Active NPI 1588792741 Individual Practitioner Male Practitioner

Dr. Keith Wayne Wisniewski , MD

Dermatology • Lubbock, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Wisniewski, MD is a certified Dermatology practicing in Lubbock, TX. With approximately 23 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2003, Dr. Wisniewski delivers high-quality medical care to the local community at 2202 ITHACA AVE.

Dr. Wisniewski is affiliated with Dermatology Associates Of West Texas, Llp 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

2202 Ithaca Ave

Lubbock, TX 794101332

Telephone 8067971202

Associated Practice Facility / Clinic

🏢 Paulger Dermatology And Skin Cancer Center, Pa Facility NPI 1316010994

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Lubbock, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -1.2 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

14 Specialists

Practicing in Lubbock, TX (1210 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wisniewski (23 Years) 23 Yrs

Lubbock Specialty Average (24.2 Years) 24.2 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	3,108	593	$15.99	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	1,427	1,087	$97.02	$88.83
17000 Destruction of skin growth	1,081	808	$77.28	$51.33
88305 Pathology examination of tissue using a microscope, intermediate complexity	862	464	$85.29	$67.01
11102 Tangential biopsy of single skin lesion	582	472	$113.61	$85.87
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	421	286	$687.47	$640.03
17110 Destruction of up to 14 skin growths	388	341	$121.44	$108.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	265	223	$321.25	$253.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	190	$136.26	$124.91
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	199	114	$415.67	$402.95
11103 Biopsy of related skin growth, each additional growth	181	127	$67.21	$48.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	154	134	$270.84	$118.66
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	125	111	$322.24	$156.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	108	$60.88	$55.22
17004 Destruction of precancer skin growth, 15 or more growths	107	72	$170.00	$163.62
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	93	86	$330.05	$166.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$116.07	$106.73
88304 Pathology examination of tissue using a microscope, moderately low complexity	40	37	$56.38	$41.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$178.24	$156.88
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	31	$182.19	$80.58
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$86.77	$70.43
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	28	24	$285.00	$148.27
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	26	26	$441.77	$207.01
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	25	$327.60	$132.17
11900 Injection into skin growth, 1-7 growths	24	14	$65.00	$47.97
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	22	22	$536.59	$265.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	13	$25.00	$0.96
69100 Biopsy of ear	21	21	$108.57	$79.35
96405 Administration of chemotherapy into growth, 1-7	21	11	$95.00	$68.94
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$277.00	$170.24
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	15	14	$388.00	$283.63
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	14	14	$314.29	$184.96
10060 Simple or single drainage of skin abscess	14	14	$125.00	$120.33
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$155.00	$122.51
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	12	12	$370.00	$207.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,998	572	$16.11	$6.50
99213 Established patient office or other outpatient visit, typically 15 minutes	1,499	1,073	$97.20	$87.43
17000 Destruction of skin growth	1,090	816	$77.26	$50.53
88305 Pathology examination of tissue using a microscope, intermediate complexity	902	493	$85.85	$66.93
11102 Tangential biopsy of single skin lesion	616	503	$114.55	$88.37
17110 Destruction of up to 14 skin growths	400	355	$123.20	$108.78
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	381	268	$705.31	$630.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	214	184	$322.94	$262.47
11103 Biopsy of related skin growth, each additional growth	210	136	$68.24	$47.93
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	171	100	$449.58	$393.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	111	$136.66	$123.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	131	113	$273.63	$117.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	126	$61.10	$54.55
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	125	111	$342.40	$156.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$119.15	$105.52
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	75	66	$324.33	$165.72
17004 Destruction of precancer skin growth, 15 or more growths	70	49	$173.29	$164.79
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$85.00	$70.41
11900 Injection into skin growth, 1-7 growths	39	18	$65.00	$47.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	17	$25.00	$1.06
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$175.00	$83.87
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	32	31	$583.13	$236.44
69100 Biopsy of ear	32	30	$105.00	$60.40
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	31	$285.00	$136.31
96405 Administration of chemotherapy into growth, 1-7	27	14	$95.00	$74.06
J9250 Methotrexate sodium, 5 mg	27	14	$15.00	$0.24
88304 Pathology examination of tissue using a microscope, moderately low complexity	26	24	$57.12	$41.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$170.00	$162.31
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	24	23	$338.33	$319.91
10060 Simple or single drainage of skin abscess	21	20	$125.00	$119.68
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	20	18	$386.50	$196.02
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	20	20	$445.30	$217.69
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$165.94	$119.06
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$285.00	$146.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,919	537	$15.92	$6.64
99213 Established patient office or other outpatient visit, typically 15 minutes	1,388	992	$96.99	$88.05
17000 Destruction of skin growth	1,013	729	$77.25	$49.87
88305 Pathology examination of tissue using a microscope, intermediate complexity	902	465	$83.86	$68.09
11102 Tangential biopsy of single skin lesion	576	459	$115.21	$89.53
17110 Destruction of up to 14 skin growths	390	333	$123.08	$109.49
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	358	252	$704.33	$620.76
11103 Biopsy of related skin growth, each additional growth	219	134	$66.46	$50.33
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	195	112	$441.82	$396.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	180	144	$312.37	$266.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	126	103	$259.84	$120.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	112	$60.17	$55.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	98	$135.96	$124.29
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	102	90	$339.22	$159.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$117.75	$107.57
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	69	64	$340.36	$164.82
17004 Destruction of precancer skin growth, 15 or more growths	52	38	$183.27	$159.78
J9250 Methotrexate sodium, 5 mg	49	19	$14.80	$0.22
96405 Administration of chemotherapy into growth, 1-7	49	19	$100.51	$71.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	15	$23.21	$1.15
88304 Pathology examination of tissue using a microscope, moderately low complexity	37	35	$55.00	$40.51
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	37	32	$335.00	$312.94
11900 Injection into skin growth, 1-7 growths	36	15	$70.83	$44.27
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	31	$285.00	$136.97
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	32	30	$292.50	$155.57
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$85.00	$71.20
69100 Biopsy of ear	30	27	$107.50	$74.11
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	24	$534.38	$238.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$176.09	$163.12
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	17	$155.00	$121.78
10060 Simple or single drainage of skin abscess	16	14	$135.63	$119.04
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$175.00	$84.84
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	15	15	$414.00	$172.25
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$450.40	$209.49
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$265.00	$185.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,630	490	$15.60	$6.42
99213 Established patient office or other outpatient visit, typically 15 minutes	1,449	1,027	$95.77	$89.36
17000 Destruction of skin growth	995	697	$77.11	$54.34
88305 Pathology examination of tissue using a microscope, intermediate complexity	802	417	$83.72	$68.64
11102 Tangential biopsy of single skin lesion	474	388	$113.59	$98.26
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	340	237	$697.46	$645.01
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	196	106	$446.90	$406.77
11103 Biopsy of related skin growth, each additional growth	174	114	$67.30	$51.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	141	$60.30	$55.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	163	134	$323.07	$256.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	121	$135.77	$126.36
17110 Destruction of up to 14 skin growths	147	138	$122.18	$110.21
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	108	96	$332.13	$160.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	104	88	$272.60	$121.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$119.80	$108.69
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	67	61	$330.52	$163.84
17004 Destruction of precancer skin growth, 15 or more growths	52	37	$170.00	$163.94
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$86.34	$71.73
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	39	37	$291.15	$144.90
96405 Administration of chemotherapy into growth, 1-7	37	15	$98.65	$76.94
J9250 Methotrexate sodium, 5 mg	37	14	$15.00	$0.22
88304 Pathology examination of tissue using a microscope, moderately low complexity	27	24	$57.04	$40.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	20	$285.00	$139.54
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	22	20	$334.55	$280.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$170.00	$165.44
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	18	$540.79	$251.37
10060 Simple or single drainage of skin abscess	19	17	$125.00	$115.68
69100 Biopsy of ear	19	19	$105.00	$69.80
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$162.75	$128.37
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	12	12	$397.50	$213.86
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	12	12	$430.00	$213.42
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$202.92	$133.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,430	506	$15.88	$5.91
88305 Pathology examination of tissue using a microscope, intermediate complexity	989	491	$84.13	$68.55
17000 Destruction of skin growth	944	686	$76.91	$51.63
99213 Established patient office or other outpatient visit, typically 15 minutes	848	700	$86.44	$73.44
11102 Tangential biopsy of single skin lesion	609	496	$114.43	$94.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	552	464	$55.38	$44.17
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	385	267	$671.19	$628.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	202	$123.57	$105.64
11103 Biopsy of related skin growth, each additional growth	248	147	$66.61	$51.84
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	228	122	$410.07	$391.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	205	174	$324.55	$261.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	143	122	$280.59	$120.76
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	126	106	$314.60	$152.77
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	71	68	$274.65	$139.76
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$88.06	$73.77
99201 New patient office or other outpatient visit, typically 10 minutes	67	67	$55.31	$44.92
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	56	54	$322.68	$165.29
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	38	$320.50	$138.87
17004 Destruction of precancer skin growth, 15 or more growths	32	24	$172.34	$155.66
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	23	$162.15	$116.26
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	26	24	$358.46	$301.23
88304 Pathology examination of tissue using a microscope, moderately low complexity	23	20	$55.00	$40.28
69100 Biopsy of ear	23	22	$111.52	$71.81
J9250 Methotrexate sodium, 5 mg	20	13	$11.60	$0.23
96405 Administration of chemotherapy into growth, 1-7	20	13	$95.00	$73.78
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	18	16	$510.00	$249.80
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	17	$260.00	$175.27
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	16	16	$381.25	$187.28
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	16	16	$280.00	$155.72
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$182.00	$79.19
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$450.40	$223.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	15	$185.00	$139.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,728	548	$8.09	$5.37
17000 Destruction of skin growth	1,030	751	$73.37	$51.98
88305 Pathology examination of tissue using a microscope, intermediate complexity	929	494	$80.49	$66.54
99213 Established patient office or other outpatient visit, typically 15 minutes	843	704	$79.73	$71.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	663	538	$47.16	$43.28
11102 Tangential biopsy of single skin lesion	644	537	$103.43	$92.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	330	241	$710.25	$606.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	192	$118.34	$104.06
11103 Biopsy of related skin growth, each additional growth	211	139	$57.75	$50.90
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	210	132	$430.01	$373.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	196	168	$327.05	$260.32
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	140	119	$271.67	$119.92
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$82.58	$73.83
99201 New patient office or other outpatient visit, typically 10 minutes	85	85	$49.16	$43.70
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	80	73	$326.55	$145.37
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	64	59	$329.31	$183.45
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	57	54	$273.33	$130.45
88304 Pathology examination of tissue using a microscope, moderately low complexity	37	32	$49.29	$38.60
17004 Destruction of precancer skin growth, 15 or more growths	34	24	$166.42	$146.76
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	29	28	$449.13	$206.40
69100 Biopsy of ear	27	27	$109.23	$75.48
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	24	$343.74	$129.87
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$301.66	$118.14
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	19	$537.84	$239.51
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	18	18	$330.88	$273.94
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	14	$201.88	$129.88
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	15	$175.71	$81.12
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$831.00	$755.09
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$252.00	$155.04
17110 Destruction of up to 14 skin growths	13	12	$123.11	$100.45
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	12	11	$380.00	$202.30
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$151.80	$139.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$115.12	$105.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,757	536	$7.00	$4.99
17000 Destruction of skin growth	1,029	748	$72.76	$51.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	955	478	$81.00	$64.57
99213 Established patient office or other outpatient visit, typically 15 minutes	786	657	$79.42	$69.43
11100 Biopsy of single growth of skin and/or tissue	705	547	$111.16	$96.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	685	558	$46.71	$41.76
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	319	227	$718.90	$587.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	167	$115.70	$103.95
11101 Biopsy of each additional growth of skin and/or tissue	239	151	$36.24	$31.03
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	210	117	$426.95	$364.87
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	192	162	$323.09	$261.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	126	110	$269.31	$119.29
99201 New patient office or other outpatient visit, typically 10 minutes	116	116	$47.64	$42.34
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	104	89	$327.20	$143.40
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	66	62	$315.24	$207.06
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$82.07	$71.05
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	49	47	$305.29	$116.79
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	40	37	$285.88	$120.27
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	26	$310.57	$136.73
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	29	$51.29	$38.93
17004 Destruction of precancer skin growth, 15 or more growths	30	23	$164.79	$138.88
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	27	26	$575.02	$229.72
J9250 Methotrexate sodium, 5 mg	26	16	$10.65	$0.26
96405 Administration of chemotherapy into growth, 1-7	26	16	$89.16	$69.80
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	23	$151.51	$118.98
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	21	21	$458.90	$193.01
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	18	$200.67	$141.09
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	17	14	$329.22	$256.04
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$179.94	$75.41
87220 Tissue fungi or parasites	14	12	$32.00	$5.16
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$289.09	$179.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$824.70	$748.73
69100 Biopsy of ear	12	11	$112.74	$73.04
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	11	11	$356.95	$210.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,466	517	$6.65	$5.26
17000 Destruction of skin growth	971	727	$67.46	$52.13
99213 Established patient office or other outpatient visit, typically 15 minutes	887	732	$73.34	$69.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	750	395	$74.24	$64.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	654	532	$42.97	$41.19
11100 Biopsy of single growth of skin and/or tissue	620	506	$102.71	$94.54
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	267	193	$665.61	$600.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	167	$108.82	$101.56
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	193	112	$396.09	$361.95
11101 Biopsy of each additional growth of skin and/or tissue	184	127	$33.36	$31.04
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	159	143	$304.93	$265.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	115	104	$261.67	$116.47
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	103	87	$304.06	$149.21
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$73.62	$70.92
99201 New patient office or other outpatient visit, typically 10 minutes	77	77	$43.66	$41.82
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	60	57	$285.46	$208.88
96405 Administration of chemotherapy into growth, 1-7	39	16	$78.21	$73.05
J9250 Methotrexate sodium, 5 mg	38	16	$10.00	$0.25
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	34	33	$247.60	$121.82
69100 Biopsy of ear	33	30	$101.97	$70.10
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	31	29	$490.27	$249.00
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	31	30	$283.47	$138.02
88304 Pathology examination of tissue using a microscope, moderately low complexity	30	27	$45.31	$38.52
17004 Destruction of precancer skin growth, 15 or more growths	27	21	$173.07	$139.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	20	$274.02	$134.82
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	19	19	$425.55	$200.88
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$159.74	$78.59
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	18	18	$332.75	$191.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$137.74	$103.69
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	14	14	$300.90	$254.62
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	13	$171.76	$162.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$168.53	$128.14

Medical Specialties & State Licenses

CMS Verified: 2020-06-05

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX M5588

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.

Hospital & Practice Group Affiliations

Dermatology Associates Of West Texas, Llp

419 N Ave F, Denver City, TX 793232741

Phone: 8065924705

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Brent Paulger , MD

Dermatology

NPI 1093701468

Doctor of Medicine (M.D.)

Dr. Ashley Sturgeon , MD

Dermatology

NPI 1285955492

Doctor of Medicine (M.D.)

Amanda Bell , PA-C

Physician Assistant

NPI 1487030201

Physician Assistant (Certified)

Kristin O'banion , APRN, FNP-C

Nurse Practitioner

NPI 1689397366

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Lisa Moyers

Nurse Practitioner - Family

NPI 1881179190

Rachel Mitchell , PA-C

Physician Assistant

NPI 1952184301

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 February 23, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2012

Registered at 2202 ITHACA AVE, LUBBOCK, TX 794101332 (Tel: 8067971202)

📍

Updated Business Mailing Address February 23, 2012

Registered at 2202 ITHACA AVE, LUBBOCK, TX 794101332 (Tel: 8067971202)

👤

Provider Name / Credentials Updated February 23, 2012

Recorded as KEITH WISNIEWSKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2012

Dermatology (License #M5588 in TX)

🟢

Initial NPI Registration & Enumeration March 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588792741

Entity Type:

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

Enumeration Date: March 01, 2007

Last Update: June 05, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2202 Ithaca Ave

Lubbock, TX 794101332

Phone: 8067971202

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.