DR. DAVID PANTHER (MD) – Dermatology Physician, NPI 1306106547
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
Provider Addresses for DR. DAVID PANTHER (MD)
55 WEST TIETAN
WALLA WALLA, WA 99362
Phone: (509) 525-3720
Fax: (509) 522-1593
Type: Mailing
55 W TIETAN ST
WALLA WALLA, WA 993624445
Phone: (509) 525-3720
Fax: (509) 522-1593
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170626002730 | I | Dermatology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,470 | 307 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 881 | 718 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 638 | 490 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 570 | 451 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 462 | 376 | $0 |
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| - | CA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | FL | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
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