Deactivated NPI 1013910744 Deactivated / Inactive NPI Male Practitioner

Dr. Robert P Young , MD

Dermatology • North Logan, UT

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Young has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005

NPI Deactivation Date March 17, 2006

Total Practice Duration ~21 Years of Practice (1985 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Young, MD was a registered Dermatology in North Logan, UT. Prior to record deactivation on 2006-03-17, Dr. Young completed approximately 21 years of clinical practice following graduation from Oregon Health Sciences University School Of Medicine in 1985.

Dr. Young was affiliated with Rocky Mountain Dermatology Inc and accepted Medicare assignment.

Historical Medicare Part B clinical services included pathology examination of tissue using a microscope, intermediate complexity, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1760 N 200 E
Ste 101

North Logan, UT 84341

Telephone 4357870560

Associated Practice Facility / Clinic

🏢 Rocky Mountain Dermatology Inc Facility NPI 1154527372

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in North Logan, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +5.5 yrs vs City Avg

City Avg: 35.5 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

2 Specialists

Practicing in North Logan, UT (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Young (41 Years) 41 Yrs

North Logan Specialty Average (35.5 Years) 35.5 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,101	613	$53.04	$32.10
17003 Destruction of precancer skin growth, 2-14 growths	968	150	$10.05	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	292	224	$142.05	$84.33
17000 Destruction of skin growth	207	176	$103.24	$44.86
11102 Tangential biopsy of single skin lesion	179	148	$151.95	$89.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	125	21	$2.13	$1.00
11103 Biopsy of related skin growth, each additional growth	117	69	$76.09	$45.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	75	$86.57	$51.95
17004 Destruction of precancer skin growth, 15 or more growths	57	51	$254.51	$151.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$171.66	$104.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	16	$21.92	$13.24
17110 Destruction of up to 14 skin growths	19	19	$172.48	$101.59
11104 Punch biopsy, first skin growth	17	16	$189.61	$111.45
69100 Biopsy of ear	14	13	$145.15	$58.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,309	715	$52.16	$32.69
17003 Destruction of precancer skin growth, 2-14 growths	820	135	$10.19	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	233	203	$139.26	$86.90
11102 Tangential biopsy of single skin lesion	198	168	$155.45	$95.05
17000 Destruction of skin growth	191	169	$103.04	$48.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	114	$86.91	$54.46
11103 Biopsy of related skin growth, each additional growth	98	55	$77.16	$48.36
17004 Destruction of precancer skin growth, 15 or more growths	79	67	$259.33	$160.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	13	$2.13	$1.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$172.81	$105.85
69100 Biopsy of ear	18	18	$148.53	$67.19
11104 Punch biopsy, first skin growth	12	11	$192.78	$120.74
17110 Destruction of up to 14 skin growths	11	11	$173.78	$97.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,168	675	$50.82	$31.65
17003 Destruction of precancer skin growth, 2-14 growths	913	164	$10.35	$6.42
99213 Established patient office or other outpatient visit, typically 15 minutes	341	286	$140.51	$87.19
17000 Destruction of skin growth	226	203	$103.54	$50.73
11102 Tangential biopsy of single skin lesion	158	135	$157.70	$92.71
17004 Destruction of precancer skin growth, 15 or more growths	83	72	$259.78	$158.95
11103 Biopsy of related skin growth, each additional growth	69	41	$78.78	$48.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	56	$87.14	$54.42
17110 Destruction of up to 14 skin growths	30	29	$174.10	$105.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$173.46	$108.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,266	699	$49.79	$31.17
17003 Destruction of precancer skin growth, 2-14 growths	879	148	$9.96	$6.19
99213 Established patient office or other outpatient visit, typically 15 minutes	254	225	$140.95	$88.64
17000 Destruction of skin growth	204	185	$101.49	$51.90
11102 Tangential biopsy of single skin lesion	118	104	$154.09	$97.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	83	$86.51	$54.17
17004 Destruction of precancer skin growth, 15 or more growths	58	51	$254.25	$160.14
11103 Biopsy of related skin growth, each additional growth	41	33	$80.98	$51.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$173.49	$109.20
17110 Destruction of up to 14 skin growths	19	18	$173.62	$106.62
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$112.37	$70.57
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	15	$217.98	$137.56
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	14	13	$625.68	$391.02
11104 Punch biopsy, first skin growth	12	12	$199.14	$125.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,338	715	$57.03	$35.75
17003 Destruction of precancer skin growth, 2-14 growths	292	46	$9.23	$5.81
99213 Established patient office or other outpatient visit, typically 15 minutes	113	90	$116.92	$73.64
17000 Destruction of skin growth	68	61	$101.47	$48.41
11102 Tangential biopsy of single skin lesion	57	53	$154.00	$94.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$170.05	$107.10
11103 Biopsy of related skin growth, each additional growth	23	16	$82.26	$47.35
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$118.45	$71.84
17004 Destruction of precancer skin growth, 15 or more growths	14	13	$245.26	$154.60
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	12	$62.83	$39.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,703	912	$93.85	$57.80
17003 Destruction of precancer skin growth, 2-14 growths	361	67	$8.86	$5.46
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	161	142	$1053.41	$522.24
99213 Established patient office or other outpatient visit, typically 15 minutes	103	84	$116.77	$72.13
17000 Destruction of skin growth	87	84	$102.56	$45.81
11102 Tangential biopsy of single skin lesion	68	61	$153.68	$88.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	54	$171.25	$105.94
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	54	39	$622.50	$383.35
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	46	45	$760.03	$244.20
88304 Pathology examination of tissue using a microscope, moderately low complexity	37	32	$62.14	$38.33
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$121.76	$74.17
11103 Biopsy of related skin growth, each additional growth	23	16	$83.01	$51.13
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1239.09	$763.07
17004 Destruction of precancer skin growth, 15 or more growths	16	14	$238.75	$147.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$680.27	$213.69
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	15	13	$983.46	$605.83
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$1213.57	$747.35
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	14	14	$1497.97	$922.49
17110 Destruction of up to 14 skin growths	12	12	$171.49	$101.47
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$807.46	$248.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,991	936	$102.08	$61.81
17003 Destruction of precancer skin growth, 2-14 growths	274	62	$8.29	$4.98
99213 Established patient office or other outpatient visit, typically 15 minutes	129	109	$112.69	$67.98
11100 Biopsy of single growth of skin and/or tissue	92	85	$158.95	$89.45
17000 Destruction of skin growth	76	71	$101.09	$42.87
11101 Biopsy of each additional growth of skin and/or tissue	63	35	$50.84	$31.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	52	$166.73	$102.14
17004 Destruction of precancer skin growth, 15 or more growths	33	33	$225.73	$133.36
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	27	$62.18	$37.80
17110 Destruction of up to 14 skin growths	19	17	$171.10	$96.94
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	11	$358.91	$214.50
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$114.73	$67.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,428	374	$8.25	$5.02
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,361	615	$99.83	$60.62
99213 Established patient office or other outpatient visit, typically 15 minutes	631	489	$107.18	$65.72
11100 Biopsy of single growth of skin and/or tissue	603	501	$150.26	$85.98
17000 Destruction of skin growth	484	433	$97.55	$45.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	430	$158.01	$96.86
17004 Destruction of precancer skin growth, 15 or more growths	417	354	$219.43	$135.00
11101 Biopsy of each additional growth of skin and/or tissue	380	219	$48.53	$29.73
17110 Destruction of up to 14 skin growths	104	100	$160.36	$98.64
99202 New patient office or other outpatient visit, typically 20 minutes	100	100	$108.39	$67.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	15	$5.00	$1.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$159.56	$97.15
69100 Biopsy of ear	46	44	$146.04	$68.82
88304 Pathology examination of tissue using a microscope, moderately low complexity	38	34	$58.91	$35.01
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	29	$253.69	$145.80
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	24	14	$484.94	$355.23
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	24	24	$347.74	$196.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$63.71	$39.24
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	20	16	$187.27	$117.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	12	$36.67	$22.52
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$209.31	$107.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$443.86	$260.53

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 295172-1205

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.

Dermatology - Clinical & Laboratory Dermatological Immunology

NUCC Taxonomy Code: 207NI0002X

State License UT 295172-1205

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License UT 295172-1205

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License UT 295172-1205

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Hospital & Practice Group Affiliations

Rocky Mountain Dermatology Inc

1760 N 200, North Logan, UT 843411202

Phone: 4357870560

Practice Associates & Co-Workers

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

4 Associated Practitioners

Sydnie Hobbs , APRN

Nurse Practitioner - Family

NPI 1033603345

Advanced Practice Registered Nurse

Erin Oberg , PA-C

Physician Assistant

NPI 1124309711

Physician Assistant (Certified)

Angela Cronin , PA

Physician Assistant

NPI 1639347685

Physician Assistant

Scott Macdonald , PA-C

Physician Assistant

NPI 1720482086

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 18, 2018

Registered at 1760 N 200 E, STE 101, NORTH LOGAN, UT 84341 (Tel: 4357870560)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2018

Dermatology (License #295172-1205 in UT)

📍

Updated Practice Location August 23, 2017

Registered at 1760 N 200 E, STE 101, NORTH LOGAN, UT 843411202 (Tel: 4357870560)

📍

Updated Business Mailing Address August 23, 2017

Registered at 1760 N 200 E, STE 101, NORTH LOGAN, UT 843411202 (Tel: 4357870560)

👤

Provider Name / Credentials Updated August 23, 2017

Recorded as ROBERT YOUNG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Dermatology (License #295172-1205 in UT)

📍

Updated Practice Location December 28, 2016

Registered at 1760 N 200 E, STE 101, NORTH LOGAN, UT 843411202 (Tel: 4357870560)

📍

Updated Business Mailing Address December 28, 2016

Registered at 1760 N 200 E, STE 101, NORTH LOGAN, UT 843411202 (Tel: 4357870560)

👤

Provider Name / Credentials Updated December 28, 2016

Recorded as ROBERT YOUNG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Dermatology (License #295172-1205 in UT)

🔄

NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

⚠️

NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢

Initial NPI Registration & Enumeration May 27, 2005

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: 1013910744

Entity Type:

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

Enumeration Date: May 27, 2005

Last Update: August 18, 2018

Deactivation Date: March 17, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1760 N 200 E, Ste 101

North Logan, UT 843411202

Phone: 4357870560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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