Active NPI 1699712182 Individual Practitioner Female Practitioner

Dr. Dianne R. Levisohn , MD

Dermatology • Poulsbo, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dianne Levisohn, MD is a certified Dermatology practicing in Poulsbo, WA. With approximately 41 years of clinical experience since graduating from Washington University School Of Medicine in 1985, Dr. Levisohn delivers high-quality medical care to the local community at 19917 7TH AVE NE.

Dr. Levisohn is affiliated with Silver Falls Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19917 7th Ave Ne
Ste 203

Poulsbo, WA 983706555

Telephone 3608245474

Fax 3603262451

Associated Practice Facility / Clinic

🏢 Peninsula Community Health Services Facility NPI 1013969351

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Poulsbo, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Poulsbo, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Levisohn (41 Years) 41 Yrs

Poulsbo Specialty Average (24.8 Years) 24.8 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	1,320	380	$16.57	$6.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,063	762	$329.91	$128.03
99213 Established patient office or other outpatient visit, typically 15 minutes	1,022	762	$230.10	$90.60
17000 Destruction of skin growth	754	569	$168.36	$55.62
88305 Pathology examination of tissue using a microscope, intermediate complexity	415	269	$150.00	$36.20
11102 Tangential biopsy of single skin lesion	368	306	$266.06	$94.92
17110 Destruction of up to 14 skin growths	320	270	$290.49	$112.08
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	178	102	$580.00	$388.95
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	177	14	$305.00	$120.89
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	147	106	$370.00	$139.97
11103 Biopsy of related skin growth, each additional growth	96	66	$135.21	$50.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	87	$145.00	$56.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	83	32	$16.00	$0.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$285.00	$111.45
11900 Injection into skin growth, 1-7 growths	47	29	$143.93	$45.66
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	30	$456.23	$169.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$790.33	$295.86
69100 Biopsy of ear	23	22	$253.85	$79.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$425.00	$166.70
11104 Punch biopsy, first skin growth	18	18	$333.23	$126.65
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	17	$140.00	$10.92
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	16	$319.27	$122.66
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$379.46	$145.05
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$364.63	$132.41
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	12	11	$252.98	$88.07
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$264.32	$87.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,400	28	$4.00	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	1,268	369	$16.57	$6.93
99213 Established patient office or other outpatient visit, typically 15 minutes	978	709	$230.00	$91.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	886	640	$330.00	$128.85
17000 Destruction of skin growth	701	529	$168.36	$57.17
88305 Pathology examination of tissue using a microscope, intermediate complexity	296	213	$150.00	$37.34
17110 Destruction of up to 14 skin growths	270	235	$290.49	$113.19
11102 Tangential biopsy of single skin lesion	204	176	$266.06	$96.96
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	166	22	$305.00	$122.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	119	$145.00	$57.48
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	116	83	$370.00	$146.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	111	59	$580.00	$384.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	82	31	$16.00	$1.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$285.00	$112.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	12	$50.00	$14.42
11103 Biopsy of related skin growth, each additional growth	40	33	$135.21	$49.79
11900 Injection into skin growth, 1-7 growths	39	25	$143.93	$50.52
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	34	$456.23	$169.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	26	$319.27	$120.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	26	$790.33	$307.86
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	20	$140.00	$11.25
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	16	$379.46	$122.25
11104 Punch biopsy, first skin growth	17	16	$333.23	$118.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$425.00	$168.17
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$364.63	$137.50
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	11	$482.40	$180.42
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	11	11	$264.32	$95.71
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$720.54	$143.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	5,600	23	$4.00	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	1,334	367	$16.57	$7.02
99213 Established patient office or other outpatient visit, typically 15 minutes	1,020	716	$230.00	$91.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	736	540	$330.00	$129.47
17000 Destruction of skin growth	694	522	$168.36	$57.00
88305 Pathology examination of tissue using a microscope, intermediate complexity	373	264	$150.00	$37.58
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	248	30	$305.00	$122.02
11102 Tangential biopsy of single skin lesion	245	220	$266.06	$97.55
17110 Destruction of up to 14 skin growths	244	205	$290.49	$110.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	219	175	$145.00	$56.91
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	94	77	$370.00	$151.18
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	86	58	$580.00	$390.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	63	26	$16.00	$1.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$285.00	$113.29
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	55	43	$456.23	$167.51
11103 Biopsy of related skin growth, each additional growth	39	34	$135.21	$53.02
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	33	30	$319.27	$115.89
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	29	26	$364.63	$136.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$790.33	$297.10
11900 Injection into skin growth, 1-7 growths	24	20	$143.93	$52.91
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	19	$379.46	$131.71
11104 Punch biopsy, first skin growth	19	19	$333.23	$132.09
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$424.82	$153.85
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	14	$140.00	$10.74
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$482.40	$194.64
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$720.54	$143.75
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$321.02	$122.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,402	369	$14.58	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	1,010	759	$187.18	$93.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	697	536	$260.94	$131.78
17000 Destruction of skin growth	665	510	$155.41	$55.90
88305 Pathology examination of tissue using a microscope, intermediate complexity	437	307	$67.85	$38.12
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	366	27	$273.62	$125.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	271	220	$111.87	$57.38
11102 Tangential biopsy of single skin lesion	236	216	$238.93	$100.91
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	197	100	$516.50	$387.22
17110 Destruction of up to 14 skin growths	181	169	$266.66	$112.13
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	149	100	$327.32	$151.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	28	$14.36	$1.27
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	53	49	$286.05	$116.33
11103 Biopsy of related skin growth, each additional growth	53	45	$124.61	$55.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$255.36	$113.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	48	44	$416.04	$173.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	45	43	$711.18	$310.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	12	$35.77	$14.51
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	36	34	$331.61	$139.95
11900 Injection into skin growth, 1-7 growths	30	23	$129.82	$53.55
11104 Punch biopsy, first skin growth	26	26	$295.87	$132.95
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	26	25	$384.29	$156.64
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	19	$342.79	$129.54
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$295.01	$115.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$435.91	$195.75
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$655.04	$145.85
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$456.86	$103.18
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	12	$25.42	$11.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,156	308	$13.98	$6.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,097	908	$248.01	$110.91
17000 Destruction of skin growth	527	425	$150.99	$56.29
99213 Established patient office or other outpatient visit, typically 15 minutes	392	286	$170.99	$75.91
88305 Pathology examination of tissue using a microscope, intermediate complexity	341	242	$50.82	$39.74
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	254	25	$268.89	$120.62
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	179	92	$490.18	$389.49
11102 Tangential biopsy of single skin lesion	179	164	$231.97	$95.57
17110 Destruction of up to 14 skin growths	145	129	$258.92	$110.06
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	136	92	$309.66	$137.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	121	$103.98	$46.33
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	56	48	$408.00	$168.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	23	$14.00	$1.45
11103 Biopsy of related skin growth, each additional growth	44	30	$123.00	$55.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	34	32	$281.00	$116.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$246.00	$110.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	31	$699.00	$308.93
11900 Injection into skin growth, 1-7 growths	32	21	$127.00	$50.71
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	30	28	$337.00	$128.43
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	29	25	$325.00	$124.96
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	29	26	$379.00	$149.49
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	19	$433.00	$194.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$650.00	$142.55
69100 Biopsy of ear	11	11	$227.00	$83.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,551	407	$13.00	$5.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,547	1,165	$249.00	$110.06
17000 Destruction of skin growth	734	553	$150.00	$55.41
88305 Pathology examination of tissue using a microscope, intermediate complexity	526	344	$90.00	$39.60
99213 Established patient office or other outpatient visit, typically 15 minutes	502	347	$170.00	$75.20
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	394	22	$265.00	$117.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	317	246	$103.00	$45.88
11102 Tangential biopsy of single skin lesion	248	229	$227.00	$92.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	244	126	$506.00	$387.97
17110 Destruction of up to 14 skin growths	216	186	$255.00	$109.35
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	189	126	$287.00	$125.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	85	76	$277.00	$109.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	71	71	$704.00	$301.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	67	27	$14.00	$1.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	54	41	$407.00	$164.03
11103 Biopsy of related skin growth, each additional growth	53	43	$123.00	$53.93
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	47	39	$334.00	$127.89
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	47	46	$324.00	$136.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$248.00	$108.24
11900 Injection into skin growth, 1-7 growths	32	26	$125.00	$45.15
88304 Pathology examination of tissue using a microscope, moderately low complexity	29	29	$28.00	$11.89
11104 Punch biopsy, first skin growth	28	28	$286.00	$125.07
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	27	26	$226.00	$77.97
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	27	25	$655.00	$145.44
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	25	$449.00	$99.62
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	21	$380.00	$153.82
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	20	$281.00	$115.38
69100 Biopsy of ear	17	17	$227.00	$77.07
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$433.00	$180.20
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	15	13	$236.00	$87.45
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$389.00	$86.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$574.00	$116.73
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$695.00	$269.82
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$368.00	$149.67
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$314.00	$127.83
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	12	$263.00	$107.07
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$413.00	$183.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,446	382	$12.00	$5.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,287	1,000	$246.00	$107.99
17000 Destruction of skin growth	767	562	$153.00	$55.89
99213 Established patient office or other outpatient visit, typically 15 minutes	677	501	$167.00	$73.18
88305 Pathology examination of tissue using a microscope, intermediate complexity	498	341	$90.00	$39.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	368	289	$101.00	$44.04
11100 Biopsy of single growth of skin and/or tissue	294	262	$244.00	$100.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	249	110	$506.00	$398.18
17110 Destruction of up to 14 skin growths	222	199	$259.00	$108.22
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	193	110	$265.00	$116.22
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	162	17	$263.00	$114.89
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	68	64	$278.00	$115.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	63	60	$699.00	$301.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$247.00	$107.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	34	$14.00	$1.82
11101 Biopsy of each additional growth of skin and/or tissue	52	44	$75.00	$32.91
11900 Injection into skin growth, 1-7 growths	45	34	$130.00	$46.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	42	37	$406.00	$168.70
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	40	40	$328.00	$136.32
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	39	32	$334.00	$125.52
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	33	33	$657.00	$143.82
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	29	27	$227.00	$78.81
88304 Pathology examination of tissue using a microscope, moderately low complexity	26	24	$28.00	$12.05
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	23	20	$378.00	$147.45
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	17	$264.00	$109.04
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	15	$283.00	$112.22
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$668.00	$237.78
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$386.00	$89.80
69100 Biopsy of ear	15	15	$233.00	$81.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$574.00	$125.71
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$446.00	$97.53
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	13	13	$220.00	$78.28
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	11	$680.00	$273.23
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	11	11	$229.00	$82.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,355	362	$13.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,038	760	$165.95	$72.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	838	705	$243.91	$106.21
17000 Destruction of skin growth	662	505	$152.02	$58.28
88305 Pathology examination of tissue using a microscope, intermediate complexity	407	300	$90.16	$39.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	398	275	$99.00	$43.26
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	236	100	$403.81	$352.39
11100 Biopsy of single growth of skin and/or tissue	214	193	$235.22	$94.02
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	205	12	$164.48	$71.80
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	190	100	$312.00	$136.75
17110 Destruction of up to 14 skin growths	185	161	$254.00	$105.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$241.35	$106.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	31	$4.00	$1.81
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	58	56	$276.00	$112.33
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$170.00	$74.44
11101 Biopsy of each additional growth of skin and/or tissue	43	35	$74.00	$32.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	42	$692.00	$293.59
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	42	40	$325.00	$138.80
11900 Injection into skin growth, 1-7 growths	36	28	$127.00	$43.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	26	$398.00	$157.83
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	28	25	$225.00	$73.84
69100 Biopsy of ear	27	25	$230.00	$91.48
88304 Pathology examination of tissue using a microscope, moderately low complexity	25	21	$28.00	$11.96
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	21	$326.00	$133.43
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	22	$281.00	$106.05
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	20	$371.00	$146.17
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$645.00	$141.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	16	$669.00	$292.84
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$329.00	$144.38
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$378.00	$82.60
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$618.00	$145.54
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$423.00	$185.07
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$253.00	$89.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$565.00	$123.64

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00030159

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8142234 (WA)

Commercial Insurance / Payer ID Railroad Medicare

070004630

Commercial Insurance / Payer ID Aetna

5395002

Commercial Insurance / Payer ID West Sound Derm Ptan

G8950076 (WA)

Commercial Insurance / Payer ID Regence Blue Shield

LE7554

Commercial Insurance / Payer ID Labor & Industries

30262 (WA)

Hospital & Practice Group Affiliations

Silver Falls Dermatology Llc

19917 7th Ave Ne, Poulsbo, WA 983706555

Phone: 3608245474

Practice Associates & Co-Workers

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

6 Associated Practitioners

Haley Gravely , PA-C

Physician Assistant

NPI 1043942766

Physician Assistant (Certified)

Dr. William Delgado , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1184643249

Doctor of Medicine (M.D.)

Dr. Paetra Ruddy , MD

Dermatology

NPI 1366738874

Doctor of Medicine (M.D.)

Margaret Colson , NP

Nurse Practitioner

NPI 1699346585

Nurse Practitioner

Madison Scott , PA-C

Physician Assistant

NPI 1720675291

Physician Assistant (Certified)

Dr. Simone Ince , MD

Dermatology

NPI 1841327822

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 April 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2016

Registered at 19917 7TH AVE NE, STE 203, POULSBO, WA 983706555 (Tel: 3608245474)

📍

Updated Business Mailing Address April 28, 2016

Registered at 19917 7TH AVE NE, STE 203, POULSBO, WA 983706555 (Tel: 3608245474)

👤

Provider Name / Credentials Updated April 28, 2016

Recorded as DIANNE LEVISOHN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Dermatology (License #MD00030159 in WA)

🟢

Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699712182

Entity Type:

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

Enumeration Date: June 01, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

19917 7th Ave Ne, Ste 203

Poulsbo, WA 983706555

Phone: 3608245474

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.