Dr. Joselin Tacastacas, MD
1601 Commonwealth Ave, Williamsburg, VA 23185 • +1-772-555-6970
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Williamsburg Percentiles
NPI #1184673295 • CBSA Regional • Dermatology
Dr. Joselin Tacastacas, MD (NPI #1184673295) practices Dermatology in Williamsburg, VA (23185) with sub-specialty concentration in 32 Active CMS HCPCS Codes, recording 4,732 annual CMS services across 1,024 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Williamsburg percentile) (-0.08σ vs VA state mean, 59.8th statewide percentile).
Medicare Part B line-item claims for Dr. Joselin Tacastacas (23185) place 17000 at the top of the practice ledger (1559 yearly units, 12th metro rank), rounded out by 99213 and 11102.
Self-pay new patient consultations with Dr. Tacastacas (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 10-minute average reception wait, and a 4.55/5 modern protocol openness score across 18 patient logs.
NPI registry verification (#1184673295) confirms Dr. Joselin Tacastacas's MD standing serving CBSA 23185 with a 4.83/5 patient scorecard.
Compared against Williamsburg, VA Dermatology peers
4,732 annual services across 1,024 beneficiaries
Standard deviations from VA Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 1,559 | 12th | $82 – $112 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,421 | 12th | $91 – $125 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 871 | 12th | $120 – $165 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 458 | 12th | $168 – $231 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 275 | 12th | $130 – $178 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 148 | 0th | $100 – $145 |
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Dr. Joselin Tacastacas, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tacastacas National Provider Identifier | NPI #1184673295 (MD) | CMS NPPES Registry (23185) |
| Dr. Tacastacas Williamsburg CMS Volume Rank | 0.00th Pct (4,732 CMS svcs; Z -0.081σ) | CMS Medicare Part B (VA Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Williamsburg, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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