Active NPI 1457337974 Individual Practitioner Male Practitioner

Dr. Stephen Couture , MD

Internal Medicine • Roanoke, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Couture, MD is a certified Internal Medicine practicing in Roanoke, VA. With approximately 38 years of clinical experience since graduating from Medical University Of South Carolina College Of Medicine in 1988, Dr. Couture delivers high-quality medical care to the local community at 5304 INDIAN GRAVE RD.

Dr. Couture is affiliated with Lewis Gale Physicians Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

5304 Indian Grave Rd

Roanoke, VA 240189100

Telephone 5402832570

Fax 5402832575

Associated Practice Facility / Clinic

🏢 Weaver Neurosurgical Spine, Pc Facility NPI 1831482264

Medicare Profile & Education

Medical School

Medical University Of South Carolina College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +19.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

179 Specialists

Practicing in Roanoke, VA (3758 Statewide)

Telehealth Adoption Rate

8.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Couture (38 Years) 38 Yrs

Roanoke Specialty Average (18.9 Years) 18.9 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	2,703	421	$25.00	$6.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,165	586	$184.62	$83.36
17000 Destruction of skin growth	774	497	$270.87	$37.83
17110 Destruction of up to 14 skin growths	759	528	$391.19	$98.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	221	$269.91	$99.30
17004 Destruction of precancer skin growth, 15 or more growths	155	85	$598.11	$163.28
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	97	60	$617.07	$172.18
11102 Tangential biopsy of single skin lesion	85	83	$357.67	$73.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$262.83	$107.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$399.60	$80.01
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	67	43	$505.07	$118.15
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	53	33	$576.91	$148.99
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	48	37	$493.29	$127.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	47	40	$1072.28	$289.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	19	$603.00	$167.90
11200 Removal of skin tag, 1-15 skin tags	26	25	$307.54	$53.91
10060 Simple or single drainage of skin abscess	25	22	$399.64	$121.86
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	12	$713.09	$200.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$852.32	$119.26
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	11	$646.89	$183.85
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	17	16	$53.35	$15.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	13	$377.82	$96.46
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	16	$292.00	$92.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,799	418	$25.00	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,159	594	$176.00	$89.62
17110 Destruction of up to 14 skin growths	787	517	$383.00	$102.82
17000 Destruction of skin growth	755	486	$279.00	$38.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	115	$260.00	$124.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$263.00	$111.51
17004 Destruction of precancer skin growth, 15 or more growths	143	85	$593.00	$169.96
11102 Tangential biopsy of single skin lesion	84	76	$354.00	$80.45
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	79	58	$608.00	$174.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$366.00	$127.54
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	49	40	$495.00	$130.78
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	36	$1055.00	$295.03
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	21	$597.00	$146.39
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	34	27	$483.00	$124.36
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	32	26	$564.00	$149.37
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	15	$704.00	$202.95
11200 Removal of skin tag, 1-15 skin tags	24	21	$290.00	$51.67
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	14	$642.00	$185.55
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	21	14	$292.00	$92.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$842.00	$123.10
10060 Simple or single drainage of skin abscess	19	18	$375.00	$122.83
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	17	$319.00	$119.72
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	15	$238.00	$63.96
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	15	12	$235.00	$71.22
10061 Complicated or multiple drainage of skin abscess	15	11	$617.00	$213.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$349.00	$178.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,025	414	$25.00	$6.89
99213 Established patient office or other outpatient visit, typically 15 minutes	1,211	592	$176.00	$91.34
17110 Destruction of up to 14 skin growths	827	530	$383.00	$103.45
17000 Destruction of skin growth	777	475	$279.00	$38.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	135	$260.00	$126.89
17004 Destruction of precancer skin growth, 15 or more growths	143	83	$593.00	$172.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$263.00	$112.41
11102 Tangential biopsy of single skin lesion	85	78	$354.00	$80.33
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	74	49	$608.00	$171.26
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	58	39	$495.00	$135.39
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	52	36	$564.00	$164.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$366.00	$128.94
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	43	33	$483.00	$127.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	38	$1055.00	$292.60
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	35	18	$292.00	$87.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$545.00	$171.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	20	$349.00	$182.17
10060 Simple or single drainage of skin abscess	27	27	$375.00	$127.13
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	26	23	$238.00	$64.85
11200 Removal of skin tag, 1-15 skin tags	21	20	$290.00	$52.57
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	15	$642.00	$192.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$842.00	$125.16
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	12	12	$319.00	$105.14
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$925.00	$136.71
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$1050.00	$324.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,389	436	$25.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	1,220	584	$176.00	$92.94
17110 Destruction of up to 14 skin growths	876	542	$383.00	$103.91
17000 Destruction of skin growth	820	488	$279.00	$38.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	156	$260.00	$132.91
17004 Destruction of precancer skin growth, 15 or more growths	194	101	$593.00	$170.46
11102 Tangential biopsy of single skin lesion	115	103	$354.00	$78.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$263.00	$114.06
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	91	49	$608.00	$172.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	69	69	$545.00	$171.33
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	65	41	$564.00	$154.03
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	47	$1055.00	$306.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	43	$349.00	$181.22
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	56	44	$495.00	$139.99
10060 Simple or single drainage of skin abscess	34	32	$375.00	$125.32
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	34	24	$483.00	$124.18
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	19	$642.00	$194.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	13	$107.00	$57.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	25	$842.00	$124.96
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	26	26	$238.00	$61.52
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	24	20	$292.00	$99.68
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	16	$597.00	$167.10
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	21	19	$319.00	$107.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$951.00	$145.13
11200 Removal of skin tag, 1-15 skin tags	14	13	$290.00	$59.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,726	425	$25.00	$6.10
99213 Established patient office or other outpatient visit, typically 15 minutes	1,222	555	$176.00	$75.74
17110 Destruction of up to 14 skin growths	830	502	$383.00	$100.50
17000 Destruction of skin growth	815	469	$279.00	$37.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	162	$260.00	$109.31
17004 Destruction of precancer skin growth, 15 or more growths	146	90	$593.00	$160.50
11102 Tangential biopsy of single skin lesion	90	83	$354.00	$67.16
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	89	58	$608.00	$170.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$263.00	$107.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	51	$349.00	$148.04
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	55	49	$1055.00	$295.15
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	52	29	$564.00	$133.93
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	51	40	$483.00	$135.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	14	$5.00	$1.43
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	50	37	$495.00	$129.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$842.00	$113.54
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	17	$642.00	$191.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	20	$597.00	$170.23
10060 Simple or single drainage of skin abscess	26	25	$375.00	$112.06
11200 Removal of skin tag, 1-15 skin tags	21	20	$290.00	$54.04
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	16	$319.00	$113.02
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	11	$704.00	$203.14
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	15	15	$1050.00	$291.35
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$925.00	$138.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$951.00	$149.63
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	12	$238.00	$58.88
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$994.00	$307.21
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$365.00	$127.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,797	439	$25.00	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	1,362	689	$176.00	$74.07
17110 Destruction of up to 14 skin growths	840	524	$383.00	$99.19
17000 Destruction of skin growth	801	477	$279.00	$37.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	275	$260.00	$107.21
17004 Destruction of precancer skin growth, 15 or more growths	200	121	$593.00	$151.79
11102 Tangential biopsy of single skin lesion	94	88	$354.00	$68.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$263.00	$108.60
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	90	61	$495.00	$128.97
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	82	50	$608.00	$174.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	44	$349.00	$146.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	20	$82.00	$16.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	51	47	$1055.00	$298.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	45	12	$7.00	$1.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	19	$5.00	$1.57
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	43	29	$483.00	$108.80
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	42	33	$564.00	$144.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	14	$107.00	$45.22
11200 Removal of skin tag, 1-15 skin tags	29	27	$290.00	$47.68
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	27	$842.00	$130.56
10060 Simple or single drainage of skin abscess	28	26	$375.00	$110.43
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	20	$597.00	$161.52
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	23	20	$292.00	$94.78
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	23	15	$238.00	$55.61
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	13	$642.00	$189.36
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	18	$925.00	$176.47
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	14	$1050.00	$285.85
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$319.00	$116.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$366.00	$116.85
81003 Automated urinalysis test	14	13	$10.00	$2.27
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	11	$704.00	$200.07
20610 Aspiration and/or injection of fluid from large joint	13	12	$266.00	$56.08
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$554.00	$89.10
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$994.00	$271.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,745	426	$25.00	$5.22
99213 Established patient office or other outpatient visit, typically 15 minutes	1,258	607	$176.00	$72.08
17110 Destruction of up to 14 skin growths	733	478	$383.00	$95.85
17000 Destruction of skin growth	727	461	$279.00	$39.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	197	$260.00	$105.83
17004 Destruction of precancer skin growth, 15 or more growths	224	137	$593.00	$142.69
11100 Biopsy of single growth of skin and/or tissue	111	104	$359.00	$71.07
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	107	64	$608.00	$165.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$263.00	$106.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	51	$349.00	$142.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	29	$107.00	$43.02
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	64	54	$495.00	$125.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	57	53	$1055.00	$300.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	13	$82.00	$20.34
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	45	36	$564.00	$137.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	45	11	$7.00	$1.95
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	37	28	$483.00	$124.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	16	$5.00	$1.83
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	20	$642.00	$179.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	28	$842.00	$126.32
11200 Removal of skin tag, 1-15 skin tags	27	27	$290.00	$54.58
10060 Simple or single drainage of skin abscess	27	27	$375.00	$116.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	19	$597.00	$167.61
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	22	14	$292.00	$87.96
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	19	$365.00	$96.74
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	18	$319.00	$112.95
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	11	$324.00	$106.51
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$951.00	$141.67
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	11	$238.00	$56.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,571	428	$25.00	$5.53
99213 Established patient office or other outpatient visit, typically 15 minutes	1,125	591	$176.00	$71.65
17000 Destruction of skin growth	716	473	$279.00	$39.78
17110 Destruction of up to 14 skin growths	705	483	$383.00	$93.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	174	$260.00	$103.49
17004 Destruction of precancer skin growth, 15 or more growths	198	129	$593.00	$147.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$263.00	$105.51
85610 Blood test, clotting time	114	14	$17.00	$5.28
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	110	83	$608.00	$167.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	62	$349.00	$141.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	30	$107.00	$42.63
11100 Biopsy of single growth of skin and/or tissue	95	89	$359.00	$70.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	69	52	$495.00	$121.88
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	63	48	$483.00	$114.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	52	$1055.00	$290.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	12	$82.00	$24.82
11200 Removal of skin tag, 1-15 skin tags	51	48	$290.00	$44.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	16	$5.00	$1.68
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	38	31	$564.00	$146.29
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	28	24	$292.00	$96.67
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	22	$597.00	$143.78
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	27	23	$238.00	$57.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$842.00	$122.51
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	20	$704.00	$185.05
10060 Simple or single drainage of skin abscess	23	22	$375.00	$108.37
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	16	$319.00	$105.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$554.00	$88.11
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$994.00	$262.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$951.00	$147.64

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101046752

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1457337974 (VA)

Medicaid State Provider ID

006095232 (VA)

Commercial Insurance / Payer ID Medicare Railroad

P00276857 (VA)

Hospital & Practice Group Affiliations

Lewis Gale Physicians Llc

5304 Indian Grave Rd, Roanoke, VA 240189100

Phone: 5402832570

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2012

Registered at 5304 INDIAN GRAVE RD, ROANOKE, VA 240189100 (Tel: 5402832570)

📍

Updated Business Mailing Address February 17, 2012

Registered at 5304 INDIAN GRAVE RD, ROANOKE, VA 240189100 (Tel: 5402832570)

👤

Provider Name / Credentials Updated February 17, 2012

Recorded as STEPHEN COUTURE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Internal Medicine (License #0101046752 in VA)

🟢

Initial NPI Registration & Enumeration December 16, 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: 1457337974

Entity Type:

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

Enumeration Date: December 16, 2005

Last Update: February 17, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5304 Indian Grave Rd

Roanoke, VA 240189100

Phone: 5402832570

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.