Active NPI 1215908223 Individual Practitioner Male Practitioner

Dr. Michael E Mathieu , MD

Dermatology • Winchester, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mathieu, MD is a registered healthcare professional specializing in Dermatology in Winchester, VA. Practice services are available at 1514 AMHERST ST under active NPI credentials.

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

1514 Amherst St

Winchester, VA 226012803

Telephone 5406674499

Fax 5407224172

Associated Practice Facility / Clinic

🏢 Dermatology Associates Inc Facility NPI 1336140623

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Winchester, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 38.7 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Winchester, VA (440 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	715	190	$12.50	$6.73
99213 Established patient office or other outpatient visit, typically 15 minutes	410	407	$167.01	$89.77
17000 Destruction of skin growth	264	260	$125.20	$55.94
88305 Pathology examination of tissue using a microscope, intermediate complexity	95	74	$68.44	$36.51
17110 Destruction of up to 14 skin growths	43	43	$212.51	$109.12
11102 Tangential biopsy of single skin lesion	34	34	$190.02	$94.83
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	22	$333.63	$161.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$104.64	$55.71
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$384.05	$206.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,702	596	$12.04	$6.90
99213 Established patient office or other outpatient visit, typically 15 minutes	1,808	1,316	$159.56	$91.42
17000 Destruction of skin growth	1,046	824	$119.43	$58.58
88305 Pathology examination of tissue using a microscope, intermediate complexity	553	376	$66.07	$37.54
11102 Tangential biopsy of single skin lesion	224	212	$183.23	$97.93
17110 Destruction of up to 14 skin growths	167	150	$202.81	$112.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	166	131	$318.03	$165.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$197.73	$112.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	141	125	$99.52	$57.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	33	$1.99	$1.13
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	50	49	$366.36	$207.05
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	49	48	$336.88	$187.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	40	$225.84	$127.15
69100 Biopsy of ear	33	30	$173.25	$79.76
11103 Biopsy of related skin growth, each additional growth	33	29	$91.47	$52.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	21	$25.31	$14.53
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	26	26	$249.13	$132.07
17004 Destruction of precancer skin growth, 15 or more growths	23	19	$301.00	$172.98
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	17	$320.64	$174.84
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	18	15	$344.72	$192.43
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	17	$19.90	$11.44
11900 Injection into skin growth, 1-7 growths	15	12	$101.10	$48.17
11200 Removal of skin tag, 1-15 skin tags	14	14	$160.60	$76.79
11104 Punch biopsy, first skin growth	14	14	$221.12	$121.59
87220 Tissue fungi or parasites	12	12	$20.00	$4.23
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$263.66	$123.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,747	657	$11.56	$6.64
99213 Established patient office or other outpatient visit, typically 15 minutes	1,769	1,265	$160.59	$92.43
17000 Destruction of skin growth	1,160	899	$116.95	$58.55
88305 Pathology examination of tissue using a microscope, intermediate complexity	570	371	$66.96	$37.83
11102 Tangential biopsy of single skin lesion	231	205	$184.95	$98.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	163	$98.76	$57.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	186	34	$2.26	$1.29
17110 Destruction of up to 14 skin growths	163	146	$202.34	$111.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$197.23	$113.67
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	154	117	$315.80	$160.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	25	$25.01	$14.40
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	47	$366.36	$209.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	42	40	$335.57	$182.72
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	30	29	$253.75	$136.94
17004 Destruction of precancer skin growth, 15 or more growths	27	22	$294.41	$170.31
69100 Biopsy of ear	26	24	$176.51	$82.59
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	23	17	$343.58	$177.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$228.20	$131.81
11103 Biopsy of related skin growth, each additional growth	20	20	$94.05	$54.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	16	$263.92	$130.23
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$128.60	$74.14
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	11	$183.98	$102.51
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	13	$222.11	$101.33
11200 Removal of skin tag, 1-15 skin tags	13	12	$159.51	$78.02
11900 Injection into skin growth, 1-7 growths	12	12	$100.45	$40.86
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	12	$319.30	$176.90
87220 Tissue fungi or parasites	11	11	$20.00	$4.27
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$285.13	$149.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,253	534	$10.62	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	1,608	1,152	$131.27	$75.25
17000 Destruction of skin growth	916	761	$115.03	$57.76
88305 Pathology examination of tissue using a microscope, intermediate complexity	531	353	$69.37	$39.26
11102 Tangential biopsy of single skin lesion	199	182	$176.91	$94.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$188.73	$108.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	130	$190.03	$110.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	27	$2.60	$1.48
17110 Destruction of up to 14 skin growths	127	119	$198.62	$107.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	104	86	$312.35	$164.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	53	43	$252.30	$125.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	20	$25.08	$14.46
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	36	34	$329.04	$173.76
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	28	$364.26	$204.24
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	29	27	$312.12	$172.68
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$129.84	$75.58
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	22	$689.71	$378.11
17004 Destruction of precancer skin growth, 15 or more growths	26	22	$280.50	$161.77
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	24	22	$235.90	$130.05
11103 Biopsy of related skin growth, each additional growth	24	21	$92.76	$51.78
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	22	$211.73	$100.28
69100 Biopsy of ear	21	20	$174.57	$81.37
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$249.71	$136.81
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	17	$20.72	$11.98
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	16	$283.83	$148.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$80.11	$46.14
87220 Tissue fungi or parasites	13	12	$20.00	$4.22
11104 Punch biopsy, first skin growth	13	13	$223.38	$118.60
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	11	$341.13	$174.32
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$235.39	$133.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$422.16	$127.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,306	693	$12.99	$5.63
99213 Established patient office or other outpatient visit, typically 15 minutes	2,090	1,372	$126.79	$74.05
17000 Destruction of skin growth	1,232	933	$120.78	$56.68
88305 Pathology examination of tissue using a microscope, intermediate complexity	544	378	$97.44	$39.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	219	219	$180.79	$107.23
17110 Destruction of up to 14 skin growths	159	144	$183.47	$104.94
11102 Tangential biopsy of single skin lesion	146	137	$159.41	$93.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	133	28	$6.07	$1.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	108	$183.75	$109.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	104	94	$290.69	$167.68
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	92	83	$244.73	$123.23
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	59	55	$298.58	$176.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	45	45	$183.08	$112.71
17004 Destruction of precancer skin growth, 15 or more growths	41	35	$274.40	$151.21
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	37	34	$626.16	$386.75
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	35	34	$219.50	$124.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	22	$30.94	$16.74
69100 Biopsy of ear	26	25	$159.22	$95.28
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	26	$295.94	$185.69
11200 Removal of skin tag, 1-15 skin tags	24	24	$150.09	$74.33
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	24	24	$152.74	$90.18
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	22	$276.78	$151.45
88304 Pathology examination of tissue using a microscope, moderately low complexity	23	21	$34.94	$11.79
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$130.71	$76.53
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$230.43	$121.70
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$324.26	$207.44
11104 Punch biopsy, first skin growth	15	13	$189.45	$120.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$71.63	$45.20
87220 Tissue fungi or parasites	15	13	$20.00	$4.65
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$188.21	$131.66
11103 Biopsy of related skin growth, each additional growth	11	11	$87.45	$53.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,212	684	$20.00	$5.19
99213 Established patient office or other outpatient visit, typically 15 minutes	2,052	1,357	$120.00	$71.68
17000 Destruction of skin growth	1,232	933	$135.00	$57.37
88305 Pathology examination of tissue using a microscope, intermediate complexity	559	390	$160.00	$39.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	205	205	$165.00	$104.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	133	$165.00	$105.07
11100 Biopsy of single growth of skin and/or tissue	144	134	$165.00	$98.85
17110 Destruction of up to 14 skin growths	122	112	$160.00	$107.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	107	33	$12.00	$1.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	103	84	$255.00	$162.41
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	69	60	$215.00	$126.08
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	56	55	$255.00	$171.17
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$120.00	$73.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	36	$65.00	$43.25
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	36	34	$145.00	$107.26
69100 Biopsy of ear	36	34	$120.00	$81.67
17004 Destruction of precancer skin growth, 15 or more growths	36	30	$285.00	$142.88
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	34	34	$120.00	$86.37
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	31	30	$260.00	$181.48
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	29	23	$450.00	$398.23
11101 Biopsy of each additional growth of skin and/or tissue	28	22	$50.00	$32.52
88304 Pathology examination of tissue using a microscope, moderately low complexity	27	26	$95.00	$11.98
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	27	23	$225.00	$113.38
11200 Removal of skin tag, 1-15 skin tags	23	23	$135.00	$69.30
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	22	$285.00	$202.23
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	20	$245.00	$143.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	21	$35.00	$19.29
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$170.00	$131.37
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	16	16	$135.00	$106.11
87220 Tissue fungi or parasites	13	11	$20.00	$5.16
11900 Injection into skin growth, 1-7 growths	13	13	$85.00	$50.85
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$145.00	$104.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,074	681	$20.00	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	1,975	1,292	$120.02	$68.71
17000 Destruction of skin growth	1,225	928	$135.00	$53.91
88305 Pathology examination of tissue using a microscope, intermediate complexity	685	467	$160.00	$37.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	233	233	$165.00	$100.75
11100 Biopsy of single growth of skin and/or tissue	213	195	$165.00	$91.86
17110 Destruction of up to 14 skin growths	157	137	$159.84	$100.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	137	33	$12.00	$1.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	124	$65.81	$40.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	115	$165.00	$101.70
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	94	83	$215.00	$122.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	93	75	$255.00	$150.64
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$120.00	$69.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	59	46	$364.92	$357.93
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	55	52	$255.00	$158.64
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	54	46	$225.00	$129.00
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	52	50	$133.67	$101.10
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	41	40	$120.00	$77.71
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	32	31	$140.00	$71.09
88304 Pathology examination of tissue using a microscope, moderately low complexity	32	29	$95.00	$11.03
17004 Destruction of precancer skin growth, 15 or more growths	30	22	$285.00	$142.56
11200 Removal of skin tag, 1-15 skin tags	29	28	$135.00	$67.14
11101 Biopsy of each additional growth of skin and/or tissue	28	27	$50.00	$30.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	24	$35.00	$23.06
69100 Biopsy of ear	27	24	$120.00	$78.18
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	26	25	$170.00	$124.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	20	$260.00	$167.99
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	21	$245.00	$146.70
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	20	20	$190.00	$127.09
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$285.00	$193.08
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$135.00	$104.67
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$145.00	$92.41
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$320.00	$211.47
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	12	12	$215.00	$131.15

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License VA 0101057472

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 - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License VA 0101057472

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).

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License VA 0101057472

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License WV 20687

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License WV 20687

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License WV 20687

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

005902002 (VA)

Medicaid State Provider ID

1000519000 (WV)

Commercial Insurance / Payer ID Mtst Bcbs

001717411 (WV)

Commercial Insurance / Payer ID Anthem Bcbs

452904 (VA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Stephen Flax , MD

Dermatology

NPI 1376514596

Doctor of Medicine (M.D.)

Dr. Maria Bogaert , MD

Dermatology

NPI 1790756534

Doctor of Medicine (M.D.)

Lauren Shanholtz , NP

Nurse Practitioner

NPI 1801623699

Nurse Practitioner

Dr. Frederick Wenzel , MD

Dermatology

NPI 1962473199

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2008

Registered at 1514 AMHERST ST, WINCHESTER, VA 226012803 (Tel: 5406674499)

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Updated Business Mailing Address May 21, 2008

Registered at 1514 AMHERST ST, WINCHESTER, VA 226012803 (Tel: 5406674499)

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Provider Name / Credentials Updated May 21, 2008

Recorded as MICHAEL MATHIEU, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Dermatology (License #0101057472 in VA)

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Initial NPI Registration & Enumeration January 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215908223

Entity Type:

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

Enumeration Date: January 28, 2006

Last Update: May 21, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1514 Amherst St

Winchester, VA 226012803

Phone: 5406674499

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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