DR. QUYNH L. SEBASTIAN M.D.
NPI 1467540229
Dermatology in Santa Monica, CA


Quality Rating: 0 out of 100 score

NPI Status: Active since October 10, 2006

Contact Information

1260 15TH ST
SUITE 709
SANTA MONICA, CA
ZIP 90404
Phone: (310) 917-4433
Fax: (310) 917-4432

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  • Individual
  • Female
  • Years of Experience 30
  • Dermatology
  • May Accept Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting
  • CLIA Number: 05D1032217
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-08-2025

About QUYNH SEBASTIAN

This page provides the complete NPI Profile along with additional information for Quynh Sebastian, a provider established in Santa Monica, California with a medical specialization in Dermatology and more than 30 years of experience. She graduated from University Of California, Irvine, California College Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1467540229 assigned on October 2006. The practitioner's primary taxonomy code is 207N00000X with license number A064443 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1467540229
Provider Name
DR. QUYNH L. SEBASTIAN M.D.
Gender
Female
Entity Type
Individual
Location Address
1260 15TH ST SUITE 709 SANTA MONICA, CA 90404
Location Phone
(310) 917-4433
Location Fax
(310) 917-4432
Mailing Address
1260 15TH ST SUITE 709 SANTA MONICA, CA 90404
Mailing Phone
(310) 917-4433
Mailing Fax
(310) 917-4432
Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year
1996
Is Sole Proprietor?
Yes
Enumeration Date
10-10-2006
Last Update Date
07-08-2007
Code Navigator

A dermatologist like Quynh Sebastian is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
A064443
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H21399MEDICARE UPIN (02)CA 
W18517MEDICARE ID-TYPE UNSPECIFIED (04)CAGROUP NUMBER
WA64443AOTHER (01)CAPROVIDER PIN NUMBER

Medicare Participation & PECOS Enrollment Status

Quynh Sebastian is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Quynh Sebastian is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9537113998

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050309000396

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of related skin growth, each additional growth

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

This service was performed 29 times for 24 patients

Biopsy of related skin growth, first growth

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

This service was performed 164 times for 114 patients

Destruction of precancer skin growth, 1 growth

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

This service was performed 547 times for 262 patients

Destruction of precancer skin growth, 15 or more growths

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

This service was performed 50 times for 35 patients

Destruction of precancer skin growth, 2-14 growths

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

This service was performed 2,633 times for 221 patients

Destruction of skin growth, 1-14 growths

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

This service was performed 305 times for 191 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 17 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 606 times for 303 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 101 times for 74 patients

Injection into skin growth, 1-7 growths

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

This service was performed 13 times for 11 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 11 times for 11 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

This service was performed 27 times for 22 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

This service was performed 23 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90404 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 0, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 0 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 0

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 0

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Anticoagulant Management ImprovementsYesN/A
Individual MIPS eligible clinicians and groups who prescribe oral Vitamin K antagonist therapy (warfarin) must attest that, for 60 percent of practice patients in the transition year and 75 percent of practice patients in Quality Payment Program Year 2 and future years, their ambulatory care patients receiving warfarin are being managed by one or more of the following improvement activities: • Patients are being managed by an anticoagulant management service, that involves systematic and coordinated care, incorporating comprehensive patient education, systematic prothrombin time (PT-INR) testing, tracking, follow-up, and patient communication of results and dosing decisions; • Patients are being managed according to validated electronic decision support and clinical management tools that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; • For rural or remote patients, patients are managed using remote monitoring or telehealth options that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; and/or • For patients who demonstrate motivation, competency, and adherence, patients are managed using either a patient self-testing (PST) or patient-self-management (PSM) program.
Documentation of Current Medications in the Medical Record 100% 1534
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1032217
Facility Type
Physician Office
Certificate Effective Date
August 09, 2023
Certificate Expiration Date
August 08, 2025
Laboratory Director
QUYNH L. SEBASTIAN MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Quynh Sebastian after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467540229
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127104024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 4 + 0 + 2 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1467540229 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497748818SWISS BALANCE INC
Organization
Prosthetic/Orthotic Supplier1260 15TH ST STE 1402
SANTA MONICA, CA 90404
(310) 458-9648
1699743112DR. SHAMSAH F AMERSI M.D.
Individual
Obstetrics & Gynecology1260 15TH ST SUITE 616
SANTA MONICA, CA 90404
(310) 393-4655
1285692822UCLA UROLOGY ASSOCIATES
Organization
Urology1260 15TH ST SUITE 1200
SANTA MONICA, CA 90404
(310) 451-8751
1013951391SANTA MONICA BAY AREA PHYSICIANS
Organization
Internal Medicine1260 15TH ST 1501
SANTA MONICA, CA 90404
(310) 656-1700
1043245525SANTA MONICA PODIATRY GROUP, INC.
Organization
Podiatrist (Primary Podiatric Medicine)1260 15TH ST SUITE 1014
SANTA MONICA, CA 90404
(310) 451-1618
1497763072DR. TERRY JAY BOYKOFF DPM
Individual
Podiatrist1260 15TH ST SUITE 1014
SANTA MONICA, CA 90404
(310) 451-1618
1811905235DR. DAVID J. AUNGST DPM
Individual
Podiatrist (Foot & Ankle Surgery)1260 15TH ST SUITE 1014
SANTA MONICA, CA 90404
(310) 451-1618
1386758332DR. EILEEN LOUISE HAWORTH DC
Individual
Chiropractor1260 15TH ST SUITE 1020
SANTA MONICA, CA 90404
(310) 451-8045
1750489274SOUTHERN CALIFORNIA MOBILITY, INC.
Organization
Physical Therapist1260 15TH ST SUITE 900
SANTA MONICA, CA 90404
(310) 451-2292
1669564043NOAH A BLUMOFE DPM INC
Organization
Podiatrist (Foot & Ankle Surgery)1260 15TH ST SUITE 1020
SANTA MONICA, CA 90404
(310) 451-8045
1699830851REHABNET OUTPATIENT CENTER
Organization
Durable Medical Equipment & Medical Supplies1260 15TH ST SUITE 900
SANTA MONICA, CA 90404
(310) 451-2292
1942332259DR. ALAN GLEN RUBENSTEIN DDS
Individual
Dentist (General Practice)1260 15TH ST #703
SANTA MONICA, CA 90404
(310) 393-8284
1659495927 CHRISTOPHER SORRELLS OTR
Individual
Occupational Therapist1260 15TH ST SUITE 900
SANTA MONICA, CA 90404
(310) 451-2292
1487778882 SUZANNE OKUBO PT
Individual
Physical Therapist1260 15TH ST SUITE 900
SANTA MONICA, CA 90404
(310) 319-4646
1881718120 URI ZEEVI PT
Individual
Physical Therapist1260 15TH ST SUITE 900
SANTA MONICA, CA 90404
(310) 451-2292
1316151590 GERALD G BAKER DPM
Individual
Podiatrist (Primary Podiatric Medicine)1260 15TH ST SUITE 1014
SANTA MONICA, CA 90404
(310) 451-1618
1669689220 MARK MITSUYUKI OYAMA M.D.
Individual
Specialist1260 15TH ST SUITE 802
SANTA MONICA, CA 90404
(310) 393-6388
1023214954 RONALD W STRAHAN MD
Individual
Specialist1260 15TH ST SUITE 600
SANTA MONICA, CA 90404
(310) 394-0500
1598952590QUYNH L SEBASTIAN MD A PROFESSIONAL CORPORATION
Organization
Dermatology1260 15TH ST SUITE 709
SANTA MONICA, CA 90404
(310) 917-4433
1083899959MANOOCHEHR YASHARI, M.D.
Organization
Obstetrics & Gynecology1260 15TH ST SUITE 616
SANTA MONICA, CA 90404
(310) 393-4655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467540229, enumerated in the NPI registry as an "individual" on October 10, 2006

The provider is located at 1260 15th St Suite 709 Santa Monica, Ca 90404 and the phone number is (310) 917-4433

The provider's speciality is Dermatology with taxonomy code 207N00000X

The provider has more than 30 years of experience. She graduated from University Of California, Irvine, California College Of Medicine in 1996.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $96.36 with an average copayment of $24.09 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Biopsy of related skin growth, each additional growth, Biopsy of related skin growth, first growth, Destruction of precancer skin growth, 1 growth, Destruction of precancer skin growth, 15 or more growths, Destruction of precancer skin growth, 2-14 growths, Destruction of skin growth, 1-14 growths, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection into skin growth, 1-7 growths, New patient office or other outpatient visit, 30-44 minutes, Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks and Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks.

The provider's CLIA number is 05D1032217 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on October 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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