Active NPI 1841327822 Individual Practitioner Female Practitioner

Dr. Simone A Ince , MD

Dermatology • Poulsbo, WA

Professional Overview & Biography Verified Profile Summary

Dr. Simone Ince, MD is a registered healthcare professional specializing in Dermatology in Poulsbo, WA. Practice services are available at 19917 7TH AVE NE under active NPI credentials.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, 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

19917 7th Ave Ne
Ste 203

Poulsbo, WA 983706555

Telephone 3608245474

Fax 3603262451

Associated Practice Facility / Clinic

🏢 Peninsula Community Health Services Facility NPI 1013969351

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Poulsbo, WA

Active Practitioner

Practitioner Clinical Experience

Active

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

58.7% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,000	26	$4.00	$1.55
17003 Destruction of precancer skin growth, 2-14 growths	1,490	308	$16.57	$7.02
99213 Established patient office or other outpatient visit, typically 15 minutes	1,036	756	$230.00	$91.84
17000 Destruction of skin growth	590	432	$168.36	$55.76
17110 Destruction of up to 14 skin growths	296	251	$290.49	$115.63
11102 Tangential biopsy of single skin lesion	229	203	$266.06	$97.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	181	$145.00	$57.49
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	203	26	$305.00	$122.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	113	$330.00	$128.39
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	91	69	$370.00	$149.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	79	47	$580.00	$385.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$285.00	$113.40
11103 Biopsy of related skin growth, each additional growth	38	30	$135.21	$53.09
11104 Punch biopsy, first skin growth	22	21	$333.23	$132.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	20	$456.23	$175.37
11200 Removal of skin tag, 1-15 skin tags	18	17	$229.42	$69.45
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	16	$264.32	$99.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$790.33	$315.31
17004 Destruction of precancer skin growth, 15 or more growths	16	15	$423.08	$174.29
69100 Biopsy of ear	11	11	$253.85	$77.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,379	323	$14.84	$6.77
99213 Established patient office or other outpatient visit, typically 15 minutes	759	613	$195.80	$93.27
17000 Destruction of skin growth	633	470	$156.76	$55.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	459	396	$262.11	$131.17
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	296	26	$278.61	$125.31
17110 Destruction of up to 14 skin growths	286	253	$270.78	$115.77
11102 Tangential biopsy of single skin lesion	248	217	$245.87	$99.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	183	$115.44	$57.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	161	89	$525.78	$390.58
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	129	88	$335.58	$152.17
11103 Biopsy of related skin growth, each additional growth	67	50	$128.83	$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	$114.41
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	37	36	$240.74	$84.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	24	$420.86	$166.79
11104 Punch biopsy, first skin growth	19	19	$304.34	$135.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	19	$293.09	$129.96
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$714.22	$305.52
11200 Removal of skin tag, 1-15 skin tags	14	13	$210.23	$66.48
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$178.58	$74.47
69100 Biopsy of ear	11	11	$234.32	$88.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,091	252	$13.99	$6.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	650	575	$248.01	$111.18
17000 Destruction of skin growth	466	379	$150.98	$53.97
99213 Established patient office or other outpatient visit, typically 15 minutes	336	260	$170.97	$76.73
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	221	23	$268.84	$120.63
17110 Destruction of up to 14 skin growths	216	192	$258.89	$114.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	181	$103.97	$46.60
11102 Tangential biopsy of single skin lesion	206	186	$231.98	$94.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	127	79	$491.13	$389.24
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	99	79	$308.61	$137.76
11103 Biopsy of related skin growth, each additional growth	55	45	$123.00	$55.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	22	$408.00	$163.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$246.15	$110.05
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$174.07	$77.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$699.00	$313.37
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	14	14	$232.00	$89.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,693	348	$13.00	$5.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	713	603	$249.00	$110.12
17000 Destruction of skin growth	681	492	$150.00	$51.83
99213 Established patient office or other outpatient visit, typically 15 minutes	515	380	$170.00	$75.07
17110 Destruction of up to 14 skin growths	333	264	$255.00	$110.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	305	242	$103.00	$45.88
11102 Tangential biopsy of single skin lesion	291	249	$227.00	$89.63
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	281	21	$265.00	$117.16
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	162	87	$506.00	$390.42
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	128	87	$287.00	$127.35
11103 Biopsy of related skin growth, each additional growth	97	68	$123.00	$54.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$248.00	$109.90
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	38	$407.00	$163.47
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	43	40	$226.00	$86.26
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$175.00	$77.58
11104 Punch biopsy, first skin growth	30	30	$286.00	$127.35
69100 Biopsy of ear	21	20	$227.00	$74.40
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	15	14	$236.00	$87.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$704.00	$312.30
36415 Insertion of needle into vein for collection of blood sample	14	11	$16.00	$2.94
11200 Removal of skin tag, 1-15 skin tags	13	13	$204.00	$69.72
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$263.00	$116.84
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$277.00	$122.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,466	323	$12.00	$5.31
17000 Destruction of skin growth	613	465	$153.00	$52.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	463	$246.00	$108.12
99213 Established patient office or other outpatient visit, typically 15 minutes	468	365	$167.00	$73.06
11100 Biopsy of single growth of skin and/or tissue	428	377	$244.00	$98.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	397	301	$101.00	$44.13
17110 Destruction of up to 14 skin growths	284	234	$259.00	$112.69
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	196	16	$263.00	$114.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$247.00	$107.25
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	126	78	$506.00	$392.29
11101 Biopsy of each additional growth of skin and/or tissue	118	86	$75.00	$32.92
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	109	76	$265.00	$114.77
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$172.00	$75.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	54	36	$406.00	$144.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	11	$14.00	$1.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	34	$699.00	$301.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$574.00	$120.47
69100 Biopsy of ear	18	17	$233.00	$76.62
17004 Destruction of precancer skin growth, 15 or more growths	13	13	$333.00	$146.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,466	336	$13.00	$5.59
17000 Destruction of skin growth	627	455	$152.00	$54.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	453	$244.00	$106.61
99213 Established patient office or other outpatient visit, typically 15 minutes	484	354	$166.00	$72.51
11100 Biopsy of single growth of skin and/or tissue	377	320	$236.00	$92.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	314	231	$99.00	$43.34
17110 Destruction of up to 14 skin growths	257	219	$254.00	$110.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$244.00	$107.16
11101 Biopsy of each additional growth of skin and/or tissue	132	87	$74.00	$32.41
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	131	13	$164.00	$71.80
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	99	52	$418.79	$354.11
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	86	52	$312.00	$136.60
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$170.00	$74.40
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	21	$398.00	$153.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$692.00	$297.49
69100 Biopsy of ear	20	19	$230.00	$78.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$565.00	$140.12

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00031070

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

NUCC Taxonomy Code: 207N00000X

State License CO 35784

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10434542 (CO)

Commercial Insurance / Payer ID Medicare Ptan - King Co

8884948 (WA)

Commercial Insurance / Payer ID Ak Dshs

MD00116 (WA)

Commercial Insurance / Payer ID West Sound Derm Ptan

G8950100 (WA)

Commercial Insurance / Payer ID Kaiser-Commercial Number

009245

Commercial Insurance / Payer ID Labor And Industry

0274668 (WA)

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

Dr. Dianne Levisohn , MD

Dermatology

NPI 1699712182

Doctor of Medicine (M.D.)

Madison Scott , PA-C

Physician Assistant

NPI 1720675291

Physician Assistant (Certified)

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 SIMONE INCE, MD

🎓

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

Dermatology (License #MD00031070 in WA)

🟢

Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841327822

Entity Type:

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

Enumeration Date: February 27, 2007

Last Update: April 28, 2016

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.