Active NPI 1801064969 Individual Practitioner Female Practitioner

Dr. Andrea Dawn Smith , MD

Dermatology • Poulsbo, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Smith, MD is a certified Dermatology practicing in Poulsbo, WA. With approximately 20 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2006, Dr. Smith delivers high-quality medical care to the local community at 21800 MARKET PL NW STE 103.

Dr. Smith is affiliated with Smithcare General Dermatology, Mohs Surgery And Aesthetics Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21800 Market Pl Nw Ste 103

Poulsbo, WA 983706667

Telephone 3602915700

Fax 3606370863

Associated Practice Facility / Clinic

🏢 Smithcare: General Dermatology, Mohs Surgery & Aesthetics Pllc Facility NPI 1417620998

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2006

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

20 Yrs -4.8 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

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (20 Years) 20 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	333	66	$13.77	$6.76
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	251	195	$1388.98	$605.99
99213 Established patient office or other outpatient visit, typically 15 minutes	144	119	$184.50	$90.68
11102 Tangential biopsy of single skin lesion	142	113	$206.41	$83.23
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	126	92	$844.56	$415.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	90	$259.60	$125.14
17000 Destruction of skin growth	112	93	$138.80	$47.23
11103 Biopsy of related skin growth, each additional growth	83	43	$102.82	$48.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	66	65	$621.94	$220.04
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	52	50	$643.65	$165.15
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	46	41	$1308.54	$621.97
17110 Destruction of up to 14 skin growths	45	43	$234.56	$112.80
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	27	27	$742.07	$182.13
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	18	$633.84	$180.38
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	14	$365.00	$136.57
11104 Punch biopsy, first skin growth	15	15	$256.47	$121.21
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$1563.33	$768.52
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$352.00	$86.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	403	58	$13.87	$6.82
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	271	231	$1392.87	$614.10
99213 Established patient office or other outpatient visit, typically 15 minutes	216	169	$182.95	$89.66
11102 Tangential biopsy of single skin lesion	170	132	$209.97	$88.96
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	163	117	$858.20	$416.98
17000 Destruction of skin growth	96	75	$137.97	$47.52
11103 Biopsy of related skin growth, each additional growth	95	52	$103.91	$50.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	65	$258.00	$127.25
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	67	66	$651.00	$162.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	56	54	$625.73	$198.18
17110 Destruction of up to 14 skin growths	49	44	$235.00	$113.42
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	33	30	$1308.03	$634.50
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	23	23	$751.00	$200.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$115.00	$56.46
17004 Destruction of precancer skin growth, 15 or more growths	18	15	$348.00	$171.25
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	17	$637.17	$183.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$336.00	$165.32
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	16	$1565.00	$769.89
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$367.00	$180.72
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$585.00	$144.03
69100 Biopsy of ear	11	11	$198.55	$62.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$226.00	$104.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	570	97	$14.00	$6.94
11102 Tangential biopsy of single skin lesion	329	254	$212.00	$95.82
99213 Established patient office or other outpatient visit, typically 15 minutes	274	210	$184.92	$90.49
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	212	189	$1377.00	$567.46
11103 Biopsy of related skin growth, each additional growth	211	120	$105.74	$52.05
17000 Destruction of skin growth	188	143	$138.00	$47.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$226.00	$111.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	94	$259.00	$126.70
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	113	80	$840.80	$406.87
17110 Destruction of up to 14 skin growths	88	70	$234.00	$113.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$337.00	$167.18
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	60	59	$653.00	$160.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	55	$626.00	$225.52
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	28	$1555.00	$768.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$115.00	$56.74
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	24	$1295.00	$628.25
11104 Punch biopsy, first skin growth	24	23	$264.00	$130.54
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	23	$642.00	$175.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	14	$304.00	$129.84
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	17	17	$1540.00	$762.61
69100 Biopsy of ear	16	15	$200.00	$56.99
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	13	$571.00	$150.77
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	14	14	$205.00	$68.98
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$589.00	$177.84
17004 Destruction of precancer skin growth, 15 or more growths	13	12	$347.00	$171.92
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$503.00	$126.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	309	70	$15.71	$6.52
99213 Established patient office or other outpatient visit, typically 15 minutes	254	184	$201.36	$91.67
11102 Tangential biopsy of single skin lesion	198	160	$261.60	$99.36
11103 Biopsy of related skin growth, each additional growth	123	75	$142.97	$53.28
17000 Destruction of skin growth	107	89	$168.22	$49.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	80	$290.67	$128.47
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	99	74	$1738.10	$540.16
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	74	43	$1055.62	$420.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$244.67	$113.15
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	30	27	$790.07	$173.23
17110 Destruction of up to 14 skin growths	29	28	$272.28	$114.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$400.72	$168.87
11104 Punch biopsy, first skin growth	22	21	$339.82	$133.90
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	17	$802.42	$275.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$125.00	$54.07
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	11	$401.00	$135.80
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	11	$468.86	$143.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	169	$203.99	$74.60
17003 Destruction of precancer skin growth, 2-14 growths	209	49	$16.58	$6.17
11102 Tangential biopsy of single skin lesion	156	124	$274.18	$96.60
11103 Biopsy of related skin growth, each additional growth	128	76	$147.00	$53.82
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	101	79	$1834.65	$485.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	57	$297.00	$109.75
17000 Destruction of skin growth	79	64	$180.00	$47.72
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	79	50	$1095.58	$399.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$295.23	$108.91
17110 Destruction of up to 14 skin growths	30	26	$306.27	$114.70
11104 Punch biopsy, first skin growth	26	25	$344.88	$128.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	19	$836.61	$255.56
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	23	23	$835.26	$164.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$124.64	$46.04
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$2139.29	$754.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$683.33	$126.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	186	$201.49	$73.65
17003 Destruction of precancer skin growth, 2-14 growths	232	52	$16.00	$5.71
11102 Tangential biopsy of single skin lesion	201	138	$271.96	$92.18
17000 Destruction of skin growth	112	82	$181.29	$47.15
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	103	83	$1834.39	$522.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	92	61	$1083.09	$402.85
11103 Biopsy of related skin growth, each additional growth	87	62	$146.56	$52.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$296.00	$108.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	37	$296.29	$109.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$121.58	$43.43
17110 Destruction of up to 14 skin growths	32	30	$306.34	$110.67
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	18	$823.26	$162.59
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	15	$727.06	$194.14
11104 Punch biopsy, first skin growth	16	16	$341.37	$126.50
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1321.00	$248.13
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$1183.64	$398.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	333	58	$16.68	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	212	149	$200.00	$73.03
11100 Biopsy of single growth of skin and/or tissue	127	101	$287.13	$100.54
17000 Destruction of skin growth	121	81	$183.63	$52.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$296.00	$107.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	65	$120.35	$44.15
11101 Biopsy of each additional growth of skin and/or tissue	38	32	$91.00	$32.91
17110 Destruction of up to 14 skin growths	35	32	$305.80	$108.17
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	31	27	$1823.68	$538.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$294.13	$108.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	19	13	$1072.42	$393.24
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$205.19	$75.37
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$811.09	$189.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	342	68	$18.99	$5.55
99213 Established patient office or other outpatient visit, typically 15 minutes	145	120	$199.05	$71.79
17000 Destruction of skin growth	113	98	$188.96	$50.43
11100 Biopsy of single growth of skin and/or tissue	111	102	$284.59	$95.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$295.86	$105.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	47	$120.05	$43.24
17110 Destruction of up to 14 skin growths	41	38	$304.34	$109.20
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$204.90	$73.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$293.73	$106.41
11101 Biopsy of each additional growth of skin and/or tissue	29	26	$91.21	$32.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	27	24	$1841.67	$537.95
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	16	11	$1071.00	$387.71

Medical Specialties & State Licenses

CMS Verified: 2022-06-24

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD60650348

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 - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License WA MD60650348

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License WA MD60650348

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).

Hospital & Practice Group Affiliations

Smithcare General Dermatology, Mohs Surgery And Aesthetics Pllc

21800 Market Pl Nw, Poulsbo, WA 983706667

Phone: 3602915700

Practice Associates & Co-Workers

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

4 Associated Practitioners

Alison Stinnett , PA

Physician Assistant

NPI 1427066323

Physician Assistant

Ginger Bouma , PA-C

Physician Assistant

NPI 1679507289

Physician Assistant (Certified)

Dr. Katie Ernst , APRN, DNP

Nurse Practitioner - Family

NPI 1851811327

Advanced Practice Registered Nurse, Doctor of Nursing Practice

Dr. Jeffrey Gertner , MD

Dermatology

NPI 1912980624

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2022

Dermatology (License #MD60650348 in WA)

📍

Updated Practice Location September 08, 2021

Registered at 21800 MARKET PL NW STE 103, POULSBO, WA 983706667 (Tel: 3602915700)

📍

Updated Business Mailing Address September 08, 2021

Registered at 21800 MARKET PL NW STE 103, POULSBO, WA 983706667 (Tel: 3602915700)

📍

Updated Practice Location December 09, 2020

Registered at 2600 CHERRY AVE, BREMERTON, WA 983104213 (Tel: 3607444790)

📍

Updated Business Mailing Address December 09, 2020

Registered at 2600 CHERRY AVE, BREMERTON, WA 983104213 (Tel: 3607444790)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2020

Dermatology (License #MD60650348 in WA)

✅

NPI Profile Active September 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2011

Registered at 11234 ANDERSON ST, LOMA LINDA, CA 923542804 (Tel: 9095582890)

📍

Updated Business Mailing Address September 16, 2011

Registered at 11370 ANDERSON ST, SUITE 2600, LOMA LINDA, CA 923543450 (Tel: 9095582890)

👤

Provider Name / Credentials Updated September 16, 2011

Recorded as ANDREA SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2011

Dermatology (License #A100846 in CA)

🟢

Initial NPI Registration & Enumeration February 12, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801064969

Entity Type:

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

Enumeration Date: February 12, 2008

Last Update: June 24, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21800 Market Pl Nw Ste 103

Poulsbo, WA 983706667

Phone: 3602915700

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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