Active NPI 1932338506 Individual Practitioner Female Practitioner

Dr. Heidi M Hermes Shantz , MD

Dermatology - MOHS-Micrographic Surgery • Sequim, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heidi Hermes Shantz, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Sequim, WA. With approximately 17 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2009, Dr. Hermes Shantz delivers high-quality medical care to the local community at 565 EUREKA WAY.

Dr. Hermes Shantz 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, 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

565 Eureka Way

Sequim, WA 983825074

Telephone 3605820808

Fax 2539842049

Associated Practice Facility / Clinic

🏢 Valley Dermatology, Ps, Inc Facility NPI 1144278441

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Sequim, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs Matches City Avg

City Avg: 17.0 Yrs

State Avg: 21.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Sequim, WA (46 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hermes Shantz (17 Years) 17 Yrs

Sequim Specialty Average (17.0 Years) 17.0 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	773	171	$16.57	$6.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	602	475	$1725.46	$605.56
99213 Established patient office or other outpatient visit, typically 15 minutes	396	301	$230.14	$90.18
17000 Destruction of skin growth	328	259	$168.36	$49.28
11102 Tangential biopsy of single skin lesion	273	223	$266.06	$88.83
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	216	159	$1048.54	$414.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	202	178	$790.33	$236.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	194	194	$285.00	$110.97
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	117	98	$1619.91	$596.96
11103 Biopsy of related skin growth, each additional growth	103	62	$135.21	$50.59
17110 Destruction of up to 14 skin growths	96	87	$290.49	$106.29
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	90	88	$1228.24	$250.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	75	$145.00	$56.62
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	87	86	$812.14	$172.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	51	$330.00	$127.85
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	59	$634.18	$122.95
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	59	58	$798.18	$190.21
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	59	58	$1953.14	$761.31
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	46	46	$730.14	$176.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	44	40	$720.54	$139.70
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	26	$1113.96	$220.85
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	28	28	$1102.62	$211.46
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	27	27	$864.48	$255.15
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	25	24	$1298.02	$254.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	21	$456.23	$150.90
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	21	20	$679.54	$195.32
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	21	21	$1013.65	$194.48
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	21	21	$682.16	$164.16
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	21	21	$1931.33	$742.84
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	20	19	$240.76	$47.18
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$444.02	$96.45
88331 Pathology examination of specimen during surgery, first tissue block	17	17	$200.00	$98.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$425.00	$166.11
11104 Punch biopsy, first skin growth	16	16	$333.23	$114.56
69100 Biopsy of ear	15	15	$253.85	$70.66
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	15	14	$1003.18	$399.24
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	15	13	$814.75	$283.66
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	14	14	$804.29	$210.85
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$693.50	$217.35
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	13	$2542.84	$1001.09
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$185.00	$72.28
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$379.46	$118.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	295	61	$18.84	$6.83
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	229	194	$1842.21	$580.07
99213 Established patient office or other outpatient visit, typically 15 minutes	171	139	$251.88	$90.05
11102 Tangential biopsy of single skin lesion	131	116	$284.57	$87.06
17000 Destruction of skin growth	105	89	$184.48	$49.48
11103 Biopsy of related skin growth, each additional growth	96	52	$144.27	$51.17
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	96	70	$1120.99	$413.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	80	75	$844.94	$237.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$300.50	$111.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$360.46	$127.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	39	$155.43	$56.52
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	44	44	$891.62	$160.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	26	$686.11	$123.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	12	$5.90	$1.07
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	27	26	$796.89	$176.17
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	27	25	$1726.07	$596.37
17110 Destruction of up to 14 skin growths	26	26	$308.75	$115.97
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	25	$2035.48	$770.05
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	19	$768.68	$147.15
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	21	21	$2088.44	$727.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	18	$1243.44	$277.92
11900 Injection into skin growth, 1-7 growths	15	11	$163.00	$44.19
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$849.09	$170.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	419	325	$1923.25	$540.02
99213 Established patient office or other outpatient visit, typically 15 minutes	344	230	$258.56	$90.84
17003 Destruction of precancer skin growth, 2-14 growths	331	71	$19.70	$6.92
11102 Tangential biopsy of single skin lesion	224	160	$296.00	$88.55
11103 Biopsy of related skin growth, each additional growth	170	71	$149.39	$52.28
17000 Destruction of skin growth	163	118	$191.87	$45.75
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	159	116	$1169.74	$410.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	104	$364.46	$128.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	56	$160.51	$56.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	88	82	$877.33	$214.82
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	88	82	$909.38	$167.07
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	68	63	$2182.90	$751.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	21	$6.00	$1.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$319.00	$111.67
17110 Destruction of up to 14 skin growths	49	42	$325.71	$107.60
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	44	33	$1806.09	$553.28
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	42	41	$2157.95	$754.00
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	32	30	$892.88	$213.72
11900 Injection into skin growth, 1-7 growths	28	20	$162.14	$44.21
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	28	28	$818.96	$156.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	24	$705.68	$129.18
11104 Punch biopsy, first skin growth	27	27	$369.56	$116.00
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	25	13	$1094.40	$387.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$474.94	$158.23
88331 Pathology examination of specimen during surgery, first tissue block	17	16	$291.00	$103.23
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$589.24	$165.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$512.12	$112.15
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	12	$516.25	$136.58
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$2836.40	$1001.88
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	13	$539.80	$147.54
96574 Application of light with debridement to destroy precancer skin growth	15	11	$797.93	$294.11
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	12	12	$1056.67	$202.57
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	11	11	$268.73	$47.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	567	150	$17.00	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	553	396	$205.00	$92.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	328	$297.00	$130.43
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	344	265	$1828.00	$557.63
11102 Tangential biopsy of single skin lesion	337	243	$276.00	$95.99
17000 Destruction of skin growth	293	226	$180.00	$48.62
11103 Biopsy of related skin growth, each additional growth	279	130	$147.00	$54.28
17110 Destruction of up to 14 skin growths	142	116	$308.00	$112.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	109	40	$6.00	$1.26
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	108	81	$1097.00	$420.75
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	91	84	$841.00	$176.68
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	86	82	$834.00	$237.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	46	$125.00	$55.20
11900 Injection into skin growth, 1-7 growths	69	38	$152.00	$49.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	64	33	$1055.00	$389.00
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	42	41	$2092.00	$769.44
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	37	37	$2125.00	$777.89
96574 Application of light with debridement to destroy precancer skin growth	36	23	$736.00	$299.52
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	35	34	$1714.00	$572.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$450.00	$168.87
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	30	29	$829.00	$181.03
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	26	$681.00	$126.88
11104 Punch biopsy, first skin growth	28	27	$347.00	$129.12
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	23	$486.00	$137.13
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	18	$565.00	$160.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$294.00	$113.15
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$517.00	$132.81
96573 Application of light by qualified health care professional to destroy precancer skin growth	15	13	$585.00	$243.71
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	14	13	$2558.00	$935.41
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$776.00	$154.21
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	14	14	$251.00	$47.92
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1319.00	$263.15
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$750.00	$194.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	869	630	$204.30	$75.85
17003 Destruction of precancer skin growth, 2-14 growths	685	188	$16.69	$6.16
11102 Tangential biopsy of single skin lesion	361	303	$274.54	$89.83
17000 Destruction of skin growth	327	266	$180.00	$47.74
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	325	249	$1834.59	$523.57
11103 Biopsy of related skin growth, each additional growth	238	112	$147.00	$54.37
17110 Destruction of up to 14 skin growths	152	134	$306.92	$111.63
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	136	100	$1095.18	$407.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	88	$297.00	$108.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	78	70	$835.62	$230.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	30	$5.92	$1.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	46	$124.57	$46.00
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$208.62	$75.29
11900 Injection into skin growth, 1-7 growths	51	29	$150.78	$47.87
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	51	50	$2130.88	$785.08
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	47	47	$836.79	$172.43
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	46	44	$2098.78	$764.53
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	34	31	$1717.53	$551.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	28	$486.00	$139.84
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	32	$1324.03	$258.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$294.00	$106.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	24	$682.00	$126.56
11104 Punch biopsy, first skin growth	27	26	$344.78	$124.38
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	25	24	$823.28	$196.80
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	17	$565.75	$161.55
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$1189.16	$230.78
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	18	$741.95	$153.58
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	14	$1065.94	$393.15
69100 Biopsy of ear	14	14	$271.00	$79.30
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$517.25	$159.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	694	402	$201.53	$74.57
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	478	379	$1834.17	$546.36
17003 Destruction of precancer skin growth, 2-14 growths	415	92	$16.00	$5.72
11102 Tangential biopsy of single skin lesion	239	174	$271.96	$84.29
11103 Biopsy of related skin growth, each additional growth	197	84	$146.47	$53.37
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	193	140	$1084.44	$402.88
17000 Destruction of skin growth	176	137	$181.55	$47.41
99202 New patient office or other outpatient visit, typically 20 minutes	148	148	$207.50	$76.88
96900 Application of ultraviolet light to skin	138	13	$60.00	$21.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	102	96	$1321.88	$250.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	70	$122.27	$45.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	66	66	$2146.09	$788.48
17110 Destruction of up to 14 skin growths	65	59	$306.69	$102.84
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	60	57	$2105.00	$751.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	24	$5.93	$1.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	33	$838.33	$246.60
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	35	$823.14	$192.12
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	29	$485.46	$113.78
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	32	28	$1715.44	$495.88
11104 Punch biopsy, first skin growth	31	28	$341.59	$105.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$296.38	$109.42
11900 Injection into skin growth, 1-7 growths	26	22	$153.23	$45.56
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes	26	26	$304.04	$57.41
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	23	$720.61	$146.74
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	19	$806.40	$150.30
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	20	20	$1070.50	$190.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$1185.79	$230.65
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$1402.47	$258.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	16	$685.63	$132.83
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	17	$493.58	$148.35
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	18	18	$249.67	$45.24
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$517.47	$154.74
88331 Pathology examination of specimen during surgery, first tissue block	14	13	$268.00	$98.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	527	345	$200.00	$70.97
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	418	334	$1824.80	$546.38
17003 Destruction of precancer skin growth, 2-14 growths	277	76	$16.50	$5.16
11100 Biopsy of single growth of skin and/or tissue	224	172	$288.35	$89.05
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	164	111	$1072.98	$381.44
17000 Destruction of skin growth	146	122	$183.51	$46.85
11101 Biopsy of each additional growth of skin and/or tissue	121	64	$91.00	$31.93
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$205.63	$72.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	91	88	$1314.55	$234.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	64	$120.45	$42.79
17110 Destruction of up to 14 skin growths	66	58	$307.48	$106.46
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	51	50	$2104.73	$738.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	43	42	$2147.53	$760.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	13	$5.72	$1.76
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	33	33	$812.55	$157.51
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$836.00	$227.60
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	28	$798.93	$157.03
11900 Injection into skin growth, 1-7 growths	20	12	$155.30	$46.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$1179.40	$219.83
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	19	19	$1164.47	$206.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$296.00	$104.87
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	18	18	$712.33	$147.87
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	16	16	$1705.75	$568.30
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$1398.13	$247.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$294.56	$104.74
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	15	15	$1064.80	$188.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$686.36	$156.77
69100 Biopsy of ear	14	13	$278.71	$63.64
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$564.08	$130.97
88331 Pathology examination of specimen during surgery, first tissue block	12	12	$268.00	$95.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$483.25	$136.56
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$515.55	$125.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	622	384	$198.39	$70.58
17003 Destruction of precancer skin growth, 2-14 growths	597	118	$21.51	$5.39
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	463	361	$1813.28	$522.35
11100 Biopsy of single growth of skin and/or tissue	260	184	$283.33	$89.08
17000 Destruction of skin growth	238	173	$190.91	$45.77
11101 Biopsy of each additional growth of skin and/or tissue	208	96	$90.45	$31.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	140	$119.35	$41.82
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	171	122	$1064.84	$373.54
96900 Application of ultraviolet light to skin	131	14	$57.10	$20.38
99202 New patient office or other outpatient visit, typically 20 minutes	122	122	$203.72	$70.95
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	114	111	$1363.95	$231.80
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	80	78	$2096.04	$722.16
17110 Destruction of up to 14 skin growths	74	65	$303.34	$103.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	54	21	$5.00	$1.70
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	43	$830.55	$215.80
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	38	38	$1390.68	$250.25
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	36	34	$793.00	$164.30
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	33	33	$2140.21	$727.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	25	$478.90	$116.05
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	28	26	$1695.50	$547.29
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	28	$1173.07	$210.39
11900 Injection into skin growth, 1-7 growths	27	19	$152.56	$49.22
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	26	26	$806.50	$169.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	21	$486.88	$130.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	16	$677.16	$119.30
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	16	$509.67	$139.73
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	12	$447.75	$119.73
69100 Biopsy of ear	15	11	$276.80	$69.25
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$707.18	$124.21

Medical Specialties & State Licenses

CMS Verified: 2023-07-11

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License WA MD.6047903

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

NUCC Taxonomy Code: 207N00000X

State License WA MD.6047903

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 WA MD60479603

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License WA MD.6047903

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

2038330 (WA)

Hospital & Practice Group Affiliations

Silver Falls Dermatology Llc

4407 Fairmont Ave, Port Angeles, WA 983639514

Phone: 5033628385

Practice Associates & Co-Workers

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

11 Associated Practitioners

Scott Clemons , NP-C

Nurse Practitioner - Family

NPI 1053823047

Nurse Practitioner (Certified)

Dr. Joseph Evans , MD

Surgery

NPI 1063527471

Doctor of Medicine (M.D.)

Gretchen Wambach , PA-C

Physician Assistant - Medical

NPI 1174555932

Physician Assistant (Certified)

Dr. Minh-Triet Vo , DO

Family Medicine

NPI 1235579038

Doctor of Osteopathic Medicine (D.O.)

Trevor Jackman , PA-C

Physician Assistant - Medical

NPI 1285286534

Physician Assistant (Certified)

Shari Wootten , NP

Nurse Practitioner - Gerontology

NPI 1295826154

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2023

Dermatology (License #MD.6047903 in WA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2020

Dermatology (License #MD60479603 in WA)

✅

NPI Profile Active December 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2014

Registered at 565 EUREKA WAY, SEQUIM, WA 983825074 (Tel: 3605820808)

📍

Updated Business Mailing Address December 10, 2014

Registered at 565 EUREKA WAY, SEQUIM, WA 983825074 (Tel: 3605820808)

👤

Provider Name / Credentials Updated December 10, 2014

Recorded as HEIDI HERMES SHANTZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2014

Dermatology (License #MD.6047903 in WA)

🟢

Initial NPI Registration & Enumeration July 04, 2009

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: 1932338506

Entity Type:

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

Enumeration Date: July 04, 2009

Last Update: July 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

565 Eureka Way

Sequim, WA 983825074

Phone: 3605820808

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.