DR. SCOTT RYAN DALTON D.O. NPI 1497725576

NPI Information

  • NPI: 1497725576
  • Provider Name: DR. SCOTT RYAN DALTON, D.O.
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2200 BERGQUIST DR
    SUITE 1
    LACKLAND AFB, TX
    ZIP 78236
  • Phone: (415) 264-4136

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NPI Details

DR. Scott Ryan Dalton, D.O. is a dermatopathology dermatology in Lackland Afb, TX with 28 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DR. Scott Ryan Dalton, D.O. NPI is 1497725576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:1998

The provider's business location address is:

2200 BERGQUIST DR
SUITE 1
LACKLAND AFB, TX
ZIP 78236
Phone: (415) 264-4136

The NPI 1497725576 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
  • Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11310)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
  • Removal of skin tag, 1-15 skin tags (HCPCS:11200)
  • Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/23/2006 and was last updated on 9/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyM9238TEXASNo
2207ND0900XDermatologyDermatopathologyM9238TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497725576OTHERMILITARY
2400786602OTHERTEXASCSHCN
3400786601MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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