Medicare Enrolled
Dr. Stanislav Tolkachjov, M.D.
Dermatology · Lewisville, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Tolkachjov from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Tolkachjov
Dr. Stanislav Tolkachjov is a dermatology specialist in Lewisville, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Tolkachjov performed 3,977 Medicare services across 3,135 unique beneficiaries.
Between the years covered by Open Payments, Dr. Tolkachjov received a total of $185,886 from 40 pharmaceutical and/or device companies across 398 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in dermatology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Tolkachjov is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 13 years in practice
▲ Top 31% volume in TX
$185,886 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,977
Medicare services
Top 31% in TX for dermatology
3,135
Unique beneficiaries
$253
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~306 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
969 | $438 | $1,979 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
391 | $65 | $263 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 333 | $316 | $1,201 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
330 | $5 | $19 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
299 | $187 | $1,380 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
166 | $450 | $1,856 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
164 | $154 | $888 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
124 | $56 | $296 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
110 | $167 | $1,242 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
102 | $33 | $196 |
| Intraoperative pathology examination, first tissue block A pathologist examines a tissue sample removed during surgery to provide a preliminary diagnosis. This test is performed on the first tissue block obtained from the procedure. |
92 | $80 | $297 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
83 | $190 | $1,454 |
| Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 69 | $130 | $925 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
66 | $595 | $2,239 |
| Skin graft repair of eyelid, nose, ear, or lip, 10.1-30 sq cm This procedure involves repairing a wound on the eyelid, nose, ear, or lip by transferring skin from another area. The graft size covered is between 10.1 and 30.0 square centimeters. |
64 | $751 | $2,900 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
61 | $755 | $2,912 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
58 | $39 | $164 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
53 | $39 | $146 |
| Tissue staining for diagnosis, initial A laboratory test where special stains are applied to tissue slides to help examine the cells and identify specific characteristics. |
51 | $76 | $291 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
49 | $109 | $714 |
| Intermediate wound repair, 2.6-7.5 cm This procedure involves stitching a wound on the neck, hands, feet, or genitals that measures between 2.6 and 7.5 centimeters. It is classified as an intermediate repair requiring layered closure. |
45 | $124 | $907 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
41 | $81 | $373 |
| Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm | 33 | $138 | $1,066 |
| Skin graft repair, 30.1-60.0 sq cm A surgical procedure to repair a wound by transferring skin from one area to another. This code applies to grafts covering an area between 30.1 and 60.0 square centimeters. |
30 | $827 | $3,156 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
27 | $69 | $331 |
| Skin graft repair, 10.1-30 sq cm A surgical procedure to repair wounds on the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin. The graft covers an area between 10.1 and 30.0 square centimeters. |
25 | $710 | $2,687 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
24 | $72 | $326 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for a complex surgical repair of a wound on the scalp, arms, or legs when the repair extends beyond the initial measurement. It is billed for each incremental 5-centimeter segment added to the primary procedure. |
22 | $95 | $372 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
21 | $215 | $1,164 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
19 | $120 | $814 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
18 | $127 | $493 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
14 | $308 | $1,147 |
| Skin flap transfer to eyelids, nose, ears, or lips A surgical procedure where a section of skin is moved from one area to the eyelids, nose, ears, or lips to cover a defect or wound. |
13 | $347 | $1,347 |
| Full thickness skin graft, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to an area on the face, neck, or other specified body parts. The graft covers an area of 20 square centimeters or less. |
11 | $564 | $2,703 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.4% high complexity
4.5% medium
95.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$185,886
Total received (2018-2024)
Avg $26,555/year across 7 years
Top 4% in TX for dermatology
40
Companies
398
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$90,940 (48.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$88,127 (47.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,820 (3.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$108,341
2023
$3,006
2022
$29,770
2021
$30,146
2020
$4,273
2019
$9,225
2018
$1,124
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Kerecis Limited
$50,283
Boehringer Ingelheim Pharmaceuticals, Inc.
$49,500
Misonix Inc
$33,708
Bioventus LLC
$30,610
Boehringer Ingelheim International GmbH
$8,393
Merck Sharp & Dohme Corporation
$7,330
Lilly USA, LLC
$682
Allergan, Inc.
$515
AbbVie, Inc.
$498
Celgene Corporation
$492
Amgen Inc.
$465
Ortho Dermatologics, a division of Bausch Health US, LLC
$404
Novartis Pharmaceuticals Corporation
$354
Allergan Inc.
$271
Regeneron Healthcare Solutions, Inc.
$264
GENZYME CORPORATION
$242
UCB, Inc.
$212
Galderma Laboratories, L.P.
$186
Arcutis Biotherapeutics, Inc.
$183
Janssen Biotech, Inc.
$180
Genentech USA, Inc.
$144
ABBVIE INC.
$134
Dermavant Sciences, Inc.
$119
PFIZER INC.
$107
Grifols Shared Services North America, Inc.
$86
SANOFI-AVENTIS U.S. LLC
$79
Organogenesis Inc.
$56
LEO Pharma Inc.
$48
Biofrontera Inc.
$46
MAYNE PHARMA INC.
$45
Globus Medical, Inc.
$45
CSL Behring
$41
AbbVie Inc.
$34
Nabriva Therapeutics, plc
$26
BioTissue Holdings, Inc.
$23
Aclaris Therapeutics, Inc.
$20
Paratek Pharmaceuticals, Inc.
$17
Helsinn Therapeutics (U.S.), Inc.
$15
OptiNose US, Inc.
$14
Tempus AI, Inc
$13
Top 3 companies account for 71.8% of total payments
Associated products mentioned in payments ›
ADBRY · AMELUZ · Allocate · BOTOX · BOTOX COSMETIC · Bimzelx · CIBINQO · COSENTYX · Cimzia · DORYX · DUOBRII · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · ENSTILAR · EUCRISA · Enbrel · Erivedge · HUMIRA · Hizentra · Humira · JUBLIA · Kerecis Omega3 SurgiClose · LIBTAYO · Merlin Test · NEOX · NUZYRA · ONEXTON · ORACEA · Otezla · Prolastin-C · Puraply · REMICADE · RHOFADE · RINVOQ · SILIQ · SIVEXTRO · SKYRIZI · SOOLANTRA · SPEVIGO · Sivextro · Skyrizi · TALTZ · TREMFYA · TheraSkin · Theraskin · VALCHLOR · VTAMA · Xhance · Zoryve
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (49%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 4% for dermatology in TX.
Equivalent to $4,674 per 100 Medicare services performed
Geographic Context
Dermatologists within 10 mi
221
Per 100K population
23.4
County median income
$108,185
Nearest hospital
CARROLLTON REGIONAL MEDICAL CENTER
3.3 mi
3.3 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Tolkachjov is a mixed practice specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 4% of TX peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Tolkachjov experienced with skin growth removal and lab exam, 1-5 blocks?
Based on Medicare claims data, Dr. Tolkachjov performed 969 skin growth removal and lab exam, 1-5 blocks services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Tolkachjov receive payments from pharmaceutical companies?
Yes. Dr. Tolkachjov received a total of $185,886 from 40 companies across 398 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Tolkachjov's costs compare to other dermatologists in Lewisville?
Dr. Tolkachjov's average Medicare payment per service is $253. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Tolkachjov) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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