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DR. PATRICK DAVID RETTERBUSH M.D. NPI 1700176211


NPI Information

NPI: 1700176211
Provider Name: DR. PATRICK DAVID RETTERBUSH, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

CLIA Number: 11D2163290

Address:
1500 OGLETHORPE AVE STE 300A
ATHENS, GA
ZIP 30606
Phone: (706) 614-1750
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DR. Patrick David Retterbush, M.D. is a mohs-micrographic surgery dermatology in Athens, GA with 13 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. Patrick David Retterbush, M.D. NPI is 1700176211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

1500 OGLETHORPE AVE STE 300A
ATHENS, GA
ZIP 30606-181
Phone: (706) 614-1750
Fax: (706) 480-4185

The NPI 1700176211 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 CLIA number assigned to this NPI record is 11D2163290 - physician office with a certificate type of Certificate of Compliance.

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.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 4/18/2011 and was last updated on 5/28/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology73445GEORGIANo
2207ND0101XDermatologyMOHS-Micrographic Surgery73445GEORGIAYes

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: 4/28/2024

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