Active NPI 1194790006 Individual Practitioner Female Practitioner

Dr. Staci M Hestdalen , MD

Dermatology • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Staci Hestdalen, MD is a certified Dermatology practicing in Spokane Valley, WA. With approximately 28 years of clinical experience since graduating from Baylor College Of Medicine in 1998, Dr. Hestdalen delivers high-quality medical care to the local community at 1807 N HUTCHINSON RD.

Dr. Hestdalen is affiliated with Mountain West Derm - Blackhart Pllc and accepts Medicare assignment.

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

1807 N Hutchinson Rd

Spokane Valley, WA 992122444

Telephone 5094567414

Fax 5096240763

Associated Practice Facility / Clinic

🏢 Advanced Dermatology And Skin Surgery, Pllc Facility NPI 1710952882

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Spokane Valley, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +2.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Spokane Valley, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hestdalen (28 Years) 28 Yrs

Spokane Valley Specialty Average (26.0 Years) 26.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	651	543	$184.36	$87.88
17003 Destruction of precancer skin growth, 2-14 growths	501	134	$14.62	$6.54
17000 Destruction of skin growth	254	228	$163.43	$53.75
11102 Tangential biopsy of single skin lesion	182	165	$214.24	$90.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	122	$261.56	$125.01
17110 Destruction of up to 14 skin growths	133	129	$233.82	$109.43
96900 Application of ultraviolet light to skin	97	19	$47.94	$23.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	80	$113.72	$54.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$226.30	$107.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	14	$5.00	$0.96
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	34	31	$600.00	$388.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$337.74	$162.19
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	31	29	$300.56	$135.81
11103 Biopsy of related skin growth, each additional growth	29	23	$225.00	$48.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	22	$45.00	$14.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$619.66	$280.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$507.52	$110.98
11104 Punch biopsy, first skin growth	19	19	$267.80	$114.43
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$147.42	$71.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	749	652	$184.36	$87.34
17003 Destruction of precancer skin growth, 2-14 growths	596	153	$14.62	$6.48
17000 Destruction of skin growth	297	259	$163.43	$54.24
11102 Tangential biopsy of single skin lesion	215	196	$214.24	$91.47
96900 Application of ultraviolet light to skin	152	17	$47.94	$23.36
17110 Destruction of up to 14 skin growths	121	117	$233.82	$106.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	104	$261.56	$122.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$226.30	$105.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	19	$5.00	$1.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	72	$113.72	$53.84
11103 Biopsy of related skin growth, each additional growth	48	36	$225.00	$48.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$337.74	$160.40
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	31	26	$600.00	$384.66
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	28	24	$300.56	$133.79
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$147.42	$67.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	23	$619.66	$296.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	22	$507.52	$120.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	17	$45.00	$13.91
11104 Punch biopsy, first skin growth	19	17	$267.80	$112.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	853	739	$184.36	$88.20
17003 Destruction of precancer skin growth, 2-14 growths	524	165	$14.62	$6.63
17000 Destruction of skin growth	327	281	$163.43	$53.14
11102 Tangential biopsy of single skin lesion	179	163	$214.24	$93.14
17110 Destruction of up to 14 skin growths	174	164	$233.82	$109.27
96900 Application of ultraviolet light to skin	120	15	$47.94	$23.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$226.30	$107.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	16	$5.00	$1.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	60	$113.72	$54.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$261.56	$124.27
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	33	32	$300.56	$135.11
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	25	$600.00	$379.37
11103 Biopsy of related skin growth, each additional growth	29	26	$225.00	$50.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$619.66	$301.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$507.52	$120.50
11104 Punch biopsy, first skin growth	20	19	$267.80	$122.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	17	$45.00	$14.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	845	728	$179.79	$89.27
17003 Destruction of precancer skin growth, 2-14 growths	728	193	$17.75	$6.40
17000 Destruction of skin growth	351	312	$155.74	$54.26
11102 Tangential biopsy of single skin lesion	172	157	$213.41	$96.95
17110 Destruction of up to 14 skin growths	133	126	$230.26	$110.37
96900 Application of ultraviolet light to skin	125	17	$42.73	$22.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$224.16	$108.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	101	$111.06	$55.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	87	15	$5.00	$1.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	38	$256.32	$125.13
11103 Biopsy of related skin growth, each additional growth	35	26	$225.00	$50.96
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	32	28	$600.00	$390.78
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	29	29	$281.38	$140.67
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$146.04	$68.08
11104 Punch biopsy, first skin growth	25	24	$266.09	$127.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	22	$507.52	$127.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$623.54	$305.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	15	$45.00	$13.87
69100 Biopsy of ear	13	13	$203.18	$72.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	769	673	$132.23	$74.06
17003 Destruction of precancer skin growth, 2-14 growths	580	158	$20.00	$5.97
17000 Destruction of skin growth	280	249	$150.00	$57.55
11102 Tangential biopsy of single skin lesion	142	136	$200.00	$95.06
96900 Application of ultraviolet light to skin	139	20	$40.00	$20.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	102	$85.00	$44.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	99	19	$5.00	$1.47
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$135.00	$74.06
17110 Destruction of up to 14 skin growths	73	66	$200.00	$110.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$200.00	$107.96
11103 Biopsy of related skin growth, each additional growth	31	23	$100.00	$51.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$200.00	$106.18
11104 Punch biopsy, first skin growth	29	24	$225.00	$121.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	20	$45.00	$14.07
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$95.00	$45.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	18	$380.00	$121.79
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	17	$250.00	$132.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$550.00	$296.14
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$450.00	$244.71
69100 Biopsy of ear	11	11	$200.00	$93.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	817	693	$130.00	$72.95
17003 Destruction of precancer skin growth, 2-14 growths	625	150	$20.00	$5.56
17000 Destruction of skin growth	297	266	$150.00	$58.50
96900 Application of ultraviolet light to skin	263	35	$40.00	$20.20
11102 Tangential biopsy of single skin lesion	162	156	$200.00	$93.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	73	$85.00	$43.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	71	17	$5.00	$1.61
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$135.00	$74.44
17110 Destruction of up to 14 skin growths	51	50	$200.00	$106.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$200.00	$107.55
11103 Biopsy of related skin growth, each additional growth	32	25	$100.00	$51.63
11104 Punch biopsy, first skin growth	31	30	$225.00	$113.21
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	23	$600.00	$390.88
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	26	26	$250.00	$123.01
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	23	$380.00	$168.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$200.00	$106.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	15	$45.00	$16.35
99201 New patient office or other outpatient visit, typically 10 minutes	20	20	$75.00	$43.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$550.00	$295.64
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	12	$465.38	$149.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	704	589	$130.00	$71.08
17003 Destruction of precancer skin growth, 2-14 growths	535	139	$20.00	$5.12
17000 Destruction of skin growth	267	236	$150.00	$54.12
11100 Biopsy of single growth of skin and/or tissue	236	216	$200.00	$100.51
96900 Application of ultraviolet light to skin	227	25	$40.00	$19.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	77	16	$5.00	$1.79
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$135.00	$72.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	55	$85.00	$42.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$200.00	$105.06
11101 Biopsy of each additional growth of skin and/or tissue	36	30	$66.00	$32.07
17110 Destruction of up to 14 skin growths	35	35	$200.00	$108.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	32	$380.00	$160.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$45.00	$20.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$200.00	$105.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	26	$550.00	$292.07
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	24	22	$250.00	$113.14
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	20	17	$493.00	$392.05
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	12	$500.00	$134.84
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$75.00	$42.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	711	605	$130.00	$70.40
17003 Destruction of precancer skin growth, 2-14 growths	681	167	$20.00	$5.46
17000 Destruction of skin growth	298	259	$150.00	$54.66
11100 Biopsy of single growth of skin and/or tissue	200	172	$200.00	$96.31
96900 Application of ultraviolet light to skin	156	31	$40.00	$19.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	20	$5.00	$1.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	64	$85.00	$42.48
17110 Destruction of up to 14 skin growths	62	57	$200.00	$106.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$200.00	$102.66
88305 Pathology examination of tissue using a microscope, intermediate complexity	46	37	$75.00	$39.17
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$135.00	$70.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	32	$379.25	$160.48
11101 Biopsy of each additional growth of skin and/or tissue	36	26	$66.00	$31.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$200.00	$103.59
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	24	23	$250.00	$131.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	16	$45.00	$24.93
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	24	22	$370.00	$357.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$550.00	$287.62
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	20	19	$500.00	$150.69
17004 Destruction of precancer skin growth, 15 or more growths	14	13	$330.00	$144.01

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00043715

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

8394454 (WA)

Hospital & Practice Group Affiliations

Mountain West Derm - Blackhart Pllc

1700 W Riverstone Dr, Coeur D Alene, ID 838145683

Phone: 51293039091255

Mountain West Derm - Blackhart Pllc

1807 N Hutchinson Rd, Spokane Valley, WA 992122444

Phone: 51293039091255

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. James Parker , MD

Dermatology

NPI 1144789405

Doctor of Medicine (M.D.)

Elizabeth Jacobsen , PA-C

Physician Assistant - Medical

NPI 1154408631

Physician Assistant (Certified)

Erin Nulf , PA-C

Physician Assistant

NPI 1164692950

Physician Assistant (Certified)

Taylor Morten , FNP-C

Nurse Practitioner

NPI 1184596777

Family Nurse Practitioner (Certified)

Dr. Joel Sears , MD

Dermatology - Procedural Dermatology

NPI 1184699365

Doctor of Medicine (M.D.)

Dr. Andrea Dominey , MD

Dermatology

NPI 1215023007

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 13, 2019

Registered at 1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 992122444 (Tel: 5094567414)

✅

NPI Profile Active January 07, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2009

Registered at 1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 992122444 (Tel: 5094567414)

📍

Updated Business Mailing Address January 07, 2009

Registered at 2821 S MANITO BLVD, SPOKANE, WA 992032542 (Tel: 5094567414)

👤

Provider Name / Credentials Updated January 07, 2009

Recorded as STACI HESTDALEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2009

Dermatology (License #MD00043715 in WA)

🟢

Initial NPI Registration & Enumeration February 22, 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: 1194790006

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: August 13, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1807 N Hutchinson Rd

Spokane Valley, WA 992122444

Phone: 5094567414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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