DR. DAVID JUDY D.O. NPI 1619144433

NPI Information

  • NPI: 1619144433
  • Provider Name: DR. DAVID JUDY, D.O.
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4610 KANAWHA AVE SW
    SUITE 302
    CHARLESTON, WV
    ZIP 25309
  • Phone: (304) 925-7546

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NPI Details

DR. David Judy, D.O. is a mohs-micrographic surgery dermatology in Charleston, WV with 21 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. DR. David Judy, D.O. NPI is 1619144433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2005

The provider's business location address is:

4610 KANAWHA AVE SW
SUITE 302
CHARLESTON, WV
ZIP 25309-320
Phone: (304) 925-7546
Fax: (681) 205-8369

The NPI 1619144433 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.

  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm (HCPCS:12034)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS:13151)
  • Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/12/2008 and was last updated on 10/20/2014.

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
1207N00000XDermatology2007-00740NORTH CAROLINANo
2207N00000XDermatologyOS 11120FLORIDANo
3207N00000XDermatology2596WEST VIRGINIANo
4207ND0101XDermatologyMOHS-Micrographic Surgery2596WEST VIRGINIAYes

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
11619144433OTHERWEST VIRGINIAHEALTHNET/TRICARE
21619144433OTHERWEST VIRGINIAUNITED HEALTHCARE
32707397OTHERWEST VIRGINIAHIGHMARK BCBS
45679351OTHERWEST VIRGINIACIGNA
51619144433OTHERWEST VIRGINIAUMWA HEALTH PLAN OF WV
61619144433OTHERWEST VIRGINIAHEALTHSMART PEIA
73810023193MEDICAIDWEST VIRGINIA

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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