Active NPI 1033555230 Individual Practitioner Male Practitioner

Dr. Samuel Blake Ecker , DO

Dermatology • Laramie, WY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Ecker, DO is a certified Dermatology practicing in Laramie, WY. With approximately 13 years of clinical experience since graduating from Arizona College Of Osteopathic Medicine Mid Western University in 2013, Dr. Ecker delivers high-quality medical care to the local community at 204 MCCOLLUM ST STE 106E.

Dr. Ecker is affiliated with Sage Dermatology Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

204 Mccollum St Ste 106e

Laramie, WY 820705151

Telephone 9706823377

Fax 9706823340

Associated Practice Facility / Clinic

🏢 Sage Dermatology Llc Facility NPI 1255002101

Medicare Profile & Education

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Laramie, WY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 20.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Laramie, WY (17 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ecker (13 Years) 13 Yrs

Laramie Specialty Average (13.0 Years) 13.0 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	1,666	321	$13.91	$6.48
17000 Destruction of skin growth	625	467	$139.80	$46.77
99213 Established patient office or other outpatient visit, typically 15 minutes	561	431	$185.66	$87.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	277	$261.43	$123.50
11102 Tangential biopsy of single skin lesion	393	343	$208.59	$86.55
17110 Destruction of up to 14 skin growths	269	228	$236.46	$109.18
11103 Biopsy of related skin growth, each additional growth	199	119	$103.90	$47.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$227.48	$107.88
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	150	126	$1404.23	$600.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$340.26	$162.03
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	90	81	$966.47	$245.52
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	84	57	$854.65	$398.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	66	59	$873.73	$277.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	63	20	$1.95	$0.97
69100 Biopsy of ear	49	45	$196.51	$63.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	35	31	$573.29	$134.68
96574 Application of light with debridement to destroy precancer skin growth	34	26	$578.94	$273.22
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	34	27	$791.71	$389.51
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	25	$815.76	$358.35
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	28	24	$258.57	$121.62
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	27	26	$1322.00	$619.47
11900 Injection into skin growth, 1-7 growths	26	19	$118.85	$47.41
11104 Punch biopsy, first skin growth	23	21	$259.57	$121.37
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	20	$425.00	$185.82
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	19	17	$237.37	$111.95
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	19	18	$400.00	$184.26
17004 Destruction of precancer skin growth, 15 or more growths	17	16	$346.65	$161.63
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	15	$1019.00	$240.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	13	$370.00	$154.46
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1576.83	$738.49
11105 Punch biopsy, each additional skin growth	12	11	$123.00	$57.74
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	12	11	$819.92	$382.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,200	20	$3.31	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	1,115	237	$14.06	$6.74
99213 Established patient office or other outpatient visit, typically 15 minutes	458	323	$184.90	$89.22
17000 Destruction of skin growth	428	314	$139.73	$46.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	217	$260.77	$125.87
11102 Tangential biopsy of single skin lesion	299	239	$213.85	$90.04
17110 Destruction of up to 14 skin growths	252	203	$238.40	$111.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$228.93	$110.78
11103 Biopsy of related skin growth, each additional growth	115	74	$105.79	$49.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$338.27	$164.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	24	$1.96	$1.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	13	$29.00	$14.12
11900 Injection into skin growth, 1-7 growths	35	24	$118.91	$48.43
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	27	$889.31	$382.91
96574 Application of light with debridement to destroy precancer skin growth	31	27	$595.55	$281.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	26	$984.00	$370.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	23	$580.39	$139.93
69100 Biopsy of ear	23	22	$201.78	$67.73
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	21	$833.00	$375.01
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	22	22	$1416.00	$520.06
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	19	18	$862.00	$409.03
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$429.00	$200.29
11104 Punch biopsy, first skin growth	13	12	$265.00	$127.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,600	12	$3.24	$1.59
17003 Destruction of precancer skin growth, 2-14 growths	751	167	$14.34	$7.03
17000 Destruction of skin growth	344	251	$141.00	$48.95
11102 Tangential biopsy of single skin lesion	289	228	$217.59	$95.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	155	$263.00	$130.57
99213 Established patient office or other outpatient visit, typically 15 minutes	236	169	$187.00	$92.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$229.42	$113.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$341.01	$169.37
17110 Destruction of up to 14 skin growths	163	135	$239.19	$115.50
11103 Biopsy of related skin growth, each additional growth	145	81	$108.04	$53.02
69100 Biopsy of ear	27	26	$204.04	$67.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	19	$2.32	$1.15
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	20	$843.00	$404.21
11900 Injection into skin growth, 1-7 growths	22	18	$119.00	$57.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$900.00	$399.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	20	$583.00	$144.10
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	17	$994.00	$394.59
96574 Application of light with debridement to destroy precancer skin growth	13	12	$613.00	$293.88
11104 Punch biopsy, first skin growth	13	13	$258.77	$133.22
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$375.92	$162.49
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$431.00	$213.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	503	118	$18.83	$6.92
99213 Established patient office or other outpatient visit, typically 15 minutes	284	233	$119.25	$94.31
17000 Destruction of skin growth	223	185	$135.22	$52.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	123	$182.55	$133.74
11102 Tangential biopsy of single skin lesion	134	125	$185.12	$101.78
17110 Destruction of up to 14 skin growths	119	102	$196.76	$120.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$191.24	$114.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$297.62	$171.84
11103 Biopsy of related skin growth, each additional growth	35	24	$101.43	$55.70
69100 Biopsy of ear	19	15	$184.32	$85.46
11900 Injection into skin growth, 1-7 growths	16	12	$98.31	$51.99
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$534.00	$148.22
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$714.00	$428.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	859	189	$19.00	$6.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	282	$178.00	$110.95
17000 Destruction of skin growth	313	269	$135.00	$49.60
99213 Established patient office or other outpatient visit, typically 15 minutes	261	201	$117.00	$76.22
11102 Tangential biopsy of single skin lesion	244	220	$182.00	$96.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	183	183	$183.00	$110.43
17110 Destruction of up to 14 skin growths	154	140	$191.00	$113.80
11103 Biopsy of related skin growth, each additional growth	99	69	$98.00	$55.37
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$125.00	$77.37
17004 Destruction of precancer skin growth, 15 or more growths	42	39	$341.00	$164.03
11900 Injection into skin growth, 1-7 growths	36	26	$97.00	$51.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	25	$3.00	$1.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	26	25	$768.00	$447.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	23	$534.00	$151.83
69100 Biopsy of ear	16	16	$183.00	$79.70
11104 Punch biopsy, first skin growth	13	12	$228.00	$131.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	641	143	$19.00	$5.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	277	277	$183.00	$109.29
17000 Destruction of skin growth	229	202	$135.34	$48.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	181	$181.31	$109.27
11102 Tangential biopsy of single skin lesion	203	183	$182.00	$89.67
99213 Established patient office or other outpatient visit, typically 15 minutes	199	160	$119.41	$74.92
17110 Destruction of up to 14 skin growths	122	109	$191.00	$110.85
11103 Biopsy of related skin growth, each additional growth	84	58	$98.00	$54.32
17004 Destruction of precancer skin growth, 15 or more growths	38	34	$347.58	$154.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	20	$4.57	$1.56
11900 Injection into skin growth, 1-7 growths	35	22	$97.00	$47.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	30	$768.00	$427.62
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	28	$534.00	$149.78
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$125.00	$73.90
69100 Biopsy of ear	19	17	$183.00	$81.82
11104 Punch biopsy, first skin growth	19	18	$228.00	$126.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$700.00	$395.74
10060 Simple or single drainage of skin abscess	13	13	$215.00	$111.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4131 Epifix or epicord, per square centimeter	731	14	$367.58	$159.29
17003 Destruction of precancer skin growth, 2-14 growths	161	28	$48.00	$4.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	96	$278.91	$102.96
99213 Established patient office or other outpatient visit, typically 15 minutes	124	70	$182.00	$69.71
11100 Biopsy of single growth of skin and/or tissue	74	68	$207.00	$78.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$279.00	$101.50
17110 Destruction of up to 14 skin growths	49	44	$290.00	$92.78
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	46	35	$1678.00	$486.98
17000 Destruction of skin growth	45	39	$207.00	$44.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	19	$31.00	$1.81
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	41	23	$976.00	$372.16
11101 Biopsy of each additional growth of skin and/or tissue	37	25	$66.00	$30.82
11900 Injection into skin growth, 1-7 growths	32	19	$148.81	$44.61
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	31	12	$367.42	$123.87
17004 Destruction of precancer skin growth, 15 or more growths	16	14	$579.00	$138.02
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	12	11	$2334.00	$721.81

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	29	26	$265.00	$105.48
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$173.00	$71.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$265.00	$105.05

Medical Specialties & State Licenses

CMS Verified: 2021-09-27

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CO 0061328

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 WY 6858A

Hospital & Practice Group Affiliations

Sage Dermatology Llc

204 Mccollum St, Laramie, WY 820705151

Phone: 9706823377

Sage Dermatology Llc

1907 Boise Ave, Loveland, CO 805384291

Sage Dermatology Llc

1907 Boise Ave, Loveland, CO 805385016

Phone: 9706823377

Sage Dermatology Llc

1555 Main St, Windsor, CO 805505999

Phone: 9706823377

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Bruce Kornfeld , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1326074774

Doctor of Medicine (M.D.)

Janina Korba , PA-C

Physician Assistant

NPI 1598388688

Physician Assistant (Certified)

Jeffrey Kamenski

Physician Assistant

NPI 1982983946

Career & Practice History Timeline

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

20 Historical Events

📍

Updated Practice Location September 27, 2021

Registered at 204 MCCOLLUM ST STE 106E, LARAMIE, WY 820705151 (Tel: 9706823377)

📍

Updated Business Mailing Address September 27, 2021

Registered at 2710 WESTRIDGE CT, FORT COLLINS, CO 805266503 (Tel: 9706823377)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Dermatology (License #6858A in WY)

📍

Updated Practice Location March 17, 2018

Registered at 3655 PLYMOUTH BLVD STE 110, MINNEAPOLIS, MN 554463665 (Tel: (612) 486-4200)

📍

Updated Business Mailing Address March 17, 2018

Registered at 3655 PLYMOUTH BLVD STE 110, MINNEAPOLIS, MN 554463665 (Tel: (612) 486-4200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dermatology (License #59682 in MN)

📍

Updated Practice Location February 15, 2018

Registered at 3655 PLYMOUTH BLVD STE 110, MINNEAPOLIS, MN 554463665 (Tel: (612) 486-4200)

📍

Updated Business Mailing Address February 15, 2018

Registered at 3655 PLYMOUTH BLVD STE 110, MINNEAPOLIS, MN 554463665 (Tel: (612) 486-4200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2018

Dermatology (License #59682 in MN)

✅

NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2017

Registered at 7031 SW 62ND AVE, SOUTH MIAMI, FL 331434701 (Tel: 3052867761)

📍

Updated Business Mailing Address April 11, 2017

Registered at 1111 SW 1ST AVE APT 2315N, MIAMI, FL 331305407

👤

Provider Name / Credentials Updated April 11, 2017

Recorded as SAMUEL ECKER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Student in an Organized Health Care Education/Training Program (License #UO3494 in FL)

✅

NPI Profile Active May 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 14, 2013

Registered at 7031 SW 62ND AVE, SOUTH MIAMI, FL 331434701 (Tel: 3052867761)

📍

Updated Business Mailing Address May 14, 2013

Registered at 1111 SW 1ST AVE APT 2315N, MIAMI, FL 331305407 (Tel: 7209384890)

👤

Provider Name / Credentials Updated May 14, 2013

Recorded as SAMUEL ECKER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2013

Student in an Organized Health Care Education/Training Program (License #UO3494 in FL)

🟢

Initial NPI Registration & Enumeration May 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1033555230

Entity Type:

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

Enumeration Date: May 14, 2013

Last Update: September 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2710 Westridge Ct

Fort Collins, CO 805266503

Phone: 9706823377

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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