Active NPI 1083069793 Individual Practitioner Male Practitioner

Damion D. Rodeback , PA-C

Physician Assistant • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Damion Rodeback, PA-C is a certified Physician Assistant practicing in St George, UT. With approximately 10 years of clinical experience since completing medical education in 2016, Damion Rodeback delivers high-quality medical care to the local community at 1449 N 1400 W STE 22.

Damion Rodeback is affiliated with Springville Dermatology And Diagnostics Pc 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

1449 N 1400 W Ste 22

St George, UT 847705237

Telephone 4357039296

Fax 4352154075

Associated Practice Facility / Clinic

🏢 Red Ledges Dermatology Pllc Facility NPI 1417467986

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St George, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.8 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

103 Specialists

Practicing in St George, UT (1904 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodeback (10 Years) 10 Yrs

St George Specialty Average (11.8 Years) 11.8 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	728	97	$70.00	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	324	175	$170.00	$73.44
17000 Destruction of skin growth	140	105	$149.99	$37.11
17110 Destruction of up to 14 skin growths	138	100	$250.00	$86.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$207.98	$89.97
11102 Tangential biopsy of single skin lesion	61	52	$160.00	$71.83
11103 Biopsy of related skin growth, each additional growth	26	16	$180.00	$39.95
17004 Destruction of precancer skin growth, 15 or more growths	24	18	$258.46	$133.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$502.78	$233.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	858	151	$10.00	$6.29
99213 Established patient office or other outpatient visit, typically 15 minutes	310	237	$125.00	$80.77
17110 Destruction of up to 14 skin growths	218	189	$190.00	$99.24
17000 Destruction of skin growth	186	163	$105.00	$41.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	94	$196.70	$114.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$175.00	$99.62
17004 Destruction of precancer skin growth, 15 or more growths	35	33	$280.00	$155.03
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	26	$205.00	$96.69
11102 Tangential biopsy of single skin lesion	30	30	$154.00	$80.61
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	21	18	$245.00	$118.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$90.00	$50.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,516	204	$10.00	$6.02
99213 Established patient office or other outpatient visit, typically 15 minutes	500	306	$125.00	$81.21
17000 Destruction of skin growth	287	219	$105.00	$43.27
17110 Destruction of up to 14 skin growths	280	206	$190.00	$95.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	117	$160.29	$115.28
17004 Destruction of precancer skin growth, 15 or more growths	94	80	$280.00	$151.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$175.00	$98.73
11102 Tangential biopsy of single skin lesion	56	50	$141.43	$81.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	21	$8.68	$1.27
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	39	33	$205.00	$94.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$255.00	$149.29
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	33	27	$220.00	$97.79
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	22	$245.00	$108.65
11103 Biopsy of related skin growth, each additional growth	28	18	$65.00	$48.56
11900 Injection into skin growth, 1-7 growths	23	18	$69.13	$43.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$90.00	$50.52
10060 Simple or single drainage of skin abscess	19	18	$190.00	$109.52
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	17	14	$895.00	$349.22
11104 Punch biopsy, first skin growth	16	16	$173.13	$119.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,251	172	$12.60	$5.52
99213 Established patient office or other outpatient visit, typically 15 minutes	496	357	$153.26	$67.34
17110 Destruction of up to 14 skin growths	222	181	$206.85	$94.24
17000 Destruction of skin growth	211	185	$130.16	$41.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$188.03	$96.57
17004 Destruction of precancer skin growth, 15 or more growths	88	74	$347.80	$144.80
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	63	42	$218.78	$85.65
11102 Tangential biopsy of single skin lesion	50	49	$244.35	$75.97
11103 Biopsy of related skin growth, each additional growth	32	23	$140.51	$48.05
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	30	28	$259.35	$119.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	15	$4.62	$1.42
11900 Injection into skin growth, 1-7 growths	21	15	$93.65	$34.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$91.48	$40.90
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	12	$220.00	$88.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,406	127	$15.19	$5.09
99213 Established patient office or other outpatient visit, typically 15 minutes	595	267	$198.46	$66.28
17000 Destruction of skin growth	209	131	$176.20	$41.70
17110 Destruction of up to 14 skin growths	202	121	$301.81	$97.22
17004 Destruction of precancer skin growth, 15 or more growths	155	92	$412.42	$138.09
11102 Tangential biopsy of single skin lesion	138	115	$272.00	$73.13
11103 Biopsy of related skin growth, each additional growth	103	59	$146.79	$49.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$293.73	$98.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	43	$292.15	$97.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	28	$4.05	$1.59
11900 Injection into skin growth, 1-7 growths	35	27	$148.10	$41.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	20	$330.40	$90.48
69100 Biopsy of ear	17	15	$263.84	$51.86
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	12	$265.83	$52.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,986	180	$14.87	$4.69
99213 Established patient office or other outpatient visit, typically 15 minutes	854	367	$198.49	$64.72
17004 Destruction of precancer skin growth, 15 or more growths	269	156	$409.97	$129.35
17000 Destruction of skin growth	264	183	$181.30	$41.98
11100 Biopsy of single growth of skin and/or tissue	242	184	$289.66	$76.75
17110 Destruction of up to 14 skin growths	230	156	$309.17	$94.39
11101 Biopsy of each additional growth of skin and/or tissue	184	98	$88.66	$28.62
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	110	54	$338.98	$81.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$295.58	$96.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$292.94	$94.20
10060 Simple or single drainage of skin abscess	34	32	$330.42	$99.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	24	$6.80	$1.80
69100 Biopsy of ear	29	28	$279.55	$60.63
11900 Injection into skin growth, 1-7 growths	28	24	$154.83	$36.44
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	20	$311.88	$67.80
17111 Destruction of skin growth, 15 or more growths	21	12	$360.79	$118.61
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	12	$344.60	$99.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	327	37	$16.00	$5.13
99213 Established patient office or other outpatient visit, typically 15 minutes	143	102	$201.64	$66.04
17000 Destruction of skin growth	51	39	$189.00	$47.17
17004 Destruction of precancer skin growth, 15 or more growths	46	35	$426.00	$136.08
73560 X-ray of knee, 1-2 views	45	42	$78.00	$28.58
11100 Biopsy of single growth of skin and/or tissue	42	36	$295.00	$84.36
73502 X-ray of hip, 2-3 views	41	28	$97.44	$38.01
77073 Imaging for bone length assessment	41	41	$113.00	$33.31
27447 Replacement of knee joint, both sides of knee	32	32	$1242.41	$199.11
17110 Destruction of up to 14 skin growths	31	26	$319.00	$96.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$299.00	$97.58
11101 Biopsy of each additional growth of skin and/or tissue	26	16	$91.00	$29.24

Medical Specialties & State Licenses

CMS Verified: 2024-04-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 65833191206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License CA 54658

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA 54658

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA60677483

Definition to come...

Hospital & Practice Group Affiliations

Springville Dermatology And Diagnostics Pc

732 N Main St, Springville, UT 846631034

Phone: 8017047001

Springville Dermatology And Diagnostics Pc

1449 N 1400, St George, UT 847705237

Phone: 4357039296

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Bruce Bishop , MD

Dermatology

NPI 1174693733

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location May 02, 2024

Registered at 1449 N 1400 W STE 22, ST GEORGE, UT 847705237 (Tel: 4357039296)

📍

Updated Business Mailing Address May 02, 2024

Registered at 732 N MAIN ST, SPRINGVILLE, UT 846631034 (Tel: 8017047001)

📍

Updated Practice Location September 23, 2021

Registered at 631 W AVENUE Q STE B, PALMDALE, CA 935513892 (Tel: 6619479000)

✅

NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address October 04, 2017

Registered at 2409 ARTESIA BLVD FL 2, REDONDO BEACH, CA 902783207

📍

Updated Practice Location October 04, 2017

Registered at 601 BROADWAY, 6TH FLOOR, SEATTLE, WA 981225330 (Tel: 2063862600)

👤

Provider Name / Credentials Updated October 04, 2017

Recorded as DAMION RODEBACK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Dermatology (License #54658 in CA)

✅

NPI Profile Active July 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2016

Registered at 601 BROADWAY, 6TH FLOOR, SEATTLE, WA 981225330 (Tel: 2063862600)

📍

Updated Business Mailing Address July 21, 2016

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated July 21, 2016

Recorded as DAMION RODEBACK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2016

Physician Assistant (License #PA60677483 in WA)

🟢

Initial NPI Registration & Enumeration May 01, 2016

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: 1083069793

Entity Type:

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

Enumeration Date: May 01, 2016

Last Update: May 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

732 N Main St

Springville, UT 846631034

Phone: 8017047001

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

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