Deactivated NPI 1972669083 Deactivated / Inactive NPI Male Practitioner

Dr. David Earl Hammond , MD

Dermatology • Manitowoc, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Hammond has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 01, 2007

NPI Deactivation Date July 03, 2024

Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Hammond, MD was a registered Dermatology practicing in Manitowoc, WI. Throughout an active medical career spanning 17 years, Dr. Hammond provided care at the practice location at 801 YORK ST until profile deactivation on 2024-07-03.

Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

801 York St

Manitowoc, WI 542204630

Telephone 8666309882

Fax 9206832131

Associated Practice Facility / Clinic

🏢 Forefront Dermatology, S.c. Facility NPI 1487969507

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Manitowoc, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Manitowoc, WI (337 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$273.20	$105.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	522	123	$73.88	$5.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	508	54	$16.33	$1.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	194	$273.20	$105.23
17000 Destruction of skin growth	205	173	$303.63	$50.23
99213 Established patient office or other outpatient visit, typically 15 minutes	198	168	$188.52	$71.47
11102 Tangential biopsy of single skin lesion	109	93	$286.83	$86.18
17110 Destruction of up to 14 skin growths	97	90	$341.58	$103.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	52	$71.76	$16.02
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$223.46	$73.86
11103 Biopsy of related skin growth, each additional growth	33	20	$154.71	$50.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$291.03	$105.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	19	$1062.15	$209.70
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	18	$920.09	$144.43
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	14	$671.43	$134.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$854.43	$272.47
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$1806.92	$310.89
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	11	11	$1374.03	$278.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	906	160	$73.88	$4.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	635	69	$16.33	$1.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	236	$273.20	$103.57
17000 Destruction of skin growth	298	229	$303.63	$52.33
99213 Established patient office or other outpatient visit, typically 15 minutes	291	235	$188.52	$69.81
11100 Biopsy of single growth of skin and/or tissue	164	145	$330.48	$94.11
17110 Destruction of up to 14 skin growths	118	111	$341.58	$105.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	67	$71.76	$19.37
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$223.46	$70.60
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	36	33	$920.09	$130.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$291.03	$104.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	25	$1062.15	$193.27
11101 Biopsy of each additional growth of skin and/or tissue	28	21	$196.50	$31.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	21	$854.43	$264.24
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	20	$1409.49	$259.32
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	19	18	$1806.92	$308.43
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	18	16	$671.43	$126.10
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	16	14	$1374.03	$288.31
17111 Destruction of skin growth, 15 or more growths	12	11	$366.50	$124.37
69100 Biopsy of ear	11	11	$677.59	$74.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	951	176	$73.88	$5.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	733	83	$16.33	$1.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	287	$273.20	$102.72
17000 Destruction of skin growth	310	244	$303.63	$49.78
99213 Established patient office or other outpatient visit, typically 15 minutes	275	215	$188.52	$69.94
11100 Biopsy of single growth of skin and/or tissue	171	152	$330.48	$85.92
17110 Destruction of up to 14 skin growths	146	127	$341.58	$103.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	73	$71.76	$23.96
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$223.46	$71.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	31	$854.43	$257.60
11101 Biopsy of each additional growth of skin and/or tissue	36	31	$196.50	$31.53
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	29	27	$920.09	$126.85
17004 Destruction of precancer skin growth, 15 or more growths	27	24	$734.31	$142.94
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	27	22	$1062.15	$180.57
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	26	23	$1806.92	$299.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$291.03	$103.67
17111 Destruction of skin growth, 15 or more growths	19	16	$366.50	$124.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$147.53	$41.45
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	11	$671.43	$128.78
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	13	12	$1374.03	$276.87
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$1409.49	$259.37
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$1045.56	$151.88
69100 Biopsy of ear	12	12	$677.59	$91.59
10040 Acne surgery	12	12	$289.68	$81.63

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MI 4304037620

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. David Bertler , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1083657555

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated July 03, 2024

Record deactivated on July 03, 2024

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NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2014

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 8666309882)

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Updated Business Mailing Address August 25, 2014

Registered at 1000 E PARIS AVE SE, SUITE #214, GRAND RAPIDS, MI 495463691 (Tel: 6169572060)

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Provider Name / Credentials Updated August 25, 2014

Recorded as DAVID HAMMOND, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Dermatology (License #4304037620 in MI)

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Initial NPI Registration & Enumeration January 01, 2007

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: 1972669083

Entity Type:

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

Enumeration Date: January 01, 2007

Last Update: August 25, 2014

Deactivation Date: July 03, 2024

Update or Correct Profile

Mailing Address

1000 E Paris Ave Se, Suite #214

Grand Rapids, MI 495463691

Phone: 6169572060

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

⚠️ Medical Disclaimer

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