DANIEL J WALL M.D.
NPI 1508852013
Dermatology in Danville, CA

Q: What is Daniel Wall's NPI number?

The NPI number for Daniel Wall is 1508852013. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Daniel Wall's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Wall was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

3860 BLACKHAWK RD STE 140, DANVILLE, CA 94506(925) 837-6000 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2024, Feb 11, 2022, Aug 22, 2019 (3 updates tracked since 2019).

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About Daniel J Wall M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL J WALL M.D. (NPI 1508852013) is an individual dermatology provider in Danville, California, licensed in California (A74764) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of Rutgers, Robert Woood Johnson Medical School (1997).

NPPES Registry Identity

NPI1508852013

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDANIEL J WALLCredential: M.D.

Location Address3860 BLACKHAWK RD STE 140Danville, CA 94506-4832

Mailing Address3860 Blackhawk Rd Ste 140Danville, CA 94506-4832 · (925) 837-6000 · Fax (925) 837-6011

Phone(925) 837-6000

Sole ProprietorYes

Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 1997

Enumeration DateSeptember 21, 2005

Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1508852013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A74764

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3860 BLACKHAWK RD STE 140, Danville, CA 94506

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Secondary Practice Location 1

Location 11808 Tice Valley BlvdWalnut Creek, CA 94595-2224 · Phone (925) 837-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel J Wall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789739608

PECOS Enrollment IDI20090828000391

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Daniel Wall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hayes B. Gladstone, MD, PC.

Same address

Dermatology

3860 BLACKHAWK RD STE 140
Danville, CA 94506

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1376947978 (925) 837-6000

Permanente Medical Group Inc

26 mi

Internal Medicine

901 NEVIN
Richmond, CA 94801

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1235226531 (510) 307-1555

Csi Medical Group

346 mi

MOHS-Micrographic Surgery

1360 W 6TH ST STE 370
San Pedro, CA 90732

Reassigned Medicare billing, California enrollment
179 clinicians in this Medicare group

NPI 1871909804 (310) 519-8890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345

Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.

3,800 services13 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

359 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

165 services137 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

81 services76 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

70 services65 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

59 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA MACOR AMFT

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