NPI Details
Scott David Glazer, M.D. is a procedural dermatology dermatology in Buffalo Grove, IL with 48 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Scott David Glazer, M.D. NPI is 1770587206. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1978
The provider's business location address is:
600 W LAKE COOK RD
STE 110
BUFFALO GROVE, IL
ZIP 60089-089
Phone: (847) 459-6611
Fax: (847) 459-7929
The NPI 1770587206 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 14D2188778 - physician office with a certificate type of Certificate of Waiver.
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)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Punch biopsy, first skin growth (HCPCS:11104)
- Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Biopsy of ear (HCPCS:69100)
- Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less (HCPCS:17260)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11641)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
- Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
- Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11401)
- Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
- Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:17272)
- Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12051)
- Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:17281)
- Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS:17270)
- Punch biopsy, each additional skin growth (HCPCS:11105)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:17280)
- Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:17271)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
- Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Removal of skin tag, 1-15 skin tags (HCPCS:11200)
- Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
- Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11422)
- Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
- Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm (HCPCS:17263)
- Biopsy of lip (HCPCS:40490)
- Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11621)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 6/13/2005 and was last updated on 1/5/2016.
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 |
| 1 | 207ND0900X | Dermatology | Dermatopathology | 036059380 | ILLINOIS | No |
| 2 | 207N00000X | Dermatology | | 036059380 | ILLINOIS | No |
| 3 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | 036059380 | ILLINOIS | No |
| 4 | 207NS0135X | Dermatology | Procedural Dermatology | 036059380 | ILLINOIS | Yes |