Active NPI 1821027798 Individual Practitioner Male Practitioner

Kirk F Gautier , PA-C

Physician Assistant • Athens, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kirk Gautier, PA-C is a certified Physician Assistant practicing in Athens, TX. With approximately 23 years of clinical experience since completing medical education in 2003, Kirk Gautier delivers high-quality medical care to the local community at 805 S PALESTINE ST.

Kirk Gautier is affiliated with Oliver Street 5.01(A) Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

805 S Palestine St

Athens, TX 757513427

Telephone 9035346200

Fax 9039390755

Associated Practice Facility / Clinic

🏢 Oliver Street Dermatology Asc Llc Facility NPI 1700822335

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Athens, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +9.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Athens, TX (11140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gautier (23 Years) 23 Yrs

Athens Specialty Average (13.3 Years) 13.3 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
17003 Destruction of precancer skin growth, 2-14 growths	2,319	449	$23.00	$5.63
99213 Established patient office or other outpatient visit, typically 15 minutes	1,821	1,253	$309.00	$77.70
17000 Destruction of skin growth	823	643	$231.00	$44.81
11102 Tangential biopsy of single skin lesion	469	406	$341.00	$78.40
17110 Destruction of up to 14 skin growths	448	403	$388.00	$94.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	312	65	$24.00	$0.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$379.00	$95.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	172	$435.00	$109.29
11103 Biopsy of related skin growth, each additional growth	139	100	$171.00	$42.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	45	$49.00	$12.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	72	56	$608.00	$128.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$192.00	$48.07
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	52	47	$506.00	$115.99
69100 Biopsy of ear	51	51	$325.00	$63.63
17004 Destruction of precancer skin growth, 15 or more growths	38	35	$570.00	$142.38
11104 Punch biopsy, first skin growth	27	26	$425.00	$106.45
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	23	$643.00	$161.94
11900 Injection into skin growth, 1-7 growths	22	22	$196.00	$38.33
Q0112 All potassium hydroxide (koh) preparations	22	19	$19.00	$5.71
10060 Simple or single drainage of skin abscess	20	20	$433.00	$109.17
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$567.00	$127.18
11200 Removal of skin tag, 1-15 skin tags	16	16	$316.00	$54.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$567.00	$143.96
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$246.00	$60.87
17111 Destruction of skin growth, 15 or more growths	13	12	$453.00	$113.45
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	11	$614.00	$136.98
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$658.00	$165.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,706	526	$23.00	$5.45
99213 Established patient office or other outpatient visit, typically 15 minutes	1,953	1,461	$297.00	$73.74
17000 Destruction of skin growth	917	737	$223.00	$41.62
11102 Tangential biopsy of single skin lesion	561	503	$338.00	$75.74
17110 Destruction of up to 14 skin growths	555	513	$378.00	$91.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	403	84	$24.00	$1.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	279	279	$369.00	$91.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	188	$420.00	$104.34
11103 Biopsy of related skin growth, each additional growth	155	106	$168.00	$41.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	69	$186.00	$46.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	48	$47.00	$11.53
17004 Destruction of precancer skin growth, 15 or more growths	66	59	$562.00	$138.12
11900 Injection into skin growth, 1-7 growths	57	44	$190.00	$36.38
69100 Biopsy of ear	50	45	$321.00	$61.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	44	$594.00	$143.11
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	46	40	$492.00	$101.82
10060 Simple or single drainage of skin abscess	33	33	$417.00	$98.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$547.00	$135.86
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$238.00	$58.36
11200 Removal of skin tag, 1-15 skin tags	25	25	$304.00	$49.25
11104 Punch biopsy, first skin growth	24	23	$419.00	$102.61
Q0112 All potassium hydroxide (koh) preparations	21	20	$19.00	$5.71
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	18	$627.00	$150.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$1011.00	$233.79
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	16	$598.00	$142.70
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	13	$554.00	$126.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,281	599	$23.00	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	1,872	1,382	$295.00	$74.52
17000 Destruction of skin growth	1,016	815	$221.00	$43.09
17110 Destruction of up to 14 skin growths	529	481	$374.00	$92.69
11102 Tangential biopsy of single skin lesion	519	451	$338.00	$78.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	349	71	$24.00	$1.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	286	286	$365.00	$90.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	123	$416.00	$105.95
11103 Biopsy of related skin growth, each additional growth	137	92	$169.00	$42.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	123	$184.00	$46.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	61	$47.00	$11.81
17004 Destruction of precancer skin growth, 15 or more growths	85	72	$554.00	$138.86
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	63	54	$587.00	$132.51
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$237.00	$59.77
69100 Biopsy of ear	48	47	$319.00	$61.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	28	$1000.00	$247.68
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	30	26	$485.00	$96.54
17111 Destruction of skin growth, 15 or more growths	28	28	$437.00	$110.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	27	14	$23.00	$6.63
11900 Injection into skin growth, 1-7 growths	27	25	$186.00	$35.25
Q0112 All potassium hydroxide (koh) preparations	24	22	$19.00	$5.76
10060 Simple or single drainage of skin abscess	24	24	$409.00	$97.74
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$620.00	$142.60
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	20	$544.00	$120.12
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$882.00	$110.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$543.00	$138.13
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	15	$591.00	$117.78
11104 Punch biopsy, first skin growth	18	18	$420.00	$105.76
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$1558.00	$392.89
11200 Removal of skin tag, 1-15 skin tags	17	17	$296.00	$56.85
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	12	$635.00	$148.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$804.00	$101.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,931	500	$21.11	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	1,514	1,132	$290.21	$75.53
17000 Destruction of skin growth	862	676	$212.83	$43.32
11102 Tangential biopsy of single skin lesion	523	448	$335.04	$80.22
17110 Destruction of up to 14 skin growths	418	384	$365.74	$93.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	363	78	$23.99	$1.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	272	247	$176.00	$46.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$358.29	$92.37
11103 Biopsy of related skin growth, each additional growth	145	97	$171.05	$43.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	89	$410.00	$107.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	52	$46.25	$11.59
99202 New patient office or other outpatient visit, typically 20 minutes	85	85	$234.95	$60.41
17004 Destruction of precancer skin growth, 15 or more growths	78	68	$531.17	$138.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	58	48	$574.78	$132.35
11900 Injection into skin growth, 1-7 growths	44	38	$181.84	$38.46
69100 Biopsy of ear	41	40	$319.75	$63.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	38	$994.49	$240.01
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	33	32	$478.22	$110.61
Q0112 All potassium hydroxide (koh) preparations	26	26	$19.00	$5.83
10060 Simple or single drainage of skin abscess	26	26	$397.41	$103.00
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	19	$607.86	$154.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	22	12	$22.96	$6.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$908.82	$123.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$535.53	$139.13
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	19	18	$535.18	$127.74
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$874.18	$112.95
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$800.19	$103.38
11104 Punch biopsy, first skin growth	17	17	$418.83	$105.41
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1548.00	$400.89
11200 Removal of skin tag, 1-15 skin tags	14	14	$289.65	$66.77
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$664.00	$165.38
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	13	13	$1090.00	$280.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,492	430	$17.85	$5.03
99213 Established patient office or other outpatient visit, typically 15 minutes	971	750	$181.17	$62.42
17000 Destruction of skin growth	731	576	$157.84	$43.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	415	$265.50	$90.67
11102 Tangential biopsy of single skin lesion	439	377	$245.48	$76.82
17110 Destruction of up to 14 skin growths	277	255	$270.47	$90.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	260	65	$18.23	$1.46
99202 New patient office or other outpatient visit, typically 20 minutes	172	172	$187.89	$63.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	129	$115.32	$37.77
11103 Biopsy of related skin growth, each additional growth	138	84	$127.56	$44.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$257.69	$88.57
17004 Destruction of precancer skin growth, 15 or more growths	73	65	$374.90	$131.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	67	57	$425.66	$127.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	37	$42.32	$11.87
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	47	46	$365.28	$99.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	42	$688.20	$249.14
11900 Injection into skin growth, 1-7 growths	31	30	$139.65	$34.12
69100 Biopsy of ear	30	29	$254.60	$65.68
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	27	$551.42	$103.14
Q0112 All potassium hydroxide (koh) preparations	30	26	$13.80	$5.79
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	26	$452.57	$139.94
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	22	$711.72	$112.90
11104 Punch biopsy, first skin growth	20	20	$311.15	$102.00
10140 Drainage of blood or fluid accumulation	19	17	$416.42	$134.72
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	16	$421.25	$106.73
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	15	$1203.89	$399.32
99201 New patient office or other outpatient visit, typically 10 minutes	16	16	$107.53	$37.99
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	13	$432.54	$132.69
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$566.46	$122.90
11200 Removal of skin tag, 1-15 skin tags	13	13	$222.77	$59.94
10060 Simple or single drainage of skin abscess	13	12	$289.73	$93.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,117	590	$13.65	$4.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,306	958	$151.00	$61.20
17000 Destruction of skin growth	1,005	787	$133.00	$42.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	638	590	$221.00	$89.81
11102 Tangential biopsy of single skin lesion	637	535	$202.00	$75.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	460	98	$10.38	$1.58
17110 Destruction of up to 14 skin growths	347	311	$226.00	$88.03
99202 New patient office or other outpatient visit, typically 20 minutes	257	257	$155.00	$62.76
11103 Biopsy of related skin growth, each additional growth	238	156	$109.00	$43.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	203	176	$92.00	$37.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	197	197	$220.00	$89.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	53	$34.00	$13.72
11104 Punch biopsy, first skin growth	85	82	$254.00	$100.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	72	$361.00	$129.92
17004 Destruction of precancer skin growth, 15 or more growths	80	65	$311.00	$125.04
69100 Biopsy of ear	61	55	$201.00	$63.62
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	52	46	$296.00	$98.47
11900 Injection into skin growth, 1-7 growths	50	46	$111.00	$37.71
36415 Insertion of needle into vein for collection of blood sample	38	27	$6.00	$2.94
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	34	$985.00	$396.44
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	32	$623.00	$230.35
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	33	30	$337.00	$116.99
10060 Simple or single drainage of skin abscess	32	32	$243.00	$98.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	28	$557.00	$112.07
Q0112 All potassium hydroxide (koh) preparations	30	28	$12.00	$5.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	28	13	$14.00	$6.77
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	23	$384.00	$142.81
99201 New patient office or other outpatient visit, typically 10 minutes	26	26	$93.00	$37.62
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	22	$367.00	$132.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$509.00	$102.32
11200 Removal of skin tag, 1-15 skin tags	18	18	$181.00	$54.65
17111 Destruction of skin growth, 15 or more growths	18	15	$267.00	$103.03
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	17	16	$394.00	$144.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,819	506	$37.39	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	1,340	987	$105.43	$59.72
17000 Destruction of skin growth	940	721	$144.03	$43.39
11100 Biopsy of single growth of skin and/or tissue	670	565	$185.17	$80.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	518	475	$156.42	$87.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	510	103	$9.12	$1.79
17110 Destruction of up to 14 skin growths	313	292	$195.68	$88.87
99202 New patient office or other outpatient visit, typically 20 minutes	285	285	$116.66	$60.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	248	220	$68.50	$35.81
11101 Biopsy of each additional growth of skin and/or tissue	160	120	$85.65	$26.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$174.25	$87.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	50	$48.00	$16.70
17004 Destruction of precancer skin growth, 15 or more growths	72	60	$377.20	$118.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	68	57	$312.27	$124.39
69100 Biopsy of ear	63	60	$196.11	$70.51
11900 Injection into skin growth, 1-7 growths	63	54	$100.59	$37.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	58	27	$23.34	$7.06
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	52	44	$256.90	$97.24
36415 Insertion of needle into vein for collection of blood sample	49	33	$20.57	$2.94
10060 Simple or single drainage of skin abscess	47	45	$207.36	$97.33
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	44	43	$498.54	$110.89
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	36	$1050.65	$383.55
11200 Removal of skin tag, 1-15 skin tags	34	32	$151.91	$59.15
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	34	29	$346.25	$143.64
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$547.38	$242.25
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	26	25	$294.98	$120.79
Q0112 All potassium hydroxide (koh) preparations	21	19	$14.29	$5.71
99201 New patient office or other outpatient visit, typically 10 minutes	20	20	$65.38	$36.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	19	$439.91	$106.73
17111 Destruction of skin growth, 15 or more growths	18	14	$211.72	$100.08
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$326.06	$167.13
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	11	$536.83	$216.50
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	12	12	$647.75	$314.75
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$423.21	$97.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$510.39	$126.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,545	638	$37.39	$4.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,383	1,066	$105.36	$59.22
17000 Destruction of skin growth	1,169	875	$144.03	$42.53
11100 Biopsy of single growth of skin and/or tissue	721	626	$185.17	$76.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	717	127	$9.12	$1.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	678	628	$156.42	$87.11
17110 Destruction of up to 14 skin growths	428	392	$195.68	$86.50
99202 New patient office or other outpatient visit, typically 20 minutes	314	314	$116.66	$60.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	237	211	$68.50	$35.24
11101 Biopsy of each additional growth of skin and/or tissue	215	134	$85.65	$26.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$174.25	$86.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	66	$48.00	$20.44
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	95	78	$312.27	$119.03
17004 Destruction of precancer skin growth, 15 or more growths	92	79	$377.20	$121.32
11900 Injection into skin growth, 1-7 growths	90	70	$100.59	$36.48
69100 Biopsy of ear	71	65	$196.11	$61.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	66	32	$23.34	$6.75
36415 Insertion of needle into vein for collection of blood sample	48	31	$20.57	$2.94
11200 Removal of skin tag, 1-15 skin tags	48	48	$151.91	$54.34
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	45	39	$256.90	$96.01
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	41	39	$336.56	$146.53
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	30	$498.54	$115.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	34	$547.38	$236.02
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	35	29	$282.11	$119.54
Q0112 All potassium hydroxide (koh) preparations	34	34	$14.55	$5.74
10060 Simple or single drainage of skin abscess	33	33	$207.36	$93.69
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	33	32	$1050.65	$381.78
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	30	29	$294.98	$109.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	25	$439.91	$106.26
99201 New patient office or other outpatient visit, typically 10 minutes	21	21	$65.38	$35.50
17111 Destruction of skin growth, 15 or more growths	19	19	$211.72	$103.12
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$456.76	$110.05
87220 Tissue fungi or parasites	16	15	$22.00	$5.74
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	15	$343.90	$130.04
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$536.83	$195.52
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	12	$326.06	$147.64
11901 Injection into skin growth, more than 7 growths	13	12	$127.62	$50.25
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$423.21	$96.52
40490 Biopsy of lip	11	11	$234.49	$104.88

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA03984

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

Oliver Street 5.01(A) Inc

1367 Dominion Plz, Tyler, TX 757031013

Phone: 9035346200

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Shanna Meads , MD

Dermatology

NPI 1023054624

Doctor of Medicine (M.D.)

John Campbell , FNP

Nurse Practitioner

NPI 1043252174

Family Nurse Practitioner

Dr. Stephen Beck , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1063490472

Doctor of Medicine (M.D.)

Brit Hatch , PA-C

Physician Assistant

NPI 1073934568

Physician Assistant (Certified)

Dr. Bradley Graham , MD

Dermatology

NPI 1083641062

Doctor of Medicine (M.D.)

Dr. Alma Berlingeri Ramos , MD

Dermatology

NPI 1083818884

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2017

Registered at 805 S PALESTINE ST, ATHENS, TX 757513427 (Tel: 9035346200)

📍

Updated Business Mailing Address August 04, 2017

Registered at 1367 DOMINION PLAZA, TYLER, TX 757031013

👤

Provider Name / Credentials Updated August 04, 2017

Recorded as KIRK GAUTIER, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2017

Physician Assistant (License #PA03984 in TX)

✅

NPI Profile Active August 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 16, 2010

Registered at 1367 DOMINION PLAZA, TYLER, TX 757031013 (Tel: 9035346200)

📍

Updated Business Mailing Address August 16, 2010

Registered at 1367 DOMINION PLAZA, TYLER, TX 757031013

👤

Provider Name / Credentials Updated August 16, 2010

Recorded as KIRK GAUTIER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2010

Physician Assistant (License #PA03984 in TX)

🟢

Initial NPI Registration & Enumeration July 02, 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: 1821027798

Entity Type:

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

Enumeration Date: July 02, 2006

Last Update: August 04, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1367 Dominion Plaza

Tyler, TX 757031013

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.