Active NPI 1588872352 Individual Practitioner Female Practitioner

Dr. Alexandria V Booth , MD

Dermatology • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. Alexandria Booth, MD is a registered healthcare professional specializing in Dermatology in Walla Walla, WA. Practice services are available at 19 SOUTHPOINT LN under active NPI credentials.

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

19 Southpoint Ln

Walla Walla, WA 993624175

Telephone 5095253720

Fax 5095221593

Associated Practice Facility / Clinic

🏢 Privia Medical Group Washington, Pllc Facility NPI 1780658419

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Walla Walla, WA

Active Practitioner

Practitioner Clinical Experience

Active

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

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	576	122	$35.00	$6.86
99213 Established patient office or other outpatient visit, typically 15 minutes	209	195	$216.51	$90.00
17000 Destruction of skin growth	177	163	$175.00	$51.00
11102 Tangential biopsy of single skin lesion	165	150	$255.76	$95.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	137	$302.72	$128.17
17110 Destruction of up to 14 skin growths	99	91	$285.45	$115.87
11103 Biopsy of related skin growth, each additional growth	44	33	$130.00	$50.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$132.32	$56.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$276.57	$109.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$412.42	$166.44
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$178.91	$72.72
17004 Destruction of precancer skin growth, 15 or more growths	19	19	$590.00	$172.15
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	12	$655.00	$385.08
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	12	$357.65	$145.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	895	172	$35.00	$6.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	230	$255.00	$128.29
99213 Established patient office or other outpatient visit, typically 15 minutes	298	266	$170.00	$90.65
17000 Destruction of skin growth	287	229	$175.00	$52.16
11102 Tangential biopsy of single skin lesion	232	202	$240.00	$95.73
17110 Destruction of up to 14 skin growths	163	145	$265.00	$112.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$395.00	$166.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$105.00	$56.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$260.00	$111.97
11103 Biopsy of related skin growth, each additional growth	51	38	$130.00	$52.24
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	39	24	$340.00	$149.25
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	24	$655.00	$389.01
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$175.00	$73.23
17004 Destruction of precancer skin growth, 15 or more growths	23	19	$590.00	$171.62
36415 Insertion of needle into vein for collection of blood sample	22	14	$20.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,034	186	$35.00	$6.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	293	$255.00	$130.55
17000 Destruction of skin growth	308	244	$175.00	$49.11
11102 Tangential biopsy of single skin lesion	303	258	$240.00	$94.92
99213 Established patient office or other outpatient visit, typically 15 minutes	254	220	$170.35	$91.76
17110 Destruction of up to 14 skin growths	205	174	$265.00	$115.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$395.00	$167.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$260.00	$112.54
11103 Biopsy of related skin growth, each additional growth	94	58	$130.00	$54.28
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	41	26	$655.00	$389.97
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	40	26	$340.00	$150.28
17004 Destruction of precancer skin growth, 15 or more growths	33	28	$590.00	$169.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$105.00	$56.18
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$175.00	$73.71
17111 Destruction of skin growth, 15 or more growths	19	19	$315.00	$136.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	605	130	$42.11	$6.15
99213 Established patient office or other outpatient visit, typically 15 minutes	205	170	$367.90	$75.35
17000 Destruction of skin growth	202	185	$292.96	$48.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	193	$312.11	$110.01
11102 Tangential biopsy of single skin lesion	161	153	$382.24	$93.13
17110 Destruction of up to 14 skin growths	109	99	$419.06	$113.01
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$341.59	$76.06
11103 Biopsy of related skin growth, each additional growth	51	40	$211.92	$54.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$701.89	$109.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$275.53	$44.53
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	17	$1381.38	$392.81
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	20	12	$340.00	$137.62
17004 Destruction of precancer skin growth, 15 or more growths	18	18	$704.93	$162.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	389	47	$58.00	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	172	97	$758.10	$74.65
99202 New patient office or other outpatient visit, typically 20 minutes	104	104	$779.90	$76.93
17000 Destruction of skin growth	97	65	$671.60	$49.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$1104.80	$108.94
11102 Tangential biopsy of single skin lesion	89	74	$1019.20	$88.42
17110 Destruction of up to 14 skin growths	68	55	$1139.90	$112.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$461.30	$43.86
11103 Biopsy of related skin growth, each additional growth	29	21	$549.40	$51.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$1109.50	$101.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	102	22	$17.47	$5.83
99213 Established patient office or other outpatient visit, typically 15 minutes	62	50	$214.62	$78.39
17000 Destruction of skin growth	35	34	$269.24	$55.18
17110 Destruction of up to 14 skin growths	33	30	$532.63	$123.21
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$472.59	$76.58
11100 Biopsy of single growth of skin and/or tissue	31	31	$501.35	$107.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$813.78	$107.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	115	26	$13.00	$6.32
99213 Established patient office or other outpatient visit, typically 15 minutes	73	60	$121.00	$79.45
17000 Destruction of skin growth	39	35	$150.00	$66.91
17110 Destruction of up to 14 skin growths	33	28	$252.00	$125.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$178.00	$117.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$73.00	$48.28
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$124.00	$80.15
11100 Biopsy of single growth of skin and/or tissue	20	19	$233.00	$105.41
17004 Destruction of precancer skin growth, 15 or more growths	16	11	$339.00	$167.66

Medical Specialties & State Licenses

CMS Verified: 2020-06-15

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA A106124

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 NY 244151

Secondary Practice Locations

3035 W Horizon Ridge Pkwy Ste 100

Henderson, NV 89052

Phone: 7026845502

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

11 Historical Events

📍

Updated Practice Location June 15, 2020

Registered at 19 SOUTHPOINT LN, WALLA WALLA, WA 993624175 (Tel: 5095253720)

📍

Updated Business Mailing Address June 15, 2020

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

📍

Updated Practice Location August 31, 2018

Registered at 3035 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052 (Tel: 7026845502)

📍

Updated Business Mailing Address August 31, 2018

Registered at 3035 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 890524189 (Tel: 7026845502)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2018

Dermatology (License #244151 in NY)

✅

NPI Profile Active March 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2015

Registered at 3565 DEL AMO BLVD, TORRANCE, CA 905031637 (Tel: 3102140811)

📍

Updated Business Mailing Address March 11, 2015

Registered at 3565 DEL AMO BLVD, TORRANCE, CA 905031637 (Tel: 3102140811)

👤

Provider Name / Credentials Updated March 11, 2015

Recorded as ALEXANDRIA BOOTH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2015

Dermatology (License #A106124 in CA)

🟢

Initial NPI Registration & Enumeration May 17, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588872352

Entity Type:

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

Enumeration Date: May 17, 2007

Last Update: June 15, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

55 W Tietan St

Walla Walla, WA 993624445

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.