Active NPI 1306106547 Individual Practitioner Male Practitioner

Dr. David Panther , MD

Dermatology • Walla Walla, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Panther, MD is a certified Dermatology practicing in Walla Walla, WA. With approximately 14 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2012, Dr. Panther delivers high-quality medical care to the local community at 55 W TIETAN ST.

Dr. Panther is affiliated with Privia Medical Group Washington Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 W Tietan St

Walla Walla, WA 993624445

Telephone 5095253720

Fax 5095221593

Associated Practice Facility / Clinic

🏢 Privia Medical Group Washington, Pllc Facility NPI 1780658419

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Walla Walla, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -1.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Walla Walla, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Panther (14 Years) 14 Yrs

Walla Walla Specialty Average (15.0 Years) 15.0 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	1,608	331	$17.00	$6.66
99213 Established patient office or other outpatient visit, typically 15 minutes	865	715	$228.00	$90.28
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	715	538	$1741.00	$640.46
17000 Destruction of skin growth	556	444	$193.00	$51.96
11102 Tangential biopsy of single skin lesion	455	375	$263.00	$95.76
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	283	188	$1059.00	$410.03
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	247	222	$1371.00	$235.09
11103 Biopsy of related skin growth, each additional growth	157	98	$130.00	$50.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	119	$143.00	$56.25
17110 Destruction of up to 14 skin growths	105	101	$294.00	$112.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	94	88	$783.00	$243.11
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	86	73	$1636.00	$617.09
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	76	74	$798.00	$155.77
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	73	67	$1094.00	$212.83
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	67	54	$381.00	$117.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	43	$629.00	$121.03
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	42	42	$1273.00	$244.60
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	39	38	$2544.00	$955.69
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$183.00	$72.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$283.00	$111.16
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	23	$459.00	$135.20
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	25	18	$1016.00	$399.42
88342 Special stained specimen slides to examine tissue, initial procedure	22	18	$257.00	$107.05
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	20	19	$860.00	$268.84
17004 Destruction of precancer skin growth, 15 or more growths	19	17	$600.00	$169.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$323.00	$128.03
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$715.00	$139.65
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$795.00	$184.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,470	307	$33.73	$6.80
99213 Established patient office or other outpatient visit, typically 15 minutes	881	718	$222.42	$90.11
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	638	490	$1747.97	$644.35
17000 Destruction of skin growth	570	451	$176.06	$52.26
11102 Tangential biopsy of single skin lesion	462	376	$258.42	$100.48
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	262	164	$1058.57	$416.64
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	225	199	$1338.04	$239.44
11103 Biopsy of related skin growth, each additional growth	171	107	$130.00	$50.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	129	116	$779.64	$237.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	102	$136.53	$56.84
17110 Destruction of up to 14 skin growths	99	91	$288.05	$112.67
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	94	76	$1636.30	$615.29
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	87	81	$784.24	$156.62
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	67	62	$376.94	$122.13
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	63	61	$1093.14	$216.47
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	51	49	$1324.41	$248.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$275.22	$108.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	45	42	$622.20	$122.65
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$179.05	$72.70
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	28	27	$2539.71	$982.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	23	$456.96	$154.78
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	22	19	$850.00	$262.82
88342 Special stained specimen slides to examine tissue, initial procedure	21	20	$258.81	$101.84
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$714.75	$141.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$316.88	$125.05
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	15	15	$2715.00	$1002.16
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	14	14	$1079.57	$230.40
17004 Destruction of precancer skin growth, 15 or more growths	12	12	$591.67	$172.25
11104 Punch biopsy, first skin growth	12	11	$322.50	$128.93
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1950.00	$773.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,450	297	$35.00	$6.89
99213 Established patient office or other outpatient visit, typically 15 minutes	830	670	$170.00	$90.50
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	592	430	$1740.00	$628.15
17000 Destruction of skin growth	484	402	$175.00	$51.67
11102 Tangential biopsy of single skin lesion	439	352	$240.00	$101.98
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	259	171	$1050.00	$415.33
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	212	193	$1335.00	$240.57
11103 Biopsy of related skin growth, each additional growth	177	105	$130.00	$52.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	116	$105.00	$56.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	124	112	$730.00	$236.09
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	90	73	$695.00	$169.51
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	86	73	$1590.00	$625.21
17110 Destruction of up to 14 skin growths	82	76	$265.00	$112.54
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	55	50	$1030.00	$217.77
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	55	52	$1330.00	$250.48
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	48	38	$345.00	$127.00
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$175.00	$73.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	34	$595.00	$124.40
17004 Destruction of precancer skin growth, 15 or more growths	34	26	$590.00	$171.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$260.00	$112.26
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	33	33	$2460.00	$959.00
88342 Special stained specimen slides to examine tissue, initial procedure	32	27	$255.00	$102.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	31	$685.00	$140.99
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	25	24	$750.00	$294.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$255.00	$128.62
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	16	$1900.00	$767.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	13	$420.00	$155.90
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	13	13	$1020.00	$203.51
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$2715.00	$994.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,788	334	$35.02	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	839	664	$170.00	$92.09
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	648	483	$1740.00	$644.32
17000 Destruction of skin growth	566	427	$175.00	$51.03
11102 Tangential biopsy of single skin lesion	480	388	$240.00	$103.38
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	263	174	$1050.00	$420.75
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	210	192	$1335.00	$246.78
11103 Biopsy of related skin growth, each additional growth	193	108	$130.00	$54.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	126	$105.00	$56.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	117	107	$730.00	$226.96
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	96	81	$1590.00	$629.13
17110 Destruction of up to 14 skin growths	70	68	$265.00	$112.73
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	67	63	$695.00	$166.88
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	62	60	$1330.00	$261.57
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	55	47	$345.00	$129.97
88342 Special stained specimen slides to examine tissue, initial procedure	52	24	$255.00	$107.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$255.00	$130.78
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$175.00	$73.71
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	39	37	$1030.00	$222.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	28	$420.00	$156.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	28	$595.00	$126.88
17004 Destruction of precancer skin growth, 15 or more growths	28	23	$590.00	$169.71
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	27	27	$2715.00	$989.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$260.00	$113.15
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	24	$2460.00	$1013.63
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	22	19	$750.00	$243.29
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$685.00	$151.13
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$710.00	$162.40
11104 Punch biopsy, first skin growth	16	16	$300.00	$133.90
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	14	12	$970.00	$402.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,817	340	$35.00	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	727	618	$170.00	$76.53
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	660	476	$1740.00	$616.37
17000 Destruction of skin growth	543	444	$175.00	$49.88
11102 Tangential biopsy of single skin lesion	483	385	$240.00	$99.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	271	176	$1050.00	$409.32
11103 Biopsy of related skin growth, each additional growth	263	134	$130.00	$55.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	234	203	$1335.00	$249.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	101	$105.00	$46.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	78	62	$730.00	$234.07
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	74	55	$1590.00	$558.66
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	71	52	$345.00	$117.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	66	$255.00	$111.28
88342 Special stained specimen slides to examine tissue, initial procedure	61	24	$255.00	$105.72
17004 Destruction of precancer skin growth, 15 or more growths	58	45	$590.00	$163.70
17110 Destruction of up to 14 skin growths	54	53	$265.00	$108.07
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	47	45	$2460.00	$1036.21
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	46	43	$695.00	$158.74
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	30	$420.00	$140.31
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$175.00	$77.49
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	33	$1030.00	$222.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	25	$595.00	$136.54
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	28	28	$2715.00	$1030.24
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	27	27	$1330.00	$260.63
99201 New patient office or other outpatient visit, typically 10 minutes	24	24	$105.00	$46.77
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	24	21	$710.00	$157.40
88331 Pathology examination of specimen during surgery, first tissue block	19	14	$245.00	$101.61
11104 Punch biopsy, first skin growth	17	17	$300.00	$130.17
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	16	$1900.00	$793.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$260.00	$109.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,516	258	$35.00	$5.75
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	822	553	$1740.00	$629.77
99213 Established patient office or other outpatient visit, typically 15 minutes	540	432	$170.00	$74.97
17000 Destruction of skin growth	449	352	$175.00	$47.25
11102 Tangential biopsy of single skin lesion	382	304	$240.00	$97.04
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	344	207	$1050.00	$403.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	298	238	$1335.00	$248.06
11103 Biopsy of related skin growth, each additional growth	227	119	$130.00	$54.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	95	$105.00	$45.88
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	86	73	$1030.00	$237.22
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	84	61	$345.00	$106.85
88342 Special stained specimen slides to examine tissue, initial procedure	71	25	$255.00	$109.14
17004 Destruction of precancer skin growth, 15 or more growths	65	53	$590.00	$155.55
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	60	43	$1590.00	$571.13
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	59	55	$710.00	$159.40
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$175.00	$77.57
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	57	57	$1330.00	$260.84
17110 Destruction of up to 14 skin growths	47	45	$265.00	$106.65
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	45	42	$695.00	$151.66
99201 New patient office or other outpatient visit, typically 10 minutes	42	42	$105.00	$46.57
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	40	40	$2715.00	$1035.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$255.00	$110.40
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	31	30	$2460.00	$1039.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	25	$730.00	$211.90
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	26	$420.00	$151.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$260.00	$109.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	17	$955.00	$306.83
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$395.00	$135.71
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1900.00	$765.39
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	16	14	$970.00	$388.21
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$625.00	$130.78
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$685.00	$135.05
88331 Pathology examination of specimen during surgery, first tissue block	13	12	$245.00	$91.80
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$2625.00	$1107.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,287	233	$35.00	$5.32
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	862	593	$1740.00	$603.04
99213 Established patient office or other outpatient visit, typically 15 minutes	454	343	$170.00	$73.10
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	379	234	$1050.00	$391.66
17000 Destruction of skin growth	374	302	$175.00	$46.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	363	290	$1335.00	$241.84
11100 Biopsy of single growth of skin and/or tissue	339	287	$250.00	$98.46
11101 Biopsy of each additional growth of skin and/or tissue	149	84	$80.00	$32.91
99202 New patient office or other outpatient visit, typically 20 minutes	120	120	$175.00	$74.90
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	78	74	$1030.00	$280.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	62	$105.00	$44.10
88342 Special stained specimen slides to examine tissue, initial procedure	69	25	$255.00	$110.63
17110 Destruction of up to 14 skin growths	66	59	$265.00	$106.57
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	60	58	$2460.00	$1023.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$255.00	$108.23
17004 Destruction of precancer skin growth, 15 or more growths	56	41	$590.00	$146.09
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	46	41	$345.00	$120.90
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	40	39	$1330.00	$255.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	35	$420.00	$153.28
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	37	36	$2715.00	$1004.24
88341 Special stained specimen slides to examine tissue	35	11	$215.00	$93.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$260.00	$108.40
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	26	16	$643.46	$398.24
99201 New patient office or other outpatient visit, typically 10 minutes	24	24	$105.00	$44.79
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	23	23	$1590.00	$607.03
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	21	$955.00	$314.58
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1900.00	$784.21
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	15	$340.00	$116.29
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	19	18	$930.00	$194.81
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	18	$710.00	$156.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$595.00	$125.71
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	17	16	$2500.00	$896.31
88331 Pathology examination of specimen during surgery, first tissue block	14	14	$245.00	$98.59
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$2625.00	$1086.38
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	11	$285.00	$107.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	655	119	$34.95	$5.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	239	192	$1740.00	$585.34
99213 Established patient office or other outpatient visit, typically 15 minutes	204	198	$170.00	$72.31
11100 Biopsy of single growth of skin and/or tissue	167	156	$235.75	$97.96
17000 Destruction of skin growth	167	159	$175.00	$47.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	116	81	$1050.00	$387.71
11101 Biopsy of each additional growth of skin and/or tissue	96	64	$80.00	$32.39
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	85	74	$1335.00	$236.85
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$175.00	$74.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	47	$105.00	$43.34
17004 Destruction of precancer skin growth, 15 or more growths	34	34	$590.00	$149.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$255.00	$106.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$260.00	$106.74
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	21	20	$1713.81	$983.99
17110 Destruction of up to 14 skin growths	20	20	$247.50	$97.11
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$1013.75	$287.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$398.13	$146.86
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$1330.00	$251.77
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	14	12	$1590.00	$572.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	12	11	$595.00	$361.92
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	12	11	$340.00	$136.42
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$702.73	$146.24

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD60726633

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 CA A130849

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License PA MD457554

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 - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License WA MD60726633

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2078121 (WA)

Hospital & Practice Group Affiliations

Privia Medical Group Washington Pllc

55 W Tietan St, Walla Walla, WA 993624445

Phone: 50952537201405

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kevin Molander , MD

Family Medicine

NPI 1013975036

Doctor of Medicine (M.D.)

Stacey Haveman , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1023309796

PHYSICIANASSISTANT

Dr. Jennifer Bolduc , MD

Pediatrics

NPI 1033183256

Doctor of Medicine (M.D.)

Dr. Justin Olswanger , DO

Family Medicine - Adult Medicine

NPI 1033265657

Doctor of Osteopathic Medicine (D.O.)

Dr. John Moore , DO

Family Medicine

NPI 1063412070

Doctor of Osteopathic Medicine (D.O.)

Dr. Timothy O'connor , MD

Pediatrics

NPI 1073856043

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dermatology (License #A130849 in CA)

✅

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2017

Registered at 55 W TIETAN ST, WALLA WALLA, WA 993624445 (Tel: 5095253720)

📍

Updated Business Mailing Address August 24, 2017

Registered at 55 WEST TIETAN, WALLA WALLA, WA 99362 (Tel: (509) 525-3720)

👤

Provider Name / Credentials Updated August 24, 2017

Recorded as DAVID PANTHER, MD

🎓

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

Dermatology (License #MD60726633 in WA)

✅

NPI Profile Active July 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 03, 2016

Registered at 575 COAL VALLEY RD STE 360, CLAIRTON, PA 150253739 (Tel: 4124669400)

📍

Updated Business Mailing Address July 03, 2016

Registered at 575 COAL VALLEY RD STE 360, CLAIRTON, PA 150253739 (Tel: 4124669400)

👤

Provider Name / Credentials Updated July 03, 2016

Recorded as DAVID PANTHER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2016

Dermatology (License #A130849 in CA)

🟢

Initial NPI Registration & Enumeration May 22, 2012

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: 1306106547

Entity Type:

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

Enumeration Date: May 22, 2012

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

55 West Tietan

Walla Walla, WA 99362

Phone: 5095253720

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.