Active NPI 1144514803 Individual Practitioner Female Practitioner

Dr. Michaela Renee Overturf , MD

Dermatology • Nacogdoches, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michaela Overturf, MD is a certified Dermatology practicing in Nacogdoches, TX. With approximately 15 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2011, Dr. Overturf delivers high-quality medical care to the local community at 3611 NORTH ST STE 140.

Dr. Overturf is affiliated with Oliver Street 5.01(A) Inc 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

3611 North St Ste 140

Nacogdoches, TX 759652478

Telephone 9365857700

Fax 9365857750

Associated Practice Facility / Clinic

🏢 Oliver Street 5.01(A) Inc. Facility NPI 1457695413

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Nacogdoches, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -20.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Nacogdoches, TX (1210 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Overturf (15 Years) 15 Yrs

Nacogdoches Specialty Average (35.0 Years) 35.0 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	1,461	254	$23.00	$6.45
99213 Established patient office or other outpatient visit, typically 15 minutes	454	359	$309.00	$89.46
17000 Destruction of skin growth	440	330	$231.00	$51.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	369	303	$192.00	$55.27
17110 Destruction of up to 14 skin growths	243	213	$388.00	$109.27
11102 Tangential biopsy of single skin lesion	207	180	$341.00	$83.88
11103 Biopsy of related skin growth, each additional growth	63	43	$171.00	$48.88
17004 Destruction of precancer skin growth, 15 or more growths	45	38	$570.00	$163.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$435.00	$126.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$379.00	$109.70
17111 Destruction of skin growth, 15 or more growths	33	26	$453.00	$127.77
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$246.00	$70.74
17107 Destruction of skin growth (10.0 to 50.0 sq centimeters)	27	14	$1524.00	$438.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	21	$608.00	$160.51
11200 Removal of skin tag, 1-15 skin tags	15	15	$316.00	$69.20
11104 Punch biopsy, first skin growth	13	13	$425.00	$121.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$1441.00	$413.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$833.00	$119.51
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1595.00	$457.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,392	401	$23.00	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	740	556	$297.00	$87.56
17000 Destruction of skin growth	737	539	$223.00	$49.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	491	398	$186.00	$54.77
17110 Destruction of up to 14 skin growths	443	368	$378.00	$109.37
11102 Tangential biopsy of single skin lesion	346	299	$338.00	$85.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$369.00	$108.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	76	$420.00	$124.33
17004 Destruction of precancer skin growth, 15 or more growths	92	74	$562.00	$162.89
11103 Biopsy of related skin growth, each additional growth	86	62	$168.00	$48.52
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$238.00	$70.25
11200 Removal of skin tag, 1-15 skin tags	44	42	$304.00	$61.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	18	$24.00	$1.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	34	$594.00	$159.60
17111 Destruction of skin growth, 15 or more growths	37	28	$441.00	$129.09
11104 Punch biopsy, first skin growth	26	26	$419.00	$117.71
69100 Biopsy of ear	26	24	$321.00	$53.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	11	$47.00	$13.74
17108 Destruction of skin growth (over 50.0 sq centimeters)	23	11	$2093.00	$614.97
17107 Destruction of skin growth (10.0 to 50.0 sq centimeters)	22	12	$1476.00	$433.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$813.00	$111.75
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$1415.00	$387.64
36415 Insertion of needle into vein for collection of blood sample	18	17	$10.00	$8.40
11900 Injection into skin growth, 1-7 growths	17	14	$190.00	$37.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$547.00	$161.91
Q0112 All potassium hydroxide (koh) preparations	13	12	$19.00	$5.71
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$889.00	$130.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1568.00	$460.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,476	412	$23.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	759	556	$295.00	$87.69
17000 Destruction of skin growth	754	560	$221.00	$51.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	567	455	$184.00	$54.48
17110 Destruction of up to 14 skin growths	475	383	$374.00	$108.89
11102 Tangential biopsy of single skin lesion	276	250	$338.00	$86.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$365.00	$107.39
99202 New patient office or other outpatient visit, typically 20 minutes	86	86	$237.00	$70.42
17004 Destruction of precancer skin growth, 15 or more growths	70	61	$554.00	$162.34
11103 Biopsy of related skin growth, each additional growth	60	52	$169.00	$49.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	21	$24.00	$1.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$416.00	$124.20
11200 Removal of skin tag, 1-15 skin tags	34	33	$296.00	$60.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	29	$587.00	$162.52
17111 Destruction of skin growth, 15 or more growths	29	25	$437.00	$129.44
17108 Destruction of skin growth (over 50.0 sq centimeters)	28	11	$2055.00	$607.45
11900 Injection into skin growth, 1-7 growths	27	19	$186.00	$44.99
36415 Insertion of needle into vein for collection of blood sample	22	18	$10.00	$2.97
69100 Biopsy of ear	17	15	$319.00	$63.53
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$1408.00	$418.45
11104 Punch biopsy, first skin growth	15	15	$420.00	$124.26
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$620.00	$175.65
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$804.00	$129.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,699	435	$21.11	$6.37
99213 Established patient office or other outpatient visit, typically 15 minutes	825	578	$288.78	$88.78
17000 Destruction of skin growth	743	544	$212.85	$50.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	562	450	$178.31	$54.66
17110 Destruction of up to 14 skin growths	446	361	$365.80	$109.36
11102 Tangential biopsy of single skin lesion	298	271	$334.68	$87.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$358.41	$109.09
17004 Destruction of precancer skin growth, 15 or more growths	85	73	$532.44	$160.69
11103 Biopsy of related skin growth, each additional growth	79	53	$171.06	$51.73
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$234.54	$70.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	21	$24.00	$1.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	39	$574.29	$159.35
17111 Destruction of skin growth, 15 or more growths	40	35	$428.36	$130.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$406.87	$124.43
11200 Removal of skin tag, 1-15 skin tags	30	30	$290.00	$65.82
11900 Injection into skin growth, 1-7 growths	29	17	$182.00	$43.74
11104 Punch biopsy, first skin growth	28	27	$418.57	$127.43
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	18	$1402.77	$426.25
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	19	19	$850.18	$245.83
69100 Biopsy of ear	18	18	$320.00	$75.51
36415 Insertion of needle into vein for collection of blood sample	18	16	$9.94	$3.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$800.12	$121.30
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$825.00	$125.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$908.67	$137.77
10060 Simple or single drainage of skin abscess	12	12	$395.45	$120.86
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$1278.00	$387.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,521	416	$17.67	$5.90
99213 Established patient office or other outpatient visit, typically 15 minutes	926	622	$177.17	$73.01
17000 Destruction of skin growth	656	508	$155.20	$49.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	347	$258.11	$106.24
17110 Destruction of up to 14 skin growths	379	331	$270.72	$105.40
11102 Tangential biopsy of single skin lesion	267	238	$238.31	$82.61
17004 Destruction of precancer skin growth, 15 or more growths	137	103	$371.16	$154.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$268.99	$105.28
99202 New patient office or other outpatient visit, typically 20 minutes	102	102	$186.15	$73.59
11103 Biopsy of related skin growth, each additional growth	73	51	$129.90	$51.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	48	$105.02	$44.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	20	$18.89	$1.45
17111 Destruction of skin growth, 15 or more growths	47	42	$332.33	$127.23
11104 Punch biopsy, first skin growth	46	45	$320.26	$122.95
17108 Destruction of skin growth (over 50.0 sq centimeters)	46	19	$1668.13	$627.40
11200 Removal of skin tag, 1-15 skin tags	33	32	$213.91	$60.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	29	$463.28	$164.48
69100 Biopsy of ear	27	22	$241.94	$67.68
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$641.34	$120.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	22	$1044.73	$422.44
11900 Injection into skin growth, 1-7 growths	21	16	$140.07	$41.09
36415 Insertion of needle into vein for collection of blood sample	19	17	$6.63	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,047	473	$13.89	$5.40
17000 Destruction of skin growth	862	622	$133.00	$48.25
99213 Established patient office or other outpatient visit, typically 15 minutes	820	562	$151.00	$71.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	619	509	$221.00	$105.53
17110 Destruction of up to 14 skin growths	440	365	$226.00	$104.47
11102 Tangential biopsy of single skin lesion	348	311	$202.00	$83.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	145	145	$220.00	$104.18
99202 New patient office or other outpatient visit, typically 20 minutes	122	122	$155.00	$74.00
17004 Destruction of precancer skin growth, 15 or more growths	118	91	$311.00	$146.95
11103 Biopsy of related skin growth, each additional growth	83	62	$109.00	$50.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	37	$10.58	$1.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	64	$92.00	$43.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	42	$361.00	$154.54
11900 Injection into skin growth, 1-7 growths	39	31	$111.00	$39.09
11104 Punch biopsy, first skin growth	34	33	$254.00	$119.64
36415 Insertion of needle into vein for collection of blood sample	34	26	$6.00	$2.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	33	31	$884.00	$417.99
11200 Removal of skin tag, 1-15 skin tags	26	26	$181.00	$63.02
69100 Biopsy of ear	25	24	$201.00	$72.24
17111 Destruction of skin growth, 15 or more growths	25	21	$267.00	$126.18
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	24	23	$503.00	$237.58
17108 Destruction of skin growth (over 50.0 sq centimeters)	24	12	$1323.00	$627.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	17	$509.00	$120.30
Q0112 All potassium hydroxide (koh) preparations	18	17	$12.00	$5.71
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$526.00	$133.98
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$296.00	$118.48
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$582.00	$137.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,658	448	$37.37	$5.01
99213 Established patient office or other outpatient visit, typically 15 minutes	835	610	$105.36	$69.98
17000 Destruction of skin growth	736	569	$144.02	$49.22
17110 Destruction of up to 14 skin growths	469	399	$195.68	$105.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	343	$156.42	$103.21
11100 Biopsy of single growth of skin and/or tissue	304	280	$185.17	$86.63
99202 New patient office or other outpatient visit, typically 20 minutes	141	141	$116.66	$71.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$174.25	$103.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	97	$68.95	$41.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	94	28	$9.12	$1.80
17004 Destruction of precancer skin growth, 15 or more growths	80	66	$377.20	$138.87
11101 Biopsy of each additional growth of skin and/or tissue	66	52	$85.65	$31.10
17108 Destruction of skin growth (over 50.0 sq centimeters)	36	14	$1321.52	$623.05
11200 Removal of skin tag, 1-15 skin tags	31	31	$151.91	$69.39
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	29	11	$453.91	$398.20
11900 Injection into skin growth, 1-7 growths	27	21	$100.59	$47.01
17111 Destruction of skin growth, 15 or more growths	21	19	$211.72	$122.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$439.91	$119.29
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$797.63	$410.12
69100 Biopsy of ear	18	17	$196.11	$75.21
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	11	$236.34	$103.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	15	$312.27	$148.73
36415 Insertion of needle into vein for collection of blood sample	16	14	$20.57	$2.94
Q0112 All potassium hydroxide (koh) preparations	13	12	$14.33	$5.71
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$510.39	$136.73
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$435.41	$207.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,654	545	$37.39	$5.21
17000 Destruction of skin growth	894	645	$144.03	$46.33
99213 Established patient office or other outpatient visit, typically 15 minutes	685	487	$105.36	$68.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	410	$156.42	$100.93
17110 Destruction of up to 14 skin growths	481	398	$195.68	$101.04
11100 Biopsy of single growth of skin and/or tissue	416	372	$185.17	$84.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	259	259	$174.25	$100.97
99202 New patient office or other outpatient visit, typically 20 minutes	214	214	$116.66	$70.01
17004 Destruction of precancer skin growth, 15 or more growths	181	144	$377.20	$140.40
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	151	44	$441.23	$356.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	100	$68.50	$40.57
11101 Biopsy of each additional growth of skin and/or tissue	97	71	$85.65	$30.78
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	79	43	$233.13	$123.49
17107 Destruction of skin growth (10.0 to 50.0 sq centimeters)	42	21	$1107.00	$396.86
11200 Removal of skin tag, 1-15 skin tags	36	35	$151.91	$64.48
69100 Biopsy of ear	31	28	$196.11	$69.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	25	$312.27	$149.77
17108 Destruction of skin growth (over 50.0 sq centimeters)	28	15	$1321.52	$605.22
17111 Destruction of skin growth, 15 or more growths	27	24	$211.72	$122.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	19	$9.12	$1.80
36415 Insertion of needle into vein for collection of blood sample	24	17	$20.57	$2.85
11900 Injection into skin growth, 1-7 growths	24	21	$100.59	$36.98
Q0112 All potassium hydroxide (koh) preparations	20	17	$14.55	$5.74
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	17	$797.63	$399.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$439.91	$115.90
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	13	$343.90	$178.46
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$284.31	$74.98
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1050.65	$425.51

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX Q2176

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

Commercial Insurance / Payer ID Physician In Training Permit

558763 (TX)

Commercial Insurance / Payer ID Bcbs Pv #

8FA656 (TX)

Hospital & Practice Group Affiliations

Oliver Street 5.01(A) Inc

1367 Dominion Plz, Tyler, TX 757031013

Phone: 9035346200

Oliver Street 5.01(A) Inc

3808 N University Dr, Nacogdoches, TX 759652011

Phone: 9365857700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Brandi Hernandez , MPAS, PA-C

Physician Assistant

NPI 1578010146

MPAS, Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2017

Registered at 3611 NORTH ST STE 140, NACOGDOCHES, TX 759652478 (Tel: 9365857700)

📍

Updated Business Mailing Address August 08, 2017

Registered at 5310 HARVEST HILL RD STE 290, DALLAS, TX 752305826 (Tel: (214) 420-0672)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as MICHAELA OVERTURF, MD

🎓

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

Dermatology (License #Q2176 in TX)

✅

NPI Profile Active July 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2015

Registered at 6565 FANNIN ST, HOUSTON, TX 770302703 (Tel: 7134411577)

📍

Updated Business Mailing Address July 30, 2015

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

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Provider Name / Credentials Updated July 30, 2015

Recorded as MICHAELA OVERTURF, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2015

Dermatology (License #558763 in TX)

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Initial NPI Registration & Enumeration May 30, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144514803

Entity Type:

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

Enumeration Date: May 30, 2011

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5310 Harvest Hill Rd Ste 290

Dallas, TX 752305826

Phone: 2144200672

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.