Active NPI 1023071933 Individual Practitioner Male Practitioner

Dr. Jon Davis Pruett , MD

Dermatology • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Pruett, MD is a certified Dermatology practicing in Dallas, TX. With approximately 24 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2002, Dr. Pruett delivers high-quality medical care to the local community at 8201 PRESTON RD STE 440.

Dr. Pruett is affiliated with Revival Dermatology Pllc 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

8201 Preston Rd Ste 440

Dallas, TX 752256209

Telephone 2146753227

Associated Practice Facility / Clinic

🏢 Revival Dermatology Pllc Facility NPI 1679149702

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

109 Specialists

Practicing in Dallas, TX (1210 Statewide)

Telehealth Adoption Rate

9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pruett (24 Years) 24 Yrs

Dallas Specialty Average (22.2 Years) 22.2 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
17003 Destruction of precancer skin growth, 2-14 growths	852	135	$13.37	$6.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	353	276	$256.14	$126.30
17000 Destruction of skin growth	195	159	$135.55	$52.48
17110 Destruction of up to 14 skin growths	169	144	$229.20	$110.14
99213 Established patient office or other outpatient visit, typically 15 minutes	131	114	$182.27	$89.73
11102 Tangential biopsy of single skin lesion	86	80	$201.44	$85.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$334.21	$165.04
17004 Destruction of precancer skin growth, 15 or more growths	30	22	$336.00	$165.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$222.35	$109.92
17111 Destruction of skin growth, 15 or more growths	16	12	$266.75	$131.72
11103 Biopsy of related skin growth, each additional growth	12	11	$101.00	$49.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	942	144	$13.77	$6.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	250	$257.78	$127.04
17000 Destruction of skin growth	219	173	$136.89	$49.59
17110 Destruction of up to 14 skin growths	193	166	$233.78	$112.90
99213 Established patient office or other outpatient visit, typically 15 minutes	151	129	$182.90	$88.47
11102 Tangential biopsy of single skin lesion	110	102	$208.77	$88.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$335.73	$163.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	13	$2.09	$1.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$225.79	$109.54
17004 Destruction of precancer skin growth, 15 or more growths	28	20	$346.00	$170.30
17111 Destruction of skin growth, 15 or more growths	11	11	$272.00	$134.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,041	165	$14.19	$7.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	256	$262.00	$130.00
17000 Destruction of skin growth	250	191	$139.00	$50.34
17110 Destruction of up to 14 skin growths	196	165	$237.00	$114.40
99213 Established patient office or other outpatient visit, typically 15 minutes	178	153	$185.00	$92.10
11102 Tangential biopsy of single skin lesion	115	103	$214.00	$84.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$339.00	$168.79
17004 Destruction of precancer skin growth, 15 or more growths	37	26	$351.00	$174.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	11	$2.29	$1.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$228.00	$112.97
17111 Destruction of skin growth, 15 or more growths	22	19	$276.00	$137.67
11103 Biopsy of related skin growth, each additional growth	19	17	$106.95	$52.90
11755 Biopsy of fingernail or toenail	18	18	$257.00	$124.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$632.00	$314.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,985	308	$19.73	$6.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	430	$370.70	$128.50
17000 Destruction of skin growth	427	350	$197.92	$46.47
99213 Established patient office or other outpatient visit, typically 15 minutes	363	312	$275.27	$89.70
17110 Destruction of up to 14 skin growths	354	305	$333.26	$111.90
11102 Tangential biopsy of single skin lesion	160	152	$310.01	$84.87
17004 Destruction of precancer skin growth, 15 or more growths	81	66	$482.30	$165.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	25	$18.07	$1.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$343.85	$110.13
17111 Destruction of skin growth, 15 or more growths	46	35	$401.29	$130.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$174.13	$55.16
11200 Removal of skin tag, 1-15 skin tags	27	27	$258.52	$66.45
11900 Injection into skin growth, 1-7 growths	24	19	$156.65	$45.07
11103 Biopsy of related skin growth, each additional growth	23	18	$157.80	$52.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$472.28	$166.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	17	$915.03	$299.60
69100 Biopsy of ear	15	14	$297.00	$72.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	12	$46.54	$13.87
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$222.48	$71.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,821	286	$17.70	$5.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	635	541	$260.50	$107.00
17000 Destruction of skin growth	405	328	$158.12	$49.44
17110 Destruction of up to 14 skin growths	294	258	$276.35	$106.80
99213 Established patient office or other outpatient visit, typically 15 minutes	291	199	$176.95	$72.74
11102 Tangential biopsy of single skin lesion	186	170	$240.01	$86.58
17004 Destruction of precancer skin growth, 15 or more growths	73	54	$362.12	$155.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	31	$17.10	$1.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$272.20	$104.67
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$182.03	$74.15
17111 Destruction of skin growth, 15 or more growths	32	31	$321.23	$125.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	13	$35.70	$11.07
11900 Injection into skin growth, 1-7 growths	26	24	$136.62	$40.76
11103 Biopsy of related skin growth, each additional growth	25	22	$126.44	$52.39
11200 Removal of skin tag, 1-15 skin tags	24	24	$237.56	$59.21
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$612.70	$133.06
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$616.53	$267.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$700.88	$274.29
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	11	$544.92	$226.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,237	325	$14.36	$5.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	735	623	$214.00	$105.53
17110 Destruction of up to 14 skin growths	470	392	$220.60	$104.34
17000 Destruction of skin growth	465	372	$129.19	$43.95
99213 Established patient office or other outpatient visit, typically 15 minutes	349	249	$144.04	$71.50
11102 Tangential biopsy of single skin lesion	189	177	$186.61	$77.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	53	$10.52	$1.55
17004 Destruction of precancer skin growth, 15 or more growths	95	70	$304.96	$146.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	77	$216.68	$104.22
17111 Destruction of skin growth, 15 or more growths	78	68	$254.86	$126.77
11900 Injection into skin growth, 1-7 growths	47	36	$108.47	$43.82
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$146.76	$74.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	17	$34.31	$13.02
11200 Removal of skin tag, 1-15 skin tags	33	31	$179.45	$58.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	22	$605.96	$277.98
11103 Biopsy of related skin growth, each additional growth	21	19	$100.70	$51.58
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	18	18	$512.00	$186.56
36415 Insertion of needle into vein for collection of blood sample	18	15	$7.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$87.00	$41.40
11901 Injection into skin growth, more than 7 growths	14	12	$141.00	$57.48
11104 Punch biopsy, first skin growth	14	14	$246.74	$111.55
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$489.31	$211.02
69100 Biopsy of ear	13	12	$201.00	$73.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,308	331	$16.88	$5.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	752	642	$169.39	$103.54
17110 Destruction of up to 14 skin growths	542	447	$181.24	$103.55
17000 Destruction of skin growth	486	378	$110.61	$41.82
99213 Established patient office or other outpatient visit, typically 15 minutes	422	273	$109.85	$68.94
11100 Biopsy of single growth of skin and/or tissue	314	274	$152.57	$84.62
17004 Destruction of precancer skin growth, 15 or more growths	106	80	$270.00	$137.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	89	49	$11.24	$1.79
17111 Destruction of skin growth, 15 or more growths	68	59	$197.22	$125.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$182.39	$104.00
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$120.00	$70.00
11900 Injection into skin growth, 1-7 growths	53	42	$94.00	$44.33
11101 Biopsy of each additional growth of skin and/or tissue	45	34	$54.00	$31.50
11200 Removal of skin tag, 1-15 skin tags	38	38	$130.00	$55.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$72.00	$42.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	17	$35.00	$15.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	23	$481.00	$273.04
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	26	$429.00	$195.69
36415 Insertion of needle into vein for collection of blood sample	16	14	$12.00	$2.94
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	15	$460.00	$238.71
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$325.00	$182.53
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	13	$400.00	$133.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,106	315	$16.79	$5.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	723	585	$169.46	$102.78
17110 Destruction of up to 14 skin growths	547	451	$156.63	$102.06
17000 Destruction of skin growth	484	386	$110.32	$42.23
99213 Established patient office or other outpatient visit, typically 15 minutes	346	193	$109.75	$69.44
11100 Biopsy of single growth of skin and/or tissue	253	231	$152.36	$79.00
17004 Destruction of precancer skin growth, 15 or more growths	120	88	$270.00	$142.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$181.58	$100.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	43	$8.00	$1.81
17111 Destruction of skin growth, 15 or more growths	64	57	$175.00	$122.39
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$120.00	$71.49
11900 Injection into skin growth, 1-7 growths	45	37	$92.93	$41.17
36415 Insertion of needle into vein for collection of blood sample	32	21	$12.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$71.45	$41.43
11101 Biopsy of each additional growth of skin and/or tissue	30	27	$53.26	$31.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	20	$35.00	$24.06
11200 Removal of skin tag, 1-15 skin tags	27	26	$130.00	$60.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	22	$463.13	$269.23
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$429.00	$217.83
10060 Simple or single drainage of skin abscess	13	12	$190.00	$107.59
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$400.00	$122.25
86580 Skin test for tuberculosis	11	11	$18.00	$7.52

Medical Specialties & State Licenses

CMS Verified: 2022-02-17

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License LA MD.15367R

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

Commercial Insurance / Payer ID Bcbs

8AG440 (TX)

Hospital & Practice Group Affiliations

Revival Dermatology Pllc

8201 Preston Rd, Dallas, TX 752256209

Phone: 2146753227

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Lisa Guidry Pruett , MD

Dermatology

NPI 1356367106

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 17, 2022

Registered at 8201 PRESTON RD STE 440, DALLAS, TX 752256209 (Tel: 2146753227)

📍

Updated Business Mailing Address February 17, 2022

Registered at 8201 PRESTON RD STE 440, DALLAS, TX 752256209 (Tel: 2146753227)

✅

NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2008

Registered at 4340 N JOSEY LN, SUITE 100, CARROLLTON, TX 750104602 (Tel: 9724927900)

📍

Updated Business Mailing Address April 23, 2008

Registered at 4340 N JOSEY LN, SUITE 100, CARROLLTON, TX 750104602 (Tel: 9724927900)

👤

Provider Name / Credentials Updated April 23, 2008

Recorded as JON PRUETT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Dermatology (License #MD.15367R in LA)

🟢

Initial NPI Registration & Enumeration April 11, 2006

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: 1023071933

Entity Type:

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

Enumeration Date: April 11, 2006

Last Update: February 17, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8201 Preston Rd Ste 440

Dallas, TX 752256209

Phone: 2146753227

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.