Active NPI 1629099072 Individual Practitioner Male Practitioner

Dr. Ray W. Johnson , MD

Dermatology • Prescott, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ray Johnson, MD is a certified Dermatology practicing in Prescott, AZ. With approximately 31 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1995, Dr. Johnson delivers high-quality medical care to the local community at 830 AINSWORTH DR.

Dr. Johnson is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, special stained specimen slides to examine tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 Ainsworth Dr

Prescott, AZ 863011630

Telephone 9287775800

Fax 9287760405

Associated Practice Facility / Clinic

🏢 Arizona Associates In Dermatology And Cosmetic Surgery, Llc Facility NPI 1659467397

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Prescott, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -4.8 yrs vs City Avg

City Avg: 35.8 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Prescott, AZ (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (31 Years) 31 Yrs

Prescott Specialty Average (35.8 Years) 35.8 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	6,038	3,253	$418.63	$35.09
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	665	576	$2929.31	$664.75
88341 Special stained specimen slides to examine tissue	552	298	$288.62	$63.02
88342 Special stained specimen slides to examine tissue, initial procedure	384	346	$283.65	$71.28
88312 Special stained specimen slides to identify organisms including interpretation and report	253	175	$325.11	$85.63
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	200	169	$1781.35	$409.19
G6001 Ultrasonic guidance for placement of radiation therapy fields	171	18	$508.26	$177.75
77401 Radiation treatment delivery, superficial	157	16	$104.74	$41.01
88304 Pathology examination of tissue using a microscope, moderately low complexity	157	143	$420.71	$31.51
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	154	16	$793.20	$265.70
17003 Destruction of precancer skin growth, 2-14 growths	148	25	$84.00	$6.59
99213 Established patient office or other outpatient visit, typically 15 minutes	110	71	$263.00	$90.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	56	$147.53	$56.07
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	52	50	$2438.57	$328.19
17000 Destruction of skin growth	51	40	$303.63	$49.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	35	$1002.00	$297.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	38	38	$1649.62	$386.64
88313 Special stained specimen slides to examine tissue including interpretation and report	38	33	$282.59	$70.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	33	$936.14	$125.19
11102 Tangential biopsy of single skin lesion	32	30	$378.00	$90.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	27	$100.41	$23.06
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$1062.15	$158.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	17	$695.89	$172.45
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$223.46	$71.80
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$1338.58	$201.09
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	12	$738.73	$170.99
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$1409.49	$168.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	6,037	3,205	$418.45	$33.37
88341 Special stained specimen slides to examine tissue	839	325	$281.64	$56.20
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	689	568	$2929.31	$637.83
88342 Special stained specimen slides to examine tissue, initial procedure	439	377	$281.64	$63.23
88312 Special stained specimen slides to identify organisms including interpretation and report	364	221	$325.11	$82.46
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	237	185	$1781.35	$398.11
88304 Pathology examination of tissue using a microscope, moderately low complexity	165	137	$420.71	$30.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	164	158	$100.41	$22.40
17003 Destruction of precancer skin growth, 2-14 growths	128	26	$84.00	$6.49
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$263.00	$87.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	56	$147.53	$54.65
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	57	54	$2438.57	$281.21
88313 Special stained specimen slides to examine tissue including interpretation and report	54	46	$282.59	$67.12
17000 Destruction of skin growth	51	45	$303.63	$44.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	34	$1649.62	$365.06
11102 Tangential biopsy of single skin lesion	33	27	$378.00	$89.59
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	24	$1062.15	$151.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	14	12	$465.28	$384.46
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$633.83	$134.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$695.89	$166.25
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$495.00	$135.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	5,846	3,014	$416.25	$32.54
88341 Special stained specimen slides to examine tissue	844	305	$282.98	$57.99
17003 Destruction of precancer skin growth, 2-14 growths	546	112	$71.89	$6.60
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	537	465	$2926.01	$633.32
88342 Special stained specimen slides to examine tissue, initial procedure	393	331	$280.94	$63.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	239	215	$2418.42	$258.38
88312 Special stained specimen slides to identify organisms including interpretation and report	229	143	$323.85	$83.14
99213 Established patient office or other outpatient visit, typically 15 minutes	196	177	$187.03	$88.98
17000 Destruction of skin growth	167	158	$297.92	$48.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	146	121	$1781.35	$399.26
88304 Pathology examination of tissue using a microscope, moderately low complexity	102	93	$420.71	$28.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	98	89	$1603.72	$325.29
96900 Application of ultraviolet light to skin	97	11	$82.12	$23.08
11102 Tangential biopsy of single skin lesion	95	91	$280.84	$86.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	77	73	$100.41	$22.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	67	$146.55	$55.08
88313 Special stained specimen slides to examine tissue including interpretation and report	64	53	$280.21	$66.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$291.03	$109.20
17110 Destruction of up to 14 skin growths	57	55	$338.99	$106.12
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	53	45	$695.89	$142.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	47	43	$914.60	$122.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	29	$854.43	$287.43
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	31	31	$3038.74	$252.76
11103 Biopsy of related skin growth, each additional growth	28	25	$147.99	$50.16
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	26	26	$1554.70	$207.22
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$1062.15	$147.52
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$218.65	$70.89
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$707.23	$165.55
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$1036.72	$139.02
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$3757.06	$746.00
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	12	12	$1236.70	$188.89
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$1201.37	$393.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	6,775	3,313	$149.83	$69.98
88341 Special stained specimen slides to examine tissue	987	356	$159.53	$88.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	485	406	$1155.00	$657.21
88312 Special stained specimen slides to identify organisms including interpretation and report	474	255	$181.00	$109.24
88342 Special stained specimen slides to examine tissue, initial procedure	446	382	$181.88	$100.43
17003 Destruction of precancer skin growth, 2-14 growths	396	83	$10.00	$6.25
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	171	124	$692.00	$406.43
88313 Special stained specimen slides to examine tissue including interpretation and report	154	115	$130.00	$77.20
99213 Established patient office or other outpatient visit, typically 15 minutes	136	107	$130.00	$90.66
17000 Destruction of skin growth	133	108	$113.00	$44.85
11102 Tangential biopsy of single skin lesion	90	83	$173.00	$95.44
88304 Pathology examination of tissue using a microscope, moderately low complexity	87	85	$150.00	$40.96
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	70	68	$833.00	$240.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	42	$79.00	$55.83
11103 Biopsy of related skin growth, each additional growth	38	26	$92.00	$51.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$186.00	$108.63
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	28	$750.00	$274.92
17110 Destruction of up to 14 skin growths	24	22	$194.00	$105.79
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$680.00	$197.86
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	13	12	$583.00	$368.16
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$310.00	$156.82
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	11	11	$743.00	$215.40
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$229.00	$133.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	5,945	3,107	$149.95	$66.45
88341 Special stained specimen slides to examine tissue	849	316	$161.00	$60.87
17003 Destruction of precancer skin growth, 2-14 growths	610	133	$10.00	$5.97
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	498	421	$1166.00	$644.69
88342 Special stained specimen slides to examine tissue, initial procedure	376	321	$185.00	$72.90
88312 Special stained specimen slides to identify organisms including interpretation and report	358	181	$173.86	$100.54
99213 Established patient office or other outpatient visit, typically 15 minutes	249	211	$129.00	$74.54
17000 Destruction of skin growth	248	198	$114.00	$47.51
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	174	131	$691.00	$398.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	149	143	$839.00	$240.69
11102 Tangential biopsy of single skin lesion	137	128	$172.00	$93.85
88313 Special stained specimen slides to examine tissue including interpretation and report	120	90	$125.99	$74.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	74	$189.00	$108.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	69	$78.00	$44.92
88304 Pathology examination of tissue using a microscope, moderately low complexity	66	62	$70.00	$40.31
17110 Destruction of up to 14 skin growths	66	62	$192.00	$110.97
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$133.00	$75.46
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	54	50	$753.00	$238.47
11103 Biopsy of related skin growth, each additional growth	44	33	$93.00	$53.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$188.00	$106.97
99201 New patient office or other outpatient visit, typically 10 minutes	27	27	$79.00	$45.46
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	27	$1359.00	$513.16
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	26	26	$214.00	$130.95
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	26	26	$607.00	$388.81
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	25	25	$681.00	$194.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	16	$308.00	$142.77
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	21	21	$890.00	$257.67
69100 Biopsy of ear	20	14	$171.00	$61.43
17004 Destruction of precancer skin growth, 15 or more growths	16	14	$265.00	$156.92
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$745.00	$227.71
11104 Punch biopsy, first skin growth	14	14	$216.00	$125.56
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$1334.00	$610.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	662	139	$10.00	$5.55
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	590	499	$1160.52	$638.09
17000 Destruction of skin growth	224	190	$114.00	$47.41
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	215	196	$837.99	$242.52
99213 Established patient office or other outpatient visit, typically 15 minutes	211	169	$128.40	$73.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	197	146	$686.34	$390.29
11102 Tangential biopsy of single skin lesion	123	114	$172.00	$89.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	64	$77.79	$44.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	58	$188.50	$106.77
17110 Destruction of up to 14 skin growths	61	59	$192.00	$108.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	60	57	$747.45	$243.25
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$133.00	$75.65
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	52	52	$673.88	$191.50
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	44	41	$601.64	$391.47
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	42	40	$213.62	$122.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$187.95	$105.06
11103 Biopsy of related skin growth, each additional growth	32	24	$93.00	$51.56
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	30	29	$1349.83	$662.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	28	28	$890.00	$262.61
17004 Destruction of precancer skin growth, 15 or more growths	27	25	$265.00	$150.97
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	18	18	$745.00	$224.18
69100 Biopsy of ear	13	12	$169.46	$75.16
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$79.00	$45.29
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$327.00	$157.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,696	281	$9.21	$5.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	664	537	$1147.54	$627.62
17000 Destruction of skin growth	460	381	$115.13	$51.66
99213 Established patient office or other outpatient visit, typically 15 minutes	351	295	$125.73	$71.24
11100 Biopsy of single growth of skin and/or tissue	298	273	$182.55	$97.83
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	251	225	$826.42	$250.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	229	182	$675.69	$381.73
99202 New patient office or other outpatient visit, typically 20 minutes	174	174	$130.05	$73.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$186.26	$105.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	124	$76.11	$43.01
11101 Biopsy of each additional growth of skin and/or tissue	113	80	$56.93	$32.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	102	$185.35	$104.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	84	79	$739.50	$304.70
17110 Destruction of up to 14 skin growths	58	52	$194.16	$108.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	34	$305.05	$131.61
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	36	$371.00	$365.25
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	38	38	$665.18	$199.36
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	36	36	$209.92	$111.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	32	$429.69	$125.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	18	$10.00	$1.79
17004 Destruction of precancer skin growth, 15 or more growths	27	22	$252.33	$141.93
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	26	26	$878.92	$258.48
99201 New patient office or other outpatient visit, typically 10 minutes	23	23	$77.00	$43.71
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	16	$324.11	$140.11
11900 Injection into skin growth, 1-7 growths	16	15	$96.63	$43.21
69100 Biopsy of ear	16	16	$173.69	$74.27
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	15	15	$732.67	$221.01
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	15	$677.67	$349.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$494.21	$149.85
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1327.69	$764.42
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$446.62	$135.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	982	194	$9.99	$5.53
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	563	456	$1159.00	$634.08
17000 Destruction of skin growth	307	267	$115.99	$47.43
99213 Established patient office or other outpatient visit, typically 15 minutes	249	213	$126.98	$72.16
11100 Biopsy of single growth of skin and/or tissue	242	229	$182.00	$96.40
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	217	158	$682.00	$383.75
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	164	149	$837.00	$242.23
11101 Biopsy of each additional growth of skin and/or tissue	109	81	$57.00	$32.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	93	$76.97	$42.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	79	$189.00	$106.10
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$131.00	$73.90
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	58	50	$749.00	$308.98
17110 Destruction of up to 14 skin growths	55	54	$194.98	$106.52
99201 New patient office or other outpatient visit, typically 10 minutes	39	39	$77.00	$43.51
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	38	36	$371.00	$352.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$189.89	$106.62
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	36	36	$237.00	$133.41
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	35	35	$676.00	$190.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	27	$434.00	$126.36
69100 Biopsy of ear	23	22	$178.00	$69.31
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	18	$307.00	$138.08
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$326.00	$163.89
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$890.00	$269.43

Medical Specialties & State Licenses

CMS Verified: 2025-08-12

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 29683

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 AZ AZ29683

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 - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License AZ AZ29683

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

Dermatology - Clinical & Laboratory Dermatological Immunology

NUCC Taxonomy Code: 207NI0002X

State License AZ AZ29683

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License AZ AZ29683

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).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

622284 (AZ)

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

830 Ainsworth Dr, Prescott, AZ 863011630

Phone: 9287775800

Secondary Practice Locations

2820 N Glassford Hill Rd Ste 103

Prescott Valley, AZ 863142256

Phone: 9287728553

1000 Ainsworth Dr Ste 330

Prescott, AZ 863051682

Phone: 9287775830

820 Ainsworth Dr Ste B

Prescott, AZ 863011613

Phone: 9287775810

2820 N Glassford Hill Rd Ste 107

Prescott Valley, AZ 863142256

Phone: 9287728553

203 S Candy Ln # 14

Cottonwood, AZ 863264120

Phone: 9286393387

820 Ainsworth Dr Ste A

Prescott, AZ 863011613

Phone: 9287775800

Practice Associates & Co-Workers

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

15 Associated Practitioners

Cecily Lunt , MSN, FNP

Nurse Practitioner

NPI 1073065462

Master of Science in Nursing, Family Nurse Practitioner

Juliette Mccaffrey , PA-C

Physician Assistant

NPI 1235227729

Physician Assistant (Certified)

Emily Brewton , PA-C

Physician Assistant

NPI 1255701801

Physician Assistant (Certified)

Dr. Charles Johnson , MD

Dermatology

NPI 1336129667

Doctor of Medicine (M.D.)

Ha Pham , PA-C

Physician Assistant

NPI 1366777575

Physician Assistant (Certified)

Sandra-Lynn Hutchison , PA

Physician Assistant

NPI 1497761332

Physician Assistant

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location March 11, 2022

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011630 (Tel: 9287775800)

📍

Updated Business Mailing Address March 11, 2022

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dermatology (License #AZ29683 in AZ)

✅

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 29, 2018

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011630 (Tel: 9287760325)

📍

Updated Practice Location January 29, 2018

Registered at 830 AINSWORTH DRIVE, PRESCOTT, AZ 863011614 (Tel: 9287760325)

👤

Provider Name / Credentials Updated January 29, 2018

Recorded as RAY JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Dermatology (License #AZ29683 in AZ)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Dermatology (License #29683 in AZ)

✅

NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2012

Registered at 830 AINSWORTH DRIVE, PRESCOTT, AZ 863011614 (Tel: 9287760325)

📍

Updated Business Mailing Address February 17, 2012

Registered at PO BOX 10730, PRESCOTT, AZ 863040730 (Tel: 9287760325)

👤

Provider Name / Credentials Updated February 17, 2012

Recorded as RAY JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Dermatology (License #29683 in AZ)

🟢

Initial NPI Registration & Enumeration July 21, 2006

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: 1629099072

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: August 12, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.