Active NPI 1376800532 Individual Practitioner Male Practitioner

Dr. Wallace Austin Smith , MD

Dermatology • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Smith, MD is a certified Dermatology practicing in St George, UT. With approximately 14 years of clinical experience since graduating from Medical College Of Wisconsin in 2012, Dr. Smith delivers high-quality medical care to the local community at 383 S 300 E.

Dr. Smith is affiliated with Southwest Skin And Cancer Llc 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

383 S 300 E

St George, UT 847703620

Telephone 4356282826

Fax 4356282839

Associated Practice Facility / Clinic

🏢 Southwest Skin And Cancer Llc Facility NPI 1619929783

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in St George, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -1.7 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

12 Specialists

Practicing in St George, UT (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (14 Years) 14 Yrs

St George Specialty Average (15.7 Years) 15.7 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	7,128	1,122	$9.25	$6.03
99213 Established patient office or other outpatient visit, typically 15 minutes	2,755	1,894	$120.37	$83.58
17000 Destruction of skin growth	1,852	1,375	$92.89	$53.50
88305 Pathology examination of tissue using a microscope, intermediate complexity	893	573	$94.60	$64.93
11102 Tangential biopsy of single skin lesion	749	661	$135.62	$90.62
17004 Destruction of precancer skin growth, 15 or more growths	351	279	$221.72	$152.86
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	287	250	$893.32	$544.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	273	273	$148.07	$103.62
11103 Biopsy of related skin growth, each additional growth	188	132	$64.75	$45.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	143	$77.56	$52.19
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	132	124	$622.30	$226.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	109	44	$5.64	$0.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	98	72	$236.60	$137.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	78	$171.65	$118.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	72	63	$377.73	$271.68
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	58	50	$547.86	$371.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	47	$324.37	$111.55
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	46	36	$501.62	$388.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	43	41	$564.05	$285.20
69100 Biopsy of ear	40	38	$133.86	$73.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	39	39	$1027.11	$699.37
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	39	36	$192.80	$119.58
96573 Application of light by qualified health care professional to destroy precancer skin growth	38	33	$229.61	$173.61
17110 Destruction of up to 14 skin growths	32	31	$155.32	$102.62
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	27	$56.82	$38.81
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	30	29	$663.34	$225.50
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	22	$250.49	$151.44
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	25	$224.46	$78.05
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	25	$241.58	$157.25
11104 Punch biopsy, first skin growth	22	21	$188.33	$115.06
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$98.52	$67.57
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	20	20	$566.10	$190.51
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$371.29	$126.11
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$276.97	$172.91
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	17	16	$129.34	$81.76
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$532.78	$361.25
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	14	$344.04	$240.15
11900 Injection into skin growth, 1-7 growths	15	15	$75.01	$35.15
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	14	12	$252.45	$161.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$18.11	$12.64
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	13	$1304.00	$903.47
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$218.93	$138.44
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	11	11	$186.46	$123.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,018	812	$10.33	$6.40
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,000	12	$51.66	$1.63
99213 Established patient office or other outpatient visit, typically 15 minutes	1,824	1,371	$112.76	$86.76
17000 Destruction of skin growth	1,346	1,020	$96.22	$55.76
88305 Pathology examination of tissue using a microscope, intermediate complexity	774	535	$94.11	$67.88
11102 Tangential biopsy of single skin lesion	485	436	$138.23	$96.82
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	247	214	$864.96	$563.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	183	$160.88	$122.93
17004 Destruction of precancer skin growth, 15 or more growths	182	158	$209.93	$162.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$140.94	$108.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	141	46	$6.66	$1.08
11103 Biopsy of related skin growth, each additional growth	127	101	$60.77	$48.88
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	118	107	$616.46	$227.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	55	$228.13	$161.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	63	58	$385.71	$291.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	55	$77.16	$54.73
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	58	47	$190.36	$125.02
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	53	38	$542.15	$395.30
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	51	39	$443.18	$385.07
96573 Application of light by qualified health care professional to destroy precancer skin growth	45	42	$180.44	$168.35
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	42	37	$544.57	$263.01
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	35	$314.30	$117.86
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	31	29	$1022.52	$740.03
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	26	26	$230.54	$170.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$216.16	$83.30
88304 Pathology examination of tissue using a microscope, moderately low complexity	21	20	$56.90	$40.22
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	18	$240.20	$172.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$354.94	$132.81
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	16	$1261.06	$966.88
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$214.00	$154.47
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$650.00	$240.15
69100 Biopsy of ear	13	13	$150.00	$77.73
11104 Punch biopsy, first skin growth	13	13	$210.38	$116.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$212.83	$160.30
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$921.09	$727.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,579	548	$13.01	$6.54
17000 Destruction of skin growth	968	670	$98.00	$53.93
88305 Pathology examination of tissue using a microscope, intermediate complexity	872	597	$125.00	$67.65
99213 Established patient office or other outpatient visit, typically 15 minutes	789	611	$110.00	$88.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	436	382	$65.00	$55.18
11102 Tangential biopsy of single skin lesion	309	281	$160.00	$94.25
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	185	159	$1000.00	$567.86
17004 Destruction of precancer skin growth, 15 or more growths	112	92	$240.00	$162.76
99202 New patient office or other outpatient visit, typically 20 minutes	97	97	$110.00	$70.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	29	$4.00	$1.12
11103 Biopsy of related skin growth, each additional growth	85	70	$90.00	$50.13
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	82	71	$700.00	$236.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	78	60	$275.00	$156.91
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	76	56	$225.00	$114.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	72	65	$500.00	$296.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	69	$128.03	$123.56
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	50	39	$600.00	$395.01
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	44	$225.00	$84.79
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	46	31	$460.00	$389.00
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	39	34	$250.00	$161.70
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	31	30	$550.00	$296.85
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	30	29	$250.00	$146.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$140.00	$108.56
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	29	29	$1350.00	$720.97
88304 Pathology examination of tissue using a microscope, moderately low complexity	28	23	$75.00	$38.94
96573 Application of light by qualified health care professional to destroy precancer skin growth	26	24	$275.00	$226.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$260.00	$180.47
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	18	18	$620.00	$244.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$325.00	$112.25
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	16	$200.00	$109.70
11104 Punch biopsy, first skin growth	15	15	$225.00	$125.24
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$275.00	$198.59
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	13	13	$550.00	$208.79
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$350.00	$134.11
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	12	12	$195.00	$136.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,677	569	$13.00	$6.32
88305 Pathology examination of tissue using a microscope, intermediate complexity	982	611	$125.00	$68.33
17000 Destruction of skin growth	973	707	$98.00	$53.44
99213 Established patient office or other outpatient visit, typically 15 minutes	698	534	$110.00	$89.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	696	550	$65.00	$55.15
11102 Tangential biopsy of single skin lesion	319	289	$160.00	$92.05
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	201	172	$964.18	$561.49
99202 New patient office or other outpatient visit, typically 20 minutes	163	163	$110.00	$71.80
17004 Destruction of precancer skin growth, 15 or more growths	115	98	$240.00	$160.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	114	35	$4.00	$1.27
11103 Biopsy of related skin growth, each additional growth	108	80	$90.00	$51.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	94	73	$221.54	$123.24
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	92	59	$275.00	$147.79
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	84	77	$700.00	$242.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	65	59	$500.00	$300.86
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	63	49	$600.00	$402.13
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	44	$225.00	$88.13
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	45	41	$250.00	$160.75
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	40	38	$1350.00	$751.48
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	28	$260.00	$169.15
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	25	$75.00	$38.84
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	27	$550.00	$330.14
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	25	$350.00	$134.97
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	24	24	$187.50	$117.30
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	24	23	$250.00	$142.18
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	16	$460.00	$390.18
96573 Application of light by qualified health care professional to destroy precancer skin growth	21	21	$275.00	$227.83
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	19	19	$523.68	$383.94
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$620.00	$247.84
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$275.00	$194.37
11104 Punch biopsy, first skin growth	14	13	$225.00	$125.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$325.00	$115.39
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	14	$450.00	$111.97
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	14	13	$200.00	$118.27
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	13	12	$500.00	$128.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,417	715	$13.01	$5.87
17000 Destruction of skin growth	1,203	920	$98.24	$52.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,065	823	$65.00	$44.88
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,008	628	$125.00	$69.21
99213 Established patient office or other outpatient visit, typically 15 minutes	696	559	$110.00	$74.72
11102 Tangential biopsy of single skin lesion	347	317	$160.00	$89.90
99202 New patient office or other outpatient visit, typically 20 minutes	302	302	$110.00	$75.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	209	59	$4.00	$1.44
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	207	176	$922.83	$546.14
17004 Destruction of precancer skin growth, 15 or more growths	207	169	$240.00	$155.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	155	120	$265.65	$154.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	148	116	$196.52	$120.38
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	107	93	$250.00	$157.49
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	82	74	$700.00	$239.97
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	78	59	$555.13	$390.92
11103 Biopsy of related skin growth, each additional growth	70	52	$78.43	$52.68
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	45	42	$180.00	$104.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	45	43	$500.00	$298.34
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	44	40	$234.66	$147.77
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	44	38	$250.00	$119.59
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	44	44	$1288.64	$773.66
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	43	38	$275.00	$190.26
88304 Pathology examination of tissue using a microscope, moderately low complexity	36	21	$75.00	$40.42
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	36	25	$460.00	$392.41
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	36	30	$260.00	$170.40
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	27	$225.00	$87.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$140.00	$106.39
96573 Application of light by qualified health care professional to destroy precancer skin growth	22	21	$262.50	$206.61
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$225.00	$122.69
11104 Punch biopsy, first skin growth	20	18	$225.00	$121.59
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	18	$620.00	$252.64
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	17	$350.00	$140.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	17	$550.00	$305.09
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	15	$125.00	$86.04
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$738.46	$742.55
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	13	$1353.85	$938.44
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$169.23	$121.50
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	11	11	$131.00	$73.78
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$195.00	$127.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,840	654	$13.00	$5.51
17000 Destruction of skin growth	1,072	840	$98.10	$52.42
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,017	651	$125.00	$67.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	979	743	$65.00	$43.84
99213 Established patient office or other outpatient visit, typically 15 minutes	664	540	$110.00	$72.90
99202 New patient office or other outpatient visit, typically 20 minutes	330	330	$109.42	$74.02
11102 Tangential biopsy of single skin lesion	290	274	$160.00	$85.87
17004 Destruction of precancer skin growth, 15 or more growths	236	182	$232.29	$147.60
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	198	170	$875.00	$544.04
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	157	123	$195.00	$120.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	46	$4.00	$1.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	134	103	$240.67	$148.44
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	111	99	$249.28	$161.16
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	87	64	$500.00	$388.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	84	76	$700.00	$229.76
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	55	49	$225.00	$143.42
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	48	44	$259.79	$175.91
88304 Pathology examination of tissue using a microscope, moderately low complexity	47	28	$75.00	$37.47
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	44	32	$450.45	$392.99
11103 Biopsy of related skin growth, each additional growth	42	33	$64.29	$51.87
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	41	40	$1200.00	$754.26
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	40	35	$200.00	$116.88
96573 Application of light by qualified health care professional to destroy precancer skin growth	34	34	$250.00	$193.22
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	32	31	$175.31	$96.61
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	32	31	$275.00	$195.90
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	30	$463.33	$293.33
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	23	$550.00	$329.56
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$204.41	$132.80
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$620.00	$267.53
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	16	16	$550.00	$202.82
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	16	$350.00	$138.65
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	14	$160.00	$132.05
11104 Punch biopsy, first skin growth	14	14	$215.71	$116.76
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$219.23	$82.44
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$500.00	$391.18
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	12	12	$700.00	$688.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$325.00	$122.00
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	11	11	$131.00	$84.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,601	19	$14.41	$1.10
17003 Destruction of precancer skin growth, 2-14 growths	3,204	573	$11.44	$5.16
17000 Destruction of skin growth	910	736	$95.00	$53.78
99213 Established patient office or other outpatient visit, typically 15 minutes	881	678	$109.77	$71.53
88305 Pathology examination of tissue using a microscope, intermediate complexity	820	528	$125.00	$66.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	468	394	$65.00	$42.73
99202 New patient office or other outpatient visit, typically 20 minutes	433	433	$105.14	$73.56
11100 Biopsy of single growth of skin and/or tissue	298	285	$160.00	$95.32
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	159	140	$875.00	$570.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	45	$4.00	$1.80
17004 Destruction of precancer skin growth, 15 or more growths	145	118	$226.10	$141.55
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	93	82	$195.00	$121.04
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	85	75	$240.00	$158.02
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	66	54	$500.00	$381.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	66	58	$228.04	$152.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	61	55	$672.13	$242.16
11101 Biopsy of each additional growth of skin and/or tissue	52	42	$60.00	$32.38
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	48	41	$228.65	$131.59
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	36	31	$250.42	$166.59
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	35	33	$200.00	$115.62
96573 Application of light by qualified health care professional to destroy precancer skin growth	30	30	$250.00	$180.16
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	20	$275.00	$179.77
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	24	$550.00	$333.81
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	26	$1200.00	$772.14
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	21	$170.00	$101.40
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	16	$75.00	$39.52
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$620.00	$248.48
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	16	16	$550.00	$209.89
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	16	15	$131.00	$77.09
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	11	$429.69	$398.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$210.00	$87.99
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$500.00	$371.21
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$193.75	$127.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,561	539	$11.00	$5.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	903	548	$125.00	$65.56
17000 Destruction of skin growth	837	681	$95.00	$53.08
99213 Established patient office or other outpatient visit, typically 15 minutes	663	539	$105.00	$70.57
99202 New patient office or other outpatient visit, typically 20 minutes	506	506	$105.00	$72.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	409	358	$61.82	$41.99
11100 Biopsy of single growth of skin and/or tissue	260	251	$160.00	$90.86
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	156	136	$897.44	$536.75
17004 Destruction of precancer skin growth, 15 or more growths	141	111	$221.74	$144.24
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	110	86	$189.62	$114.59
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	105	88	$232.62	$148.58
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	90	72	$511.11	$369.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	75	28	$4.00	$1.83
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	56	44	$240.00	$150.20
11101 Biopsy of each additional growth of skin and/or tissue	55	40	$60.00	$31.89
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	47	44	$600.00	$240.57
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	39	$550.00	$301.88
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	30	$412.18	$356.15
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	35	35	$162.29	$105.61
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	35	34	$200.00	$117.47
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	34	32	$195.00	$124.69
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	29	$251.61	$164.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	26	$1200.00	$759.46
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	26	26	$225.00	$144.31
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	23	18	$125.30	$63.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	20	$500.00	$349.68
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$275.00	$179.14
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	17	16	$620.00	$244.85
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	16	15	$550.00	$194.13
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$185.00	$128.10
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$1300.00	$977.55
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	13	$160.00	$94.25
87210 Smear for infectious agents	13	12	$20.00	$5.62
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$350.00	$125.85

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 9791675-1205

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

NUCC Taxonomy Code: 207N00000X

State License NV 16478

Hospital & Practice Group Affiliations

Southwest Skin And Cancer Llc

340 Falcon Ridge Pkwy, Mesquite, NV 890278851

Phone: 4356282846

Southwest Skin And Cancer Llc

383 S 300, St George, UT 847703620

Phone: 4356282826

Southwest Skin And Cancer Llc

383 S 300, Saint George, UT 847703620

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. W Smith , MD

Dermatology

NPI 1164499836

Doctor of Medicine (M.D.)

Tim Nowatzke , PA-C

Physician Assistant

NPI 1215989645

Physician Assistant (Certified)

Kyle Eardley , PA-C

Physician Assistant

NPI 1376369231

Physician Assistant (Certified)

Dr. Dean Duke , MD

Dermatology

NPI 1508832726

Doctor of Medicine (M.D.)

Jordan Christensen , FNP-C

Nurse Practitioner - Family

NPI 1689016875

Family Nurse Practitioner (Certified)

Bradley Evanson

Dermatology

NPI 1689069312

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2016

Registered at 383 S 300 E, ST GEORGE, UT 847703620 (Tel: 4356282826)

📍

Updated Business Mailing Address September 27, 2016

Registered at 383 S 300 E, ST GEORGE, UT 847703620 (Tel: 4356282826)

👤

Provider Name / Credentials Updated September 27, 2016

Recorded as WALLACE SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Dermatology (License #9791675-1205 in UT)

🟢

Initial NPI Registration & Enumeration April 12, 2012

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: 1376800532

Entity Type:

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

Enumeration Date: April 12, 2012

Last Update: September 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

383 S 300 E

St George, UT 847703620

Phone: 4356282826

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.