Active NPI 1700820859 Individual Practitioner Female Practitioner

Dr. Deborah F Macfarlane , MD

Dermatology - MOHS-Micrographic Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Macfarlane, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Houston, TX. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Macfarlane delivers high-quality medical care to the local community at 1515 HOLCOMBE BLVD.

Dr. Macfarlane is affiliated with Christopher P Downing Dermatology Md and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 Holcombe Blvd

Houston, TX 770304009

Telephone 7137926161

Associated Practice Facility / Clinic

🏢 University Of Texas M. D. Anderson Cancer Center Facility NPI 1174582050

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +19.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Houston, TX (123 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macfarlane (41 Years) 41 Yrs

Houston Specialty Average (21.1 Years) 21.1 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
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	315	236	$1758.67	$303.29
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	265	132	$1029.14	$189.01
17003 Destruction of precancer skin growth, 2-14 growths	260	50	$43.78	$1.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	231	200	$126.08	$35.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	107	$275.38	$96.23
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	117	81	$1679.04	$253.73
17000 Destruction of skin growth	101	71	$232.27	$46.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	94	89	$801.91	$118.95
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	76	74	$1087.45	$90.06
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	68	65	$931.97	$103.42
99213 Established patient office or other outpatient visit, typically 15 minutes	64	57	$176.75	$65.86
11104 Punch biopsy, first skin growth	62	49	$385.90	$35.31
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$222.93	$47.01
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	40	24	$1013.27	$175.46
11102 Tangential biopsy of single skin lesion	38	34	$308.39	$23.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	30	$891.40	$87.99
11105 Punch biopsy, each additional skin growth	34	15	$216.18	$25.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	32	31	$4501.63	$832.74
88331 Pathology examination of specimen during surgery, first tissue block	29	21	$468.28	$57.23
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	29	27	$834.24	$122.49
17110 Destruction of up to 14 skin growths	26	22	$321.00	$67.25
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	25	22	$1155.56	$120.52
17004 Destruction of precancer skin growth, 15 or more growths	19	13	$774.16	$99.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$319.35	$82.51
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	14	13	$725.00	$42.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$531.67	$88.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	214	154	$1707.12	$291.59
17003 Destruction of precancer skin growth, 2-14 growths	204	34	$42.07	$2.05
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	138	84	$1003.29	$192.18
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	131	94	$1679.00	$292.04
17003 Destruction of precancer skin growth, 2-14 growths	128	27	$41.00	$2.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	110	$122.18	$36.03
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	86	42	$983.00	$192.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	70	$120.00	$36.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$267.68	$98.08
17000 Destruction of skin growth	69	55	$225.06	$48.02
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	57	$774.51	$131.37
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	58	40	$1625.59	$245.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$262.00	$98.32
99213 Established patient office or other outpatient visit, typically 15 minutes	47	46	$171.55	$66.87
11104 Punch biopsy, first skin growth	42	39	$375.74	$35.84
17000 Destruction of skin growth	42	41	$221.00	$46.57
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	40	28	$1602.00	$254.60
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	35	35	$1052.80	$86.38
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	34	$904.46	$101.64
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	33	32	$4400.24	$859.98
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	29	29	$888.00	$105.14
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$169.00	$67.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	26	$763.00	$118.02
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	25	$861.40	$88.58
11104 Punch biopsy, first skin growth	23	23	$368.00	$35.35
11105 Punch biopsy, each additional skin growth	19	11	$208.37	$26.14
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	19	19	$4295.00	$860.54
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$210.00	$48.71
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	13	$986.89	$172.33
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	18	$811.56	$110.37
11102 Tangential biopsy of single skin lesion	17	17	$300.18	$23.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	11	$847.00	$82.02
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$796.00	$99.33
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	13	$1038.00	$86.38
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	13	13	$1119.00	$118.22
17004 Destruction of precancer skin growth, 15 or more growths	12	11	$759.50	$101.10
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$1121.27	$133.19
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	11	11	$1104.00	$109.77
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$206.00	$48.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	375	71	$39.60	$2.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	282	215	$1630.37	$298.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	194	106	$953.81	$192.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	141	$116.72	$37.25
17000 Destruction of skin growth	138	98	$214.87	$49.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	97	$254.35	$100.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	87	85	$746.10	$117.29
99213 Established patient office or other outpatient visit, typically 15 minutes	80	64	$163.57	$68.51
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	80	59	$1567.90	$251.05
11104 Punch biopsy, first skin growth	71	62	$356.80	$35.96
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	65	64	$1007.85	$89.72
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	53	49	$864.23	$106.21
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	49	49	$4166.27	$859.37
11105 Punch biopsy, each additional skin growth	37	19	$198.95	$26.37
11102 Tangential biopsy of single skin lesion	31	28	$287.26	$28.02
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	28	$777.18	$107.79
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$200.77	$50.24
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	26	14	$946.08	$179.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	16	$826.16	$82.89
17004 Destruction of precancer skin growth, 15 or more growths	19	17	$720.16	$100.21
17110 Destruction of up to 14 skin growths	17	16	$295.41	$64.92
88331 Pathology examination of specimen during surgery, first tissue block	16	13	$440.00	$63.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$1010.67	$138.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$294.43	$85.72
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	13	13	$1060.31	$132.43
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	13	13	$733.08	$43.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1914.00	$169.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$528.75	$59.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	323	56	$42.14	$2.15
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	294	215	$1575.09	$306.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	234	119	$925.44	$195.58
17000 Destruction of skin growth	120	85	$206.53	$50.15
99213 Established patient office or other outpatient visit, typically 15 minutes	112	97	$157.39	$69.70
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	81	72	$715.41	$122.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	72	$111.85	$37.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	63	$245.89	$99.75
11104 Punch biopsy, first skin growth	71	58	$344.89	$35.25
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	65	52	$1501.68	$280.45
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	63	59	$835.97	$104.97
11105 Punch biopsy, each additional skin growth	53	23	$191.98	$26.67
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	45	44	$971.56	$88.92
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	41	39	$4040.22	$873.69
11102 Tangential biopsy of single skin lesion	38	34	$275.37	$23.99
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	35	33	$744.94	$115.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	28	$793.64	$82.95
88331 Pathology examination of specimen during surgery, first tissue block	21	17	$421.00	$58.18
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$1864.48	$161.43
17110 Destruction of up to 14 skin growths	18	16	$285.67	$60.33
11103 Biopsy of related skin growth, each additional growth	17	11	$162.82	$22.84
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	17	13	$907.41	$182.18
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$699.24	$101.23
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1405.33	$156.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	391	59	$45.24	$2.22
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	295	198	$1525.94	$316.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	273	208	$108.49	$26.73
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	202	97	$892.74	$203.27
99213 Established patient office or other outpatient visit, typically 15 minutes	163	126	$151.91	$52.95
17000 Destruction of skin growth	114	79	$199.46	$49.24
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	80	60	$1460.86	$269.94
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	73	69	$693.21	$123.00
11102 Tangential biopsy of single skin lesion	72	59	$267.03	$27.83
11104 Punch biopsy, first skin growth	67	56	$332.40	$37.86
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	51	48	$807.53	$111.41
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	50	49	$943.54	$92.31
11103 Biopsy of related skin growth, each additional growth	38	22	$157.16	$23.80
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$196.94	$52.27
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	30	16	$879.40	$188.50
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	27	26	$3909.00	$887.14
17110 Destruction of up to 14 skin growths	26	23	$275.54	$68.70
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	24	23	$1804.38	$167.38
11105 Punch biopsy, each additional skin growth	23	14	$185.13	$27.80
17004 Destruction of precancer skin growth, 15 or more growths	22	14	$675.09	$102.49
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	21	19	$721.14	$103.40
88331 Pathology examination of specimen during surgery, first tissue block	20	19	$404.75	$66.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$763.76	$84.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$288.69	$78.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$238.73	$81.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	384	68	$54.90	$2.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	324	257	$104.36	$26.20
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	320	252	$1470.62	$339.46
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	252	127	$862.48	$208.44
99213 Established patient office or other outpatient visit, typically 15 minutes	234	163	$146.00	$52.30
17000 Destruction of skin growth	144	106	$192.24	$50.08
11104 Punch biopsy, first skin growth	109	85	$329.00	$37.88
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	78	62	$1413.38	$288.79
11102 Tangential biopsy of single skin lesion	68	60	$263.00	$28.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	57	$668.95	$136.16
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	54	53	$1749.85	$164.95
11105 Punch biopsy, each additional skin growth	53	34	$183.00	$28.32
17004 Destruction of precancer skin growth, 15 or more growths	45	28	$648.71	$103.47
11103 Biopsy of related skin growth, each additional growth	42	20	$154.00	$23.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	38	$1316.70	$142.65
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	39	38	$3766.67	$884.49
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$178.26	$52.02
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	33	33	$771.45	$106.16
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	30	29	$908.60	$95.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$265.40	$78.18
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	24	15	$853.25	$193.75
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	22	22	$1104.95	$130.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	18	$737.73	$95.36
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	20	20	$1250.80	$157.15
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	18	$693.17	$110.15
17110 Destruction of up to 14 skin growths	16	15	$268.38	$64.57
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	15	14	$750.40	$53.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$229.80	$80.85
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$993.33	$158.30
88331 Pathology examination of specimen during surgery, first tissue block	14	14	$392.00	$66.42
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$2272.00	$181.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	507	72	$59.00	$2.46
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	325	247	$1463.95	$325.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	231	134	$855.69	$207.29
99213 Established patient office or other outpatient visit, typically 15 minutes	229	165	$144.05	$51.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	187	165	$103.00	$25.85
11100 Biopsy of single growth of skin and/or tissue	159	116	$263.00	$36.49
17000 Destruction of skin growth	152	112	$190.00	$47.66
11101 Biopsy of each additional growth of skin and/or tissue	85	47	$154.00	$25.78
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	60	57	$660.00	$138.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	60	59	$1725.00	$165.19
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	44	44	$3723.00	$872.21
17004 Destruction of precancer skin growth, 15 or more growths	42	30	$639.00	$102.20
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	38	38	$899.00	$95.39
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	37	37	$769.00	$108.07
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$177.00	$50.88
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	37	30	$1387.00	$264.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$261.00	$77.90
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	30	30	$1296.00	$165.57
88331 Pathology examination of specimen during surgery, first tissue block	29	22	$387.00	$66.63
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	26	$689.00	$108.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	25	$733.00	$87.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$225.00	$79.80
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$2272.00	$190.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$379.00	$131.43
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	14	14	$1242.00	$148.16
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$468.00	$58.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	504	71	$59.00	$2.45
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	290	207	$1455.00	$322.07
99213 Established patient office or other outpatient visit, typically 15 minutes	261	177	$144.00	$50.62
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	227	112	$852.00	$203.58
11100 Biopsy of single growth of skin and/or tissue	194	131	$263.00	$36.23
17000 Destruction of skin growth	141	90	$190.00	$47.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	102	$103.00	$25.10
11101 Biopsy of each additional growth of skin and/or tissue	124	55	$154.00	$25.15
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	74	70	$660.00	$130.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	70	$225.00	$78.39
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	69	55	$1387.00	$259.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$261.00	$75.52
17004 Destruction of precancer skin growth, 15 or more growths	48	29	$639.00	$100.60
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	42	$769.00	$105.65
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	40	39	$899.00	$98.81
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	35	$1725.00	$173.18
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	29	$733.00	$85.21
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	30	28	$689.00	$116.53
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	30	30	$3723.00	$861.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$379.00	$125.74
88331 Pathology examination of specimen during surgery, first tissue block	23	18	$387.00	$64.91
17110 Destruction of up to 14 skin growths	21	20	$264.00	$69.08
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$177.00	$50.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	17	$1296.00	$151.00
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	17	$837.00	$189.51
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	16	16	$1242.00	$130.84
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$468.00	$56.21
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$952.00	$133.49

Medical Specialties & State Licenses

CMS Verified: 2025-08-26

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License TX L7465

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License TX L7465

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

Medicaid State Provider ID

158005201 (TX)

Medicaid State Provider ID

156089801 (MDACC) (TX)

Commercial Insurance / Payer ID Rr Medicare (Mdacc)

070017603 (TX)

Commercial Insurance / Payer ID Bcbs (Mdacc)

8H3241 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00017418 (TX)

Commercial Insurance / Payer ID Bc

8G7802 (TX)

Hospital & Practice Group Affiliations

Christopher P Downing Dermatology Md

13114 Fm 1960 Rd W, Houston, TX 770655590

Phone: 7134878233

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Merry Chen , MD

Psychiatry & Neurology - Neurology

NPI 1003022013

Doctor of Medicine (M.D.)

Dr. Ameena Malhotra , MD

Internal Medicine - Nephrology

NPI 1003046822

Doctor of Medicine (M.D.)

Dr. Bryan Guillory , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003102674

Doctor of Medicine (M.D.)

Dr. January Tsai , MD

Anesthesiology

NPI 1003121237

Doctor of Medicine (M.D.)

Dr. Sunyoung Lee , MD

Internal Medicine - Medical Oncology

NPI 1003159054

Doctor of Medicine (M.D.)

Rachel Futrell , PA-C

Physician Assistant

NPI 1003193350

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2012

Registered at 1515 HOLCOMBE BLVD, HOUSTON, TX 770304009 (Tel: 7137926161)

📍

Updated Business Mailing Address July 27, 2012

Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)

👤

Provider Name / Credentials Updated July 27, 2012

Recorded as DEBORAH MACFARLANE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2012

Dermatology (License #L7465 in TX)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1700820859

Entity Type:

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

Enumeration Date: June 16, 2006

Last Update: August 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4439

Houston, TX 772104439

Phone: 7137922991

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.