KEVAN G LEWIS MD NPI 1497970560

NPI Information

  • NPI: 1497970560
  • Provider Name: KEVAN G LEWIS, MD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3059 VOYAGER DR
    GREEN BAY, WI
    ZIP 54311
  • Phone: (920) 965-0345

Map and Directions

Get Directions

NPI Details

Kevan G Lewis, MD is a mohs-micrographic surgery dermatology in Green Bay, WI with 22 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Kevan G Lewis, MD NPI is 1497970560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

3059 VOYAGER DR
GREEN BAY, WI
ZIP 54311-303
Phone: (920) 965-0345
Fax: (920) 257-4559

The NPI 1497970560 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Ultrasonic guidance for placement of radiation therapy fields (HCPCS:G6001)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas (HCPCS:77285)
  • Simple radiation therapy planning (HCPCS:77261)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Intermediate radiation therapy planning (HCPCS:77262)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less (HCPCS:13133)
  • Design and construction of simple radiation treatment device (HCPCS:77332)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/16/2007 and was last updated on 3/7/2023.

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
1207N00000XDermatology53110-20WISCONSINNo
2207N00000XDermatology51745MINNESOTANo
3207N00000XDermatologyLP00514RHODE ISLANDNo
4207ND0101XDermatologyMOHS-Micrographic Surgery53110-020WISCONSINYes

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
1ENROLLEDMEDICAIDIOWA
2P00787809OTHERMINNESOTARAILROAD MEDICARE
31497970560MEDICAIDWISCONSIN
453110-020OTHERWISCONSINSTATE LICENSE
5ENROLLEDMEDICAIDMINNESOTA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.