Active NPI 1871957076 Individual Practitioner Male Practitioner

Dr. Daniel Theodore Wallis , MD

Dermatology • Live Oak, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Wallis, MD is a certified Dermatology practicing in Live Oak, TX. With approximately 10 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 2016, Dr. Wallis delivers high-quality medical care to the local community at 7832 PAT BOOKER RD.

Dr. Wallis maintains professional affiliations with Epiphany Dermatology Pa, Dermatology Associates Of San Antonio and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, 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

7832 Pat Booker Rd

Live Oak, TX 782332601

Telephone 2106579338

Associated Practice Facility / Clinic

🏢 Dermatology Associates Of San Antonio Facility NPI 1487661518

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Live Oak, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -3.3 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Live Oak, TX (1210 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallis (10 Years) 10 Yrs

Live Oak 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	2,418	315	$20.00	$6.23
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,200	11	$5.00	$1.67
99213 Established patient office or other outpatient visit, typically 15 minutes	820	522	$110.00	$86.13
17000 Destruction of skin growth	560	388	$95.00	$48.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	257	$155.00	$121.87
11102 Tangential biopsy of single skin lesion	381	309	$145.00	$86.05
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	228	17	$150.00	$109.53
17110 Destruction of up to 14 skin growths	177	151	$135.00	$103.55
11103 Biopsy of related skin growth, each additional growth	163	104	$80.00	$46.79
17004 Destruction of precancer skin growth, 15 or more growths	133	96	$285.00	$158.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$140.00	$106.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	62	55	$365.00	$278.38
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	44	$295.00	$113.90
11104 Punch biopsy, first skin growth	50	47	$185.00	$114.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	11	$5.00	$0.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$200.00	$159.86
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	31	27	$510.00	$401.37
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	25	$335.00	$132.11
69100 Biopsy of ear	26	22	$145.00	$57.75
11200 Removal of skin tag, 1-15 skin tags	25	22	$110.00	$64.75
11105 Punch biopsy, each additional skin growth	18	17	$90.00	$53.56
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$330.00	$127.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	16	$475.00	$374.09
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$305.00	$120.09
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	12	$375.00	$277.58
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	11	$370.00	$281.46
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$170.00	$126.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,204	310	$20.00	$6.42
99213 Established patient office or other outpatient visit, typically 15 minutes	854	573	$110.07	$86.12
17000 Destruction of skin growth	584	387	$95.00	$48.53
11102 Tangential biopsy of single skin lesion	352	302	$145.00	$88.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	155	$155.00	$121.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$140.00	$106.47
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	208	17	$150.00	$111.73
17110 Destruction of up to 14 skin growths	195	165	$135.00	$104.19
11103 Biopsy of related skin growth, each additional growth	141	97	$80.00	$46.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	76	65	$365.00	$284.02
17004 Destruction of precancer skin growth, 15 or more growths	74	55	$285.00	$162.09
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	41	$295.00	$117.56
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	39	37	$335.00	$133.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$200.00	$156.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	18	$5.00	$1.06
11104 Punch biopsy, first skin growth	36	36	$185.00	$120.88
11200 Removal of skin tag, 1-15 skin tags	35	34	$110.00	$61.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	27	$510.00	$408.89
69100 Biopsy of ear	25	24	$145.00	$66.78
11900 Injection into skin growth, 1-7 growths	22	17	$70.00	$43.62
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$305.00	$121.31
17111 Destruction of skin growth, 15 or more growths	18	13	$160.00	$127.30
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	15	$370.00	$297.60
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$475.00	$381.87
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$205.00	$82.61
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$655.00	$453.02
10060 Simple or single drainage of skin abscess	11	11	$150.00	$120.59
11105 Punch biopsy, each additional skin growth	11	11	$90.00	$57.01
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	11	11	$355.00	$141.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,370	343	$20.00	$6.57
99213 Established patient office or other outpatient visit, typically 15 minutes	876	587	$100.00	$87.59
17000 Destruction of skin growth	537	409	$95.00	$48.66
11102 Tangential biopsy of single skin lesion	325	280	$145.00	$90.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	321	321	$140.00	$105.91
17110 Destruction of up to 14 skin growths	208	186	$130.00	$106.22
11103 Biopsy of related skin growth, each additional growth	113	83	$80.00	$48.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	67	$150.00	$122.43
17004 Destruction of precancer skin growth, 15 or more growths	96	73	$285.00	$164.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	78	66	$345.00	$291.93
11104 Punch biopsy, first skin growth	52	45	$185.00	$119.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	34	$290.00	$119.10
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	35	$330.00	$135.11
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	36	33	$510.00	$411.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	15	$5.00	$1.15
69100 Biopsy of ear	30	28	$145.00	$67.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$200.00	$161.77
11200 Removal of skin tag, 1-15 skin tags	22	22	$105.00	$65.70
17111 Destruction of skin growth, 15 or more growths	22	19	$155.00	$126.46
11105 Punch biopsy, each additional skin growth	22	21	$90.00	$57.92
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$205.00	$83.84
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	16	$475.00	$389.62
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$300.00	$123.02
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$655.00	$460.98
11900 Injection into skin growth, 1-7 growths	13	12	$70.00	$46.75
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$235.00	$96.03
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$335.00	$290.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	550	108	$15.39	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	207	167	$119.52	$88.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	191	191	$158.87	$107.83
17000 Destruction of skin growth	134	125	$109.34	$47.11
11102 Tangential biopsy of single skin lesion	102	93	$167.55	$89.66
17110 Destruction of up to 14 skin growths	80	69	$156.66	$107.56
11103 Biopsy of related skin growth, each additional growth	51	30	$90.29	$49.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	40	$174.26	$126.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$249.17	$163.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	26	$384.66	$293.60
11104 Punch biopsy, first skin growth	28	25	$204.64	$127.43
17004 Destruction of precancer skin growth, 15 or more growths	27	27	$285.00	$156.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$326.20	$121.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	16	$418.42	$137.77
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	16	$627.44	$426.25
11105 Punch biopsy, each additional skin growth	17	17	$100.59	$59.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	206	42	$11.00	$5.89
99213 Established patient office or other outpatient visit, typically 15 minutes	62	51	$140.00	$72.77
17000 Destruction of skin growth	56	52	$126.00	$45.03
11102 Tangential biopsy of single skin lesion	49	46	$195.00	$88.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$208.00	$105.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$207.00	$106.43
17110 Destruction of up to 14 skin growths	26	26	$209.00	$108.94

Medical Specialties & State Licenses

CMS Verified: 2021-08-11

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX S7577

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX BP10056054

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Epiphany Dermatology Pa

7832 Pat Booker Rd, Live Oak, TX 782332601

Phone: 2106579338

Dermatology Associates Of San Antonio

7832 Pat Booker Rd, Live Oak, TX 782332601

Phone: 2106579338

Secondary Practice Locations

3601 4th St

Lubbock, TX 794304402

Phone: 8067431842

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Rinna Johnson , MD

Dermatology

NPI 1104834456

Doctor of Medicine (M.D.)

Eric Willis

Dermatology

NPI 1477040038

Dr. Karen Guerrero , MD

Dermatology

NPI 1588670780

Doctor of Medicine (M.D.)

Dr. William Parsons , MD

Dermatology

NPI 1811905417

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 11, 2021

Registered at 7832 PAT BOOKER RD, LIVE OAK, TX 782332601 (Tel: 2106579338)

📍

Updated Business Mailing Address August 11, 2021

Registered at 7832 PAT BOOKER RD, LIVE OAK, TX 782332601 (Tel: 2106579338)

✅

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2017

Registered at 3601 4TH ST, LUBBOCK, TX 794304402 (Tel: 8067431842)

📍

Updated Business Mailing Address May 31, 2017

Registered at 3601 4TH ST, LUBBOCK, TX 794300002

👤

Provider Name / Credentials Updated May 31, 2017

Recorded as DANIEL WALLIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Student in an Organized Health Care Education/Training Program (License #BP10056054 in TX)

✅

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2016

Registered at 4502 MEDICAL DR, SAN ANTONIO, TX 782294402 (Tel: 2103583000)

📍

Updated Business Mailing Address April 14, 2016

Registered at 7703 FLOYD CURL DR, SAN ANTONIO, TX 782293901

👤

Provider Name / Credentials Updated April 14, 2016

Recorded as DANIEL WALLIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Student in an Organized Health Care Education/Training Program (License #BP10056054 in TX)

🟢

Initial NPI Registration & Enumeration April 13, 2016

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: 1871957076

Entity Type:

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

Enumeration Date: April 13, 2016

Last Update: August 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7832 Pat Booker Rd

Live Oak, TX 782332601

Phone: 2106579338

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.