Active NPI 1124416508 Individual Practitioner Female Practitioner

Mary Burnell , PA-C

Physician Assistant • Vancouver, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Burnell, PA-C is a certified Physician Assistant practicing in Vancouver, WA. With approximately 12 years of clinical experience since graduating from University Of Utah School Of Medicine in 2014, Mary Burnell delivers high-quality medical care to the local community at 8614 E MILL PLAIN BLVD STE 400.

Mary Burnell is affiliated with Dermatology Associates Of Southwest Washington, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, 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

8614 E Mill Plain Blvd Ste 400

Vancouver, WA 986642092

Telephone 5417281019

Fax 3602546089

Associated Practice Facility / Clinic

🏢 Columbia Surgical Specialists, Pllc Facility NPI 1184780884

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -1.1 yrs vs City Avg

City Avg: 13.1 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate

21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Burnell (12 Years) 12 Yrs

Vancouver Specialty Average (13.1 Years) 13.1 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	745	164	$17.15	$6.02
17000 Destruction of skin growth	272	227	$173.25	$48.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	191	$324.41	$112.33
99213 Established patient office or other outpatient visit, typically 15 minutes	218	198	$230.21	$80.79
17110 Destruction of up to 14 skin growths	159	136	$292.86	$102.03
11102 Tangential biopsy of single skin lesion	49	45	$257.75	$76.86
17004 Destruction of precancer skin growth, 15 or more growths	41	33	$428.46	$147.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$143.66	$50.41
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	33	17	$988.65	$389.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$290.12	$99.09
96574 Application of light with debridement to destroy precancer skin growth	24	17	$714.74	$246.08
17111 Destruction of skin growth, 15 or more growths	20	17	$341.03	$118.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$422.60	$148.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	653	138	$17.33	$5.74
17000 Destruction of skin growth	219	197	$172.35	$43.68
99213 Established patient office or other outpatient visit, typically 15 minutes	168	159	$228.38	$76.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	147	$322.83	$106.16
17110 Destruction of up to 14 skin growths	134	114	$293.75	$95.69
11102 Tangential biopsy of single skin lesion	52	48	$262.53	$72.63
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	50	24	$977.81	$362.90
96574 Application of light with debridement to destroy precancer skin growth	37	24	$730.55	$227.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$282.83	$92.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$143.45	$47.99
17004 Destruction of precancer skin growth, 15 or more growths	26	26	$434.68	$135.58
17111 Destruction of skin growth, 15 or more growths	22	20	$342.15	$105.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$419.58	$133.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	507	107	$16.75	$5.62
17000 Destruction of skin growth	141	136	$168.80	$45.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	97	$326.95	$110.34
99213 Established patient office or other outpatient visit, typically 15 minutes	82	72	$230.45	$78.35
17110 Destruction of up to 14 skin growths	54	53	$292.28	$99.37
11102 Tangential biopsy of single skin lesion	34	33	$267.80	$79.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$282.88	$96.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$422.18	$143.54
17004 Destruction of precancer skin growth, 15 or more growths	21	21	$424.28	$144.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$142.15	$48.33
17111 Destruction of skin growth, 15 or more growths	12	11	$341.68	$116.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	199	37	$25.00	$5.36
17000 Destruction of skin growth	51	49	$162.00	$43.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$258.00	$94.02
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$178.00	$65.86
17110 Destruction of up to 14 skin growths	18	18	$271.33	$100.53
11102 Tangential biopsy of single skin lesion	13	13	$240.00	$86.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$257.00	$94.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	803	139	$25.00	$4.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	210	$258.00	$93.67
17000 Destruction of skin growth	245	183	$162.00	$41.97
99213 Established patient office or other outpatient visit, typically 15 minutes	217	150	$178.00	$64.44
17110 Destruction of up to 14 skin growths	122	99	$242.00	$96.78
11102 Tangential biopsy of single skin lesion	101	83	$213.53	$72.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$257.00	$93.13
11103 Biopsy of related skin growth, each additional growth	45	17	$112.80	$45.72
11104 Punch biopsy, first skin growth	30	30	$250.00	$105.29
17004 Destruction of precancer skin growth, 15 or more growths	23	19	$324.00	$133.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	11	$10.00	$1.57
Q0112 All potassium hydroxide (koh) preparations	20	18	$20.00	$5.71
11900 Injection into skin growth, 1-7 growths	19	12	$138.00	$41.43
17111 Destruction of skin growth, 15 or more growths	16	14	$300.00	$116.20
11105 Punch biopsy, each additional skin growth	12	11	$127.50	$53.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,200	11	$3.50	$1.37
17003 Destruction of precancer skin growth, 2-14 growths	785	145	$24.99	$4.50
17000 Destruction of skin growth	234	179	$161.86	$40.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	174	$257.76	$91.14
99213 Established patient office or other outpatient visit, typically 15 minutes	174	120	$178.00	$61.33
11100 Biopsy of single growth of skin and/or tissue	141	113	$230.00	$78.90
17110 Destruction of up to 14 skin growths	113	96	$242.00	$94.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$257.00	$91.42
11101 Biopsy of each additional growth of skin and/or tissue	78	32	$82.00	$27.68
17004 Destruction of precancer skin growth, 15 or more growths	20	18	$324.00	$123.79
96574 Application of light with debridement to destroy precancer skin growth	16	16	$525.00	$204.92
Q0112 All potassium hydroxide (koh) preparations	14	13	$20.00	$5.71
17111 Destruction of skin growth, 15 or more growths	13	13	$291.92	$114.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	453	81	$24.79	$4.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	119	$257.91	$91.10
17000 Destruction of skin growth	156	116	$162.00	$39.29
99213 Established patient office or other outpatient visit, typically 15 minutes	113	92	$177.87	$59.79
11100 Biopsy of single growth of skin and/or tissue	96	84	$229.90	$70.29
17110 Destruction of up to 14 skin growths	89	70	$241.94	$94.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$257.00	$91.51
11101 Biopsy of each additional growth of skin and/or tissue	51	34	$82.00	$27.72
17004 Destruction of precancer skin growth, 15 or more growths	23	21	$324.00	$128.41
17111 Destruction of skin growth, 15 or more growths	20	16	$285.00	$99.73

Medical Specialties & State Licenses

CMS Verified: 2026-05-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA170904

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Dermatology Associates Of Southwest Washington, Pllc

8614 E Mill Plain Blvd, Vancouver, WA 986642092

Phone: 3602545267

Dermatology Associates Of Southwest Washington, Pllc

8614 E Mill Plain Blvd, Vancouver, WA 986642092

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Karen Vigeland , MD

Dermatology

NPI 1306874748

Doctor of Medicine (M.D.)

Dr. Joel Datloff , MD

Dermatology

NPI 1477581817

Doctor of Medicine (M.D.)

Dr. Elizabeth Dawson , MD

Dermatology

NPI 1760676910

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 11, 2026

Registered at 8614 E MILL PLAIN BLVD STE 400, VANCOUVER, WA 986642092 (Tel: 5417281019)

📍

Updated Business Mailing Address October 26, 2020

Registered at 8614 E MILL PLAIN BLVD, STE 400, VANCOUVER, WA 986642092 (Tel: 5417281019)

✅

NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2015

Registered at 9135 SW BARNES RD STE 875, PORTLAND, OR 972256683 (Tel: 5032973440)

📍

Updated Business Mailing Address January 07, 2015

Registered at 9135 SW BARNES RD STE 875, PORTLAND, OR 972256683 (Tel: 5032973440)

👤

Provider Name / Credentials Updated January 07, 2015

Recorded as MARY BURNELL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Physician Assistant (License #PA170904 in OR)

🟢

Initial NPI Registration & Enumeration January 07, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124416508

Entity Type:

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

Enumeration Date: January 07, 2015

Last Update: May 11, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8614 E Mill Plain Blvd, Ste 400

Vancouver, WA 986642092

Phone: 5417281019

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.