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Deactivated NPI 1205825676 Deactivated / Inactive NPI Male Practitioner

Dr. Jerold Dennis Michaelson , MD

Dermatology • Dallas, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerold Michaelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 19, 2005
NPI Deactivation Date June 17, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jerold Michaelson, MD was a registered Dermatology practicing in Dallas, TX. Throughout an active medical career spanning 14 years, Dr. Michaelson provided care at the practice location at 8220 WALNUT HILL LN until profile deactivation on 2019-06-17.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

8220 Walnut Hill Ln
Suite 512

Dallas, TX 752314427

Telephone 2143698130
Fax 2143697872
Associated Practice Facility / Clinic
🏢 North Texas Pain Management Facility NPI 1649279027

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
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
49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
811 181 $37.39 $5.29
99213 Established patient office or other outpatient visit, typically 15 minutes
459 418 $105.36 $73.49
17000 Destruction of skin growth
276 258 $144.03 $47.90
17110 Destruction of up to 14 skin growths
235 220 $195.68 $113.57
11100 Biopsy of single growth of skin and/or tissue
93 89 $185.17 $93.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
53 53 $156.42 $108.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 28 $68.50 $44.29
11101 Biopsy of each additional growth of skin and/or tissue
27 19 $85.65 $32.81
17004 Destruction of precancer skin growth, 15 or more growths
17 15 $377.20 $146.13
17111 Destruction of skin growth, 15 or more growths
13 13 $211.72 $133.95

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX D4228

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Wofford , MD

Dermatology - Dermatopathology

NPI 1245596451

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated June 17, 2019

Record deactivated on June 17, 2019

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2017

Registered at 8220 WALNUT HILL LN, SUITE 512, DALLAS, TX 752314427 (Tel: 2143698130)

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Updated Business Mailing Address August 08, 2017

Registered at 8220 WALNUT HILL LN, SUITE 512, DALLAS, TX 752314427 (Tel: 2143698130)

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Provider Name / Credentials Updated August 08, 2017

Recorded as JEROLD MICHAELSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Dermatology (License #D4228 in TX)

NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2012

Registered at 8220 WALNUT HILL LN, SUITE 512, DALLAS, TX 752314427 (Tel: 2143698130)

📍
Updated Business Mailing Address June 05, 2012

Registered at 8220 WALNUT HILL LN, SUITE 512, DALLAS, TX 752314427 (Tel: 2143698130)

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Provider Name / Credentials Updated June 05, 2012

Recorded as JEROLD MICHAELSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Dermatology (License #D4228 in TX)

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Initial NPI Registration & Enumeration October 19, 2005

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: 1205825676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2005
Last Update: June 05, 2012
Deactivation Date: June 17, 2019

Mailing Address

8220 Walnut Hill Ln, Suite 512

Dallas, TX 752314427

Phone: 2143698130

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.