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Active NPI 1154825974 Individual Practitioner Female Practitioner

Dr. Taylor Griffin Dickerson , MD

Dermatology • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Dickerson, MD is a certified Dermatology practicing in Longview, TX. With approximately 8 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2018, Dr. Dickerson delivers high-quality medical care to the local community at 3535 N FOURTH ST STE 400.

Dr. Dickerson is affiliated with Wallis Dermatology Associates 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

3535 N Fourth St Ste 400

Longview, TX 756050038

Telephone 9037573881
Fax 9037575948
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Longview, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Longview, TX (1210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dickerson (8 Years) 8 Yrs
Longview Specialty Average (10.9 Years) 10.9 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
1,308 249 $23.00 $6.24
99213 Established patient office or other outpatient visit, typically 15 minutes
1,088 769 $309.00 $86.60
17000 Destruction of skin growth
477 376 $231.00 $47.91
11102 Tangential biopsy of single skin lesion
363 305 $341.00 $82.42
17110 Destruction of up to 14 skin growths
363 309 $388.00 $103.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
256 209 $434.51 $121.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
153 153 $379.00 $106.52
11103 Biopsy of related skin growth, each additional growth
117 87 $171.00 $47.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
82 73 $2309.00 $549.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
53 51 $1032.00 $276.12
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
40 31 $608.00 $145.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
40 38 $192.00 $53.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
40 20 $24.00 $0.97
17106 Destruction of skin growth (less than 10 sq centimeters)
37 21 $1175.00 $327.85
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
36 34 $833.00 $119.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
35 35 $567.00 $159.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
35 35 $1595.00 $147.53
17004 Destruction of precancer skin growth, 15 or more growths
34 29 $570.00 $158.27
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
30 19 $1402.00 $388.89
11200 Removal of skin tag, 1-15 skin tags
30 29 $316.00 $64.26
69100 Biopsy of ear
28 26 $325.00 $70.89
11104 Punch biopsy, first skin growth
24 24 $425.00 $112.74
11900 Injection into skin growth, 1-7 growths
22 20 $196.00 $40.79
99213 Established patient office or other outpatient visit, typically 15 minutes
22 22 $309.00 $60.54
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
19 18 $586.00 $81.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
18 12 $49.00 $12.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
18 16 $948.00 $131.85
36415 Insertion of needle into vein for collection of blood sample
15 14 $10.00 $8.11
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
12 12 $1441.00 $399.84
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
11 11 $1054.00 $279.91

Medical Specialties & State Licenses

CMS Verified: 2025-03-28
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX T7197

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

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

Wallis Dermatology Associates Pllc

3535 N 4th St, Longview, TX 756050036

Phone: 9037573881

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dorothy Womack , FNP-C

Nurse Practitioner

NPI 1003590282

Family Nurse Practitioner (Certified)

NPI 1144724717

Doctor of Medicine (M.D.)

Tammi Short , FNP-C

Nurse Practitioner

NPI 1538137153

Family Nurse Practitioner (Certified)

Herold Osborne , PA-C

Physician Assistant - Medical

NPI 1710999727

Physician Assistant (Certified)

Dr. Robert Taylor , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1760441893

Doctor of Medicine (M.D.)

Casey English , APRN-CNP

Nurse Practitioner

NPI 1780259135

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location March 28, 2025

Registered at 3535 N FOURTH ST STE 400, LONGVIEW, TX 756050038 (Tel: 9037573881)

📍
Updated Business Mailing Address March 28, 2025

Registered at 3535 N FOURTH ST STE 400, LONGVIEW, TX 756050038 (Tel: 9037573881)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2025

Dermatology (License #T7197 in TX)

📍
Updated Practice Location July 20, 2022

Registered at 1367 DOMINION PLZ, TYLER, TX 75703 (Tel: 9035346200)

📍
Updated Business Mailing Address July 20, 2022

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

📍
Updated Practice Location March 05, 2019

Registered at 1542 TULANE AVE, NEW ORLEANS, LA 70112 (Tel: 5045685600)

📍
Updated Business Mailing Address March 05, 2019

Registered at 1542 TULANE AVE, NEW ORLEANS, LA 701122865 (Tel: 5045685600)

NPI Profile Active March 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2018

Registered at 605 HONORE DR, JEFFERSON, LA 701211606 (Tel: 2259553679)

📍
Updated Business Mailing Address March 19, 2018

Registered at 605 HONORE DR, JEFFERSON, LA 701211606 (Tel: 2259553679)

👤
Provider Name / Credentials Updated March 19, 2018

Recorded as TAYLOR DICKERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 19, 2018

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: 1154825974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2018
Last Update: March 28, 2025
Sole Proprietor: No

Mailing Address

3535 N Fourth St Ste 400

Longview, TX 756050038

Phone: 9037573881

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.