Active NPI 1841269248 Individual Practitioner Male Practitioner

Dr. Walter Leroy Williams , MD

Dermatology • Clarkston, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Walter Williams, MD is a certified Dermatology practicing in Clarkston, WA. With approximately 30 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1996, Dr. Williams delivers high-quality medical care to the local community at 1433 5TH ST.

Dr. Williams is affiliated with Integrated Dermatology Of Clarkston Pllc 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

1433 5th St

Clarkston, WA 994032714

Telephone 5097585141

Fax 5097585299

Associated Practice Facility / Clinic

🏢 Integrated Dermatology Of Clarkston Pllc Facility NPI 1609656222

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Clarkston, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -11.5 yrs vs City Avg

City Avg: 41.5 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Clarkston, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Williams (30 Years) 30 Yrs

Clarkston Specialty Average (41.5 Years) 41.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,100	287	$15.00	$6.77
99213 Established patient office or other outpatient visit, typically 15 minutes	616	543	$170.00	$90.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	550	490	$107.40	$56.79
17000 Destruction of skin growth	490	443	$127.59	$55.82
11102 Tangential biopsy of single skin lesion	383	351	$185.00	$97.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	154	130	$557.40	$287.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	145	145	$207.66	$111.61
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	138	124	$1246.45	$619.59
11103 Biopsy of related skin growth, each additional growth	137	93	$95.00	$50.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	88	$237.18	$125.36
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	109	94	$449.77	$122.64
17110 Destruction of up to 14 skin growths	76	73	$210.00	$112.87
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$135.00	$72.55
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	49	47	$578.37	$158.97
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	40	40	$571.50	$196.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	36	25	$756.11	$417.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$308.67	$166.72
69100 Biopsy of ear	24	23	$176.67	$78.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	20	$513.41	$140.41
17004 Destruction of precancer skin growth, 15 or more growths	16	11	$310.00	$169.33
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$466.67	$128.09
11104 Punch biopsy, first skin growth	12	12	$230.00	$126.52
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$271.82	$136.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,348	329	$15.00	$6.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	736	632	$105.00	$57.14
99213 Established patient office or other outpatient visit, typically 15 minutes	644	576	$167.30	$90.87
17000 Destruction of skin growth	555	478	$125.00	$54.90
11102 Tangential biopsy of single skin lesion	455	416	$185.00	$100.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	163	144	$549.29	$293.54
11103 Biopsy of related skin growth, each additional growth	137	97	$95.00	$51.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	111	100	$442.21	$125.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	88	$235.00	$126.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$205.00	$111.98
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	102	95	$1216.76	$616.11
17110 Destruction of up to 14 skin growths	73	72	$207.47	$115.41
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$135.00	$73.12
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	40	39	$572.25	$162.38
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	33	31	$561.97	$235.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$305.00	$167.19
69100 Biopsy of ear	27	26	$175.00	$75.18
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	23	$506.09	$142.36
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	18	18	$740.00	$421.69
11104 Punch biopsy, first skin growth	16	15	$230.00	$129.55
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$456.43	$129.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,667	409	$15.00	$6.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	904	778	$92.46	$56.95
17000 Destruction of skin growth	688	589	$116.67	$54.09
99213 Established patient office or other outpatient visit, typically 15 minutes	638	564	$147.41	$90.98
11102 Tangential biopsy of single skin lesion	530	465	$176.43	$100.86
11103 Biopsy of related skin growth, each additional growth	160	122	$91.81	$52.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	157	142	$523.57	$293.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	118	$210.07	$127.51
17110 Destruction of up to 14 skin growths	130	121	$198.50	$115.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	115	103	$427.26	$125.07
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	94	85	$1158.30	$623.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$193.66	$111.35
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$131.30	$73.59
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	46	45	$534.67	$162.64
69100 Biopsy of ear	35	33	$169.71	$80.82
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	34	26	$699.85	$418.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$292.22	$167.67
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	24	$534.38	$239.44
11104 Punch biopsy, first skin growth	20	20	$221.00	$123.61
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	16	$252.50	$146.78
11900 Injection into skin growth, 1-7 growths	13	12	$101.92	$48.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$291.92	$88.78
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$484.62	$142.09
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$443.33	$128.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,238	527	$15.00	$6.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	981	856	$80.00	$57.31
17000 Destruction of skin growth	872	747	$110.00	$54.47
99213 Established patient office or other outpatient visit, typically 15 minutes	621	540	$130.00	$92.62
11102 Tangential biopsy of single skin lesion	592	527	$170.00	$104.83
11103 Biopsy of related skin growth, each additional growth	189	127	$90.00	$54.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	142	122	$510.00	$309.47
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	108	89	$420.00	$128.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	92	$185.00	$130.75
17110 Destruction of up to 14 skin growths	98	97	$190.05	$116.80
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$130.00	$74.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$185.00	$114.03
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	86	78	$1120.00	$584.80
69100 Biopsy of ear	46	41	$165.00	$81.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$280.00	$170.11
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	32	32	$515.00	$164.14
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	32	26	$670.00	$425.26
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	24	$510.00	$228.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	19	$475.00	$145.39
11104 Punch biopsy, first skin growth	17	16	$215.00	$135.06
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	14	$305.00	$178.82
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$285.00	$86.27
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$280.00	$151.98
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$245.83	$140.67
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$430.00	$132.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,311	516	$13.77	$6.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,196	974	$80.00	$46.53
17000 Destruction of skin growth	902	755	$115.00	$54.47
11102 Tangential biopsy of single skin lesion	628	550	$173.38	$100.78
99213 Established patient office or other outpatient visit, typically 15 minutes	546	484	$132.56	$76.42
11103 Biopsy of related skin growth, each additional growth	216	147	$95.00	$55.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	146	128	$527.19	$301.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	104	93	$430.00	$128.04
99202 New patient office or other outpatient visit, typically 20 minutes	93	93	$135.00	$77.66
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	82	77	$1157.20	$610.92
17110 Destruction of up to 14 skin growths	78	76	$193.53	$114.45
99201 New patient office or other outpatient visit, typically 10 minutes	65	65	$80.00	$46.89
69100 Biopsy of ear	49	46	$172.86	$81.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$195.00	$108.93
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	39	38	$529.36	$159.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$190.00	$110.06
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	31	24	$690.48	$404.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	24	$255.00	$132.85
11104 Punch biopsy, first skin growth	23	23	$217.61	$124.78
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	21	$492.61	$152.08
17004 Destruction of precancer skin growth, 15 or more growths	22	19	$271.14	$163.35
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	14	$519.29	$210.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$310.00	$175.79
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$295.00	$95.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,028	652	$10.00	$5.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,398	1,152	$80.00	$45.81
17000 Destruction of skin growth	1,056	869	$115.00	$53.95
11102 Tangential biopsy of single skin lesion	681	574	$170.31	$97.92
99213 Established patient office or other outpatient visit, typically 15 minutes	566	501	$130.00	$74.97
11103 Biopsy of related skin growth, each additional growth	249	161	$93.45	$54.61
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	202	170	$524.75	$300.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	162	131	$427.38	$127.08
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	119	104	$1141.97	$616.51
99202 New patient office or other outpatient visit, typically 20 minutes	98	98	$132.81	$77.57
17110 Destruction of up to 14 skin growths	88	86	$192.73	$111.36
99201 New patient office or other outpatient visit, typically 10 minutes	66	66	$80.00	$46.58
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	50	35	$676.60	$401.03
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	47	46	$516.91	$157.45
69100 Biopsy of ear	42	41	$172.50	$81.60
17004 Destruction of precancer skin growth, 15 or more growths	33	22	$256.82	$155.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$192.81	$110.39
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	31	30	$504.03	$200.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$190.00	$109.91
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	22	$492.95	$147.12
11104 Punch biopsy, first skin growth	21	21	$214.29	$122.24
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	19	$252.37	$140.62
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	17	$310.29	$178.10
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	14	$283.44	$157.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,645	717	$10.00	$5.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,649	1,291	$77.27	$44.07
17000 Destruction of skin growth	1,171	961	$115.00	$53.47
11100 Biopsy of single growth of skin and/or tissue	747	627	$177.43	$102.42
99213 Established patient office or other outpatient visit, typically 15 minutes	553	481	$127.47	$72.84
11101 Biopsy of each additional growth of skin and/or tissue	261	163	$60.00	$32.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	225	181	$514.49	$296.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	160	130	$422.31	$125.51
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	125	106	$1122.68	$604.23
17110 Destruction of up to 14 skin growths	113	110	$193.10	$109.71
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$130.00	$75.65
99201 New patient office or other outpatient visit, typically 10 minutes	61	61	$77.54	$44.96
69100 Biopsy of ear	53	51	$172.55	$83.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	46	42	$500.43	$148.85
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	41	39	$492.93	$185.44
17004 Destruction of precancer skin growth, 15 or more growths	38	29	$252.24	$146.13
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	38	30	$660.53	$393.21
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	36	32	$302.08	$168.00
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	22	$484.40	$144.03
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	20	$246.96	$123.91
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	22	$281.36	$88.36
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$297.00	$171.96
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$276.92	$159.08
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	12	12	$241.25	$125.44
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$437.73	$129.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,526	735	$10.00	$5.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,632	1,308	$75.00	$43.37
17000 Destruction of skin growth	1,226	986	$115.00	$54.99
11100 Biopsy of single growth of skin and/or tissue	698	613	$175.00	$100.75
99213 Established patient office or other outpatient visit, typically 15 minutes	478	416	$125.00	$72.54
11101 Biopsy of each additional growth of skin and/or tissue	249	169	$56.77	$32.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	172	151	$507.24	$289.83
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	134	112	$1102.91	$599.92
99202 New patient office or other outpatient visit, typically 20 minutes	131	131	$130.00	$74.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	131	105	$414.27	$123.74
99201 New patient office or other outpatient visit, typically 10 minutes	98	98	$75.00	$43.82
17110 Destruction of up to 14 skin growths	72	67	$187.15	$108.19
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	63	57	$492.14	$155.55
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	55	40	$647.91	$387.71
69100 Biopsy of ear	51	48	$170.00	$81.05
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	41	39	$483.66	$196.54
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	26	$242.31	$137.61
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	25	$475.38	$142.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$185.00	$107.15
17004 Destruction of precancer skin growth, 15 or more growths	22	14	$251.82	$149.82
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	22	22	$296.82	$177.14
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	20	$275.00	$158.61
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$277.19	$82.68
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$1307.00	$771.76
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$431.43	$146.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	13	$291.43	$168.46
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	12	12	$236.67	$129.06

Medical Specialties & State Licenses

CMS Verified: 2026-08-04

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD.MD.00041565

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License WA MD.MD.00041565

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

806377300 (ID)

Commercial Insurance / Payer ID Regence Blue Shield Prov.

000010139009 (ID)

Commercial Insurance / Payer ID Washington License

MD00041565 (WA)

Commercial Insurance / Payer ID Blue Cross Of Idaho

72157 (ID)

Commercial Insurance / Payer ID Washington Medicaid #

1117878 (WA)

Commercial Insurance / Payer ID Premera Blue Cross #

030734610 (WA)

Commercial Insurance / Payer ID Railroad Medicare #

P00007739 (WA)

Hospital & Practice Group Affiliations

Integrated Dermatology Of Clarkston Pllc

1250 Se Bishop Blvd, Pullman, WA 991635449

Phone: 5097585141

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. James Komorous , MD

Dermatology

NPI 1053313411

Doctor of Medicine (M.D.)

Jennifer Nicholas , FNP

Nurse Practitioner

NPI 1083978837

Family Nurse Practitioner

Jacob Blazzard , PA-C

Physician Assistant

NPI 1326125485

Physician Assistant (Certified)

Carolyn Shoemaker , PA-C

Physician Assistant

NPI 1477856649

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location August 04, 2026

Registered at 1433 5TH ST, CLARKSTON, WA 994032714 (Tel: 5097585141)

📍

Updated Business Mailing Address August 04, 2026

Registered at 4700 EXCHANGE CT STE 110, BOCA RATON, FL 334314450 (Tel: 5619480291)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Specialist (License #MD.MD.00041565 in WA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2024

Dermatology (License #MD00041565 in WA)

✅

NPI Profile Active December 04, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2009

Registered at 1433 5TH ST., CLARKSTON, WA 994032714 (Tel: 5097585141)

📍

Updated Business Mailing Address December 04, 2009

Registered at 1433 5TH ST., CLARKSTON, WA 994032714 (Tel: 5097585141)

👤

Provider Name / Credentials Updated December 04, 2009

Recorded as WALTER WILLIAMS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2009

Specialist (License #MD00041565 in WA)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Walter Williams. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841269248

Entity Type:

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

Enumeration Date: March 16, 2006

Last Update: August 04, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4700 Exchange Ct Ste 110

Boca Raton, FL 334314450

Phone: 5619480291

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.