Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861577223 Individual Practitioner Female Practitioner

Dr. Ellendee Pepper , MD

Dermatology • Renton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ellendee Pepper, MD is a registered healthcare professional specializing in Dermatology in Renton, WA. Practice services are available at 660 SW 39TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, 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

660 Sw 39th St
Ste 150

Renton, WA 980574912

Telephone 4257934700
Fax 4256564046
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Renton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Renton, WA (397 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
75 74 $189.00 $83.20
17003 Destruction of precancer skin growth, 2-14 growths
56 18 $27.00 $6.96
17000 Destruction of skin growth
34 34 $222.12 $63.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
33 28 $114.00 $50.99
11102 Tangential biopsy of single skin lesion
28 28 $355.62 $101.14
17110 Destruction of up to 14 skin growths
27 24 $291.00 $117.30

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00022801

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
1008770 (WA)
Commercial Insurance / Payer ID Rr Medicare
070011908 (WA)
Commercial Insurance / Payer ID L&i
0123182 (WA)
Commercial Insurance / Payer ID Regence
PE0386 (WA)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Austin Hogland , PA-C

Physician Assistant

NPI 1003213166

Physician Assistant (Certified)

Dr. Ronald Brazg , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1194746131

Doctor of Medicine (M.D.)

Dr. Ramona Pungan , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1497776769

Doctor of Medicine (M.D.)

Megan Dippe , PA-C

Physician Assistant

NPI 1508258427

Physician Assistant (Certified)

Dr. Allen Sussman , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1710991237

Doctor of Medicine (M.D.)

Dr. Judith Fleming , MD

Internal Medicine

NPI 1760593362

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 24, 2017

Registered at PO BOX 34876, SEATTLE, WA 98124 (Tel: 4252283440)

📍
Updated Practice Location August 24, 2017

Registered at 660 SW 39TH ST, STE 150, RENTON, WA 980574912 (Tel: 4257934700)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as ELLENDEE PEPPER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Dermatology (License #MD00022801 in WA)

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2016

Registered at 660 SW 39TH ST, STE 150, RENTON, WA 980574912 (Tel: 4257934700)

📍
Updated Business Mailing Address November 14, 2016

Registered at PO BOX 59028, RENTON, WA 980582028 (Tel: 4252515110)

👤
Provider Name / Credentials Updated November 14, 2016

Recorded as ELLENDEE PEPPER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Dermatology (License #MD00022801 in WA)

🟢
Initial NPI Registration & Enumeration October 26, 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: 1861577223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: August 24, 2017
Sole Proprietor: No

Mailing Address

Po Box 34876

Seattle, WA 981241876

Phone: 4252283440

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.