Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. David Christian Larrymore , MD

Dermatology โ€ข Sequim, WA

Active NPI 1427218270 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

565 Eureka Way
Sequim, WA 983825074

Call 3605820808 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

565 Eureka Way

Sequim, WA 983825074

Telephone 3605820808
Fax 3606832712
Organization at the Same NPPES Address or Phone
Valley Dermatology, Ps, Inc Facility NPI 1144278441

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Multicare Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

2008

Medicare patients

421 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $89,724 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $60,083 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

526 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$324,896 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Larrymore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Larrymore as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sequim and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Dermatology in Washington (2024, 244 clinicians with data). Median for this group: 1,749. Middle half: 802 to 3,541.

Too few clinicians listed under Dermatology in Sequim have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Dermatology in Washington (2024, 244 clinicians with data). Median for this group: $118,488. Middle half: $57,562 to $224,878.

Too few clinicians listed under Dermatology in Sequim have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Dermatology in Washington (2024, 244 clinicians with data). Median for this group: $81,409. Middle half: $39,184 to $154,214.

Too few clinicians listed under Dermatology in Sequim have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Dermatology in Washington (2024, 278 clinicians with data). Median for this group: 484. Middle half: 214 to 862.

Too few clinicians listed under Dermatology in Sequim have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Dermatology in Washington (2024, 278 clinicians with data). Median for this group: $65,882. Middle half: $7,804 to $224,271.

Too few clinicians listed under Dermatology in Sequim have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Dermatology with a practice address in Sequim, WA (384 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
263 208 $242.00 $90.51
17003 Destruction of precancer skin growth, 2-14 growths
222 76 $19.00 $6.78
17000 Destruction of precancer skin growth, 1 growth
134 122 $195.00 $57.05
11102 Biopsy of related skin growth, first growth
133 123 $300.00 $100.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
127 127 $320.00 $110.04
11103 Biopsy of related skin growth, each additional growth
43 30 $159.00 $50.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
37 35 $152.00 $56.15
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
34 34 $226.00 $71.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
26 24 $905.00 $305.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $488.00 $159.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
20 17 $740.00 $141.43
17110 Destruction of skin growth, 1-14 growths
16 15 $334.00 $115.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
16 13 $528.00 $163.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 15 $343.00 $127.75
11104 Punch biopsy, first skin growth
13 12 $376.00 $126.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
12 12 $69.00 $23.45

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clobetasol Propionate Clobetasol Propionate 79 2,001 $4,229.08 50
Ketoconazole Ketoconazole 71 2,362 $784.63 34
Triamcinolone Acetonide Triamcinolone Acetonide 44 1,638 $437.53 22
Fluorouracil Fluorouracil 35 1,076 $2,670.17 31
Minoxidil Minoxidil 31 2,373 $448.23 14
Imiquimod Imiquimod 20 681 $457.57 14
Fluconazole Fluconazole 17 924 $451.29 13
Cosentyx Sensoready (2 Pens) Secukinumab 15 420 $150,105.54 โ€”
Doxycycline Hyclate Doxycycline Hyclate 12 649 $617.03 11
Metronidazole Metronidazole 12 310 $632.19 11
Minocycline Hcl Minocycline Hcl 12 750 $881.46 โ€”
Humira(Cf) Pen Adalimumab 12 336 $161,461.68 โ€”
Spironolactone Spironolactone 11 494 $224.89 โ€”
Terbinafine Hcl Terbinafine Hcl 11 501 $158.41 โ€”
Tacrolimus Tacrolimus 11 245 $1,335.86 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-22
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES WA MD61130459

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.

Dermatology

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES NE 25621

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2189218 (WA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20210928002287

Enrollment State Jurisdiction

WA

PECOS Control ID

2668775396

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Multicare Health System

4700 Point Fosdick Dr, Gig Harbor, WA 983351706

Multicare Health System

311 S L St, Tacoma, WA 984053720

Multicare Health System

400 E 5th Ave, Spokane, WA 992021334

Phone: 5098382531

Multicare Health System

300 E 5th Ave, Spokane, WA 992021334

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1457309908

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Heidi Hermes Shantz , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1932338506

Doctor of Medicine (M.D.)

Trevor Jackman , PA-C

Physician Assistant - Medical

NPI 1285286534

Physician Assistant (Certified)

Nicole Walker , CNM

Advanced Practice Midwife

NPI 1992216741

Certified Nurse Midwife

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location November 22, 2021

Registered at 565 EUREKA WAY, SEQUIM, WA 983825074 (Tel: 3605820808)

๐Ÿ“
Updated Business Mailing Address November 22, 2021

Registered at 565 EUREKA WAY, SEQUIM, WA 983825074 (Tel: 3605820808)

โœ…
NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 12, 2016

Registered at 128 N HOSPITAL RD, CREDENTIALING OFFICE, FORT GORDON, GA 309056017 (Tel: 2404983756)

๐Ÿ“
Business Mailing Address (Initial Record) January 12, 2016

Registered at 300 W HOSPITAL RD, CREDENTIALING OFFICE, FORT GORDON, GA 309055741 (Tel: 7067873944)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 12, 2016

Recorded as DAVID LARRYMORE, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Dermatology (license number reported to NPPES: NE 25621)

๐ŸŸข
Initial NPI Registration & Enumeration June 16, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427218270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2008
Last Update: November 22, 2021
Sole Proprietor: No

Other Dermatology Specialists in Sequim

Mailing Address

565 Eureka Way

Sequim, WA 983825074

Phone: 3605820808

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.