DR. DALE RAYMOND WESTROM M.D., PH.D.
NPI 1922032077
Dermatology in Santa Rosa, CA

Q: What is Dale Westrom's NPI number?

The NPI number for Dale Westrom is 1922032077. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Dale Westrom'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 Dale Westrom was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 11, 2006PECOS Enrolled

85/100

CMS Quality Rating

990 SONOMA AVE STE 2, SANTA ROSA, CA 95404(707) 579-4239(707) 579-0459 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Dale Raymond Westrom M.d., Ph.d. NPPES

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

DR. DALE RAYMOND WESTROM M.D., PH.D. (NPI 1922032077) is an individual dermatology provider in Santa Rosa, California, licensed in California (G46342) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1980).

NPPES Registry Identity

NPI1922032077

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. DALE RAYMOND WESTROMCredential: M.D., PH.D.

Location Address990 SONOMA AVE STE 2Santa Rosa, CA 95404-4813

Mailing Address990 Sonoma Ave Ste 2Santa Rosa, CA 95404-4813 · (707) 579-4239

Phone(707) 579-4239

Fax(707) 579-0459

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1980

Enumeration DateJuly 11, 2006

Last NPPES UpdateJune 17, 2008

✔ NPI 1922032077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · G46342

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.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License G46242 (CA)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License G46342 (CA)

990 SONOMA AVE STE 2, Santa Rosa, CA 95404

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Other Identifiers 3

Medicare UPINA50359CA

Medicaid00G46342CA

Medicare ID-Type Unspecified00G463420CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dale Raymond Westrom M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557265055

PECOS Enrollment IDI20040116001103, I20260508001005

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 Dale Westrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Dermatology Of Santa Rosa, PC

5.2 mi

Dermatology

6574 OAKMONT DR STE B
Santa Rosa, CA 95409

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

NPI 1508441247 (707) 579-4239

County Of Tillamook

471 mi

Federally Qualified Health Center (FQHC)

34325 HIGHWAY 101 S
Cloverdale, OR 97112

Reassigned Medicare billing, Oregon enrollment
9 clinicians in this Medicare group

NPI 1730341975 (503) 842-3900

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 5

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.

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.

95 services19 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.

28 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

23 services20 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.

19 services18 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Other Providers at the Same Location NPPES 7

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

CARLA M EVANS FNP

Nurse Practitioner