	12	$130.00	$36.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	12	12	$10.00	$1.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,600	16	$2.00	$1.57
17003 Destruction of precancer skin growth, 2-14 growths	623	146	$15.00	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	481	344	$215.44	$74.42
17000 Destruction of skin growth	283	217	$150.00	$42.33
17110 Destruction of up to 14 skin growths	161	136	$250.00	$92.11
11102 Tangential biopsy of single skin lesion	115	102	$230.00	$78.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	56	$306.60	$106.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	60	$150.00	$45.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$270.56	$92.25
11103 Biopsy of related skin growth, each additional growth	29	22	$124.00	$40.18
96573 Application of light by qualified health care professional to destroy precancer skin growth	23	20	$400.00	$194.31
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$690.00	$255.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	12	$10.00	$1.28
11900 Injection into skin growth, 1-7 growths	18	12	$130.00	$36.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$560.00	$108.05
11104 Punch biopsy, first skin growth	15	13	$289.00	$99.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	619	158	$15.00	$4.98
99213 Established patient office or other outpatient visit, typically 15 minutes	425	330	$175.00	$61.87
17000 Destruction of skin growth	246	206	$150.00	$42.31
17110 Destruction of up to 14 skin growths	118	100	$250.00	$91.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	79	$150.00	$37.13
11102 Tangential biopsy of single skin lesion	102	94	$230.00	$74.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$225.00	$90.65
11103 Biopsy of related skin growth, each additional growth	23	15	$124.00	$44.22
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	19	$690.00	$251.90
17111 Destruction of skin growth, 15 or more growths	16	14	$300.00	$109.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$250.00	$89.39
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$200.00	$62.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	710	192	$15.00	$4.63
99213 Established patient office or other outpatient visit, typically 15 minutes	538	396	$175.00	$61.19
17000 Destruction of skin growth	361	267	$150.00	$45.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	141	$150.00	$37.26
11102 Tangential biopsy of single skin lesion	145	128	$230.00	$78.92
17110 Destruction of up to 14 skin growths	75	66	$250.00	$91.69
11103 Biopsy of related skin growth, each additional growth	40	31	$103.20	$44.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$225.00	$90.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	33	$690.00	$246.58
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	28	20	$450.00	$364.65
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	18	17	$300.00	$97.89
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$560.00	$117.02
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	14	13	$520.00	$102.00
Q0112 All potassium hydroxide (koh) preparations	12	11	$25.00	$5.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	528	162	$13.87	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	420	341	$154.92	$59.79
17000 Destruction of skin growth	294	229	$125.76	$47.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	113	$134.60	$36.24
11100 Biopsy of single growth of skin and/or tissue	112	99	$180.18	$82.19
17110 Destruction of up to 14 skin growths	54	47	$199.44	$90.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$208.29	$89.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	22	$608.67	$251.15
11101 Biopsy of each additional growth of skin and/or tissue	24	17	$58.92	$27.19
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	15	$419.44	$395.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	15	$467.76	$103.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	118	37	$13.00	$4.62
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$123.00	$60.59
17000 Destruction of skin growth	44	42	$106.00	$40.72
11100 Biopsy of single growth of skin and/or tissue	32	32	$140.00	$83.89

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00780

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

Hospital & Practice Group Affiliations

Dermatology Clinic Pc

2441 Grear St Ne, Salem, OR 973012749

Phone: 5033643321

Dermatology Clinic Pc

2441 Grear St Northeast, Salem, OR 973012749

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Michael Goodenberger , MD

Dermatology

NPI 1205898707

Doctor of Medicine (M.D.)

Dr. Erik Kokkonen , MD

Dermatology

NPI 1497019905

Doctor of Medicine (M.D.)

Dr. John Currie , MD

Dermatology

NPI 1639131139

Doctor of Medicine (M.D.)

Dr. Samuel Denton , MD

Dermatology

NPI 1881656387

Doctor of Medicine (M.D.)

Teresa George , PA

Physician Assistant

NPI 1942475918

Physician Assistant

Eric Harmon , PA

Physician Assistant

NPI 1972778934

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2008

Registered at 2441 GREAR ST NE, SALEM, OR 973012749 (Tel: 5035880469)

📍

Updated Business Mailing Address April 29, 2008

Registered at 2441 GREAR ST NE, SALEM, OR 973012749 (Tel: 5035880469)

👤

Provider Name / Credentials Updated April 29, 2008

Recorded as AMY ULLAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2008

Physician Assistant (License #PA00780 in OR)

🟢

Initial NPI Registration & Enumeration April 29, 2008

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: 1356516314

Entity Type:

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

Enumeration Date: April 29, 2008

Last Update: April 29, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2441 Grear St Ne

Salem, OR 973012749

Phone: 5035880469

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.