Medicare Enrolled
Dr. Paula Zook, M.D.
Dermatology · Seattle, WA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Zook 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. Zook
Dr. Paula Zook is a dermatology specialist in Seattle, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Zook performed 4,822 Medicare services across 1,259 unique beneficiaries.
Between the years covered by Open Payments, Dr. Zook received a total of $10,719 from 37 pharmaceutical and/or device companies across 640 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in dermatology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Zook is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 17% volume in WA
$10,719 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,822
Medicare services
Top 17% in WA for dermatology
1,259
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~241 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 |
|---|---|---|---|
| Photodynamic therapy gel for precancerous skin | 2,600 | $1 | $4 |
| 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. |
715 | $6 | $20 |
| 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. |
468 | $66 | $252 |
| 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. |
215 | $40 | $195 |
| Skin growth shaving, 0.5 cm or less This procedure involves shaving off a small skin growth measuring 0.5 centimeters or less from the body, arms, or legs. |
159 | $61 | $301 |
| 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. |
113 | $89 | $336 |
| 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. |
108 | $100 | $355 |
| 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. |
57 | $78 | $312 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth on the body, arms, or legs that measures between 0.6 and 1.0 centimeters. |
56 | $89 | $359 |
| 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. |
47 | $146 | $493 |
| 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. |
45 | $45 | $160 |
| Shaving of small skin growth on face or mouth area A minor procedure to shave off a small skin growth, measuring 0.5 cm or less, located on the face, ears, eyelids, nose, lips, or mouth. |
28 | $69 | $344 |
| 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. |
28 | $257 | $888 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
28 | $1 | $14 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
24 | $72 | $300 |
| 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. |
22 | $111 | $708 |
| Shaving of skin growth, 0.5 cm or less Removal of a small skin growth by shaving it off the surface. This procedure is performed on the scalp, neck, hands, feet, or genitals. |
21 | $76 | $311 |
| Intermediate wound repair, 2.5 cm or less This procedure involves stitching a wound on the scalp, underarms, trunk, arms, or legs that is 2.5 centimeters or smaller. It includes cleaning the wound and closing it with sutures to promote healing. |
19 | $211 | $771 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
17 | $127 | $460 |
| Skin tag removal, 1-15 tags This procedure involves the removal of one to fifteen skin tags. It is a minor surgical intervention to excise these benign growths from the skin. |
15 | $58 | $265 |
| Removal of noncancer skin growth, 0.6-1.0 cm This procedure involves the removal of a benign skin growth located on the body, arms, or legs. The growth removed measures between 0.6 and 1.0 centimeters in diameter. |
13 | $77 | $456 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
12 | $100 | $371 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth measuring 0.6 to 1.0 cm from the scalp, neck, hands, feet, or genitals. |
12 | $104 | $361 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$10,719
Total received (2018-2024)
Avg $1,531/year across 7 years
Top 8% in WA for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
640
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,719 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,012
2023
$1,878
2022
$726
2021
$1,893
2020
$1,468
2019
$1,534
2018
$1,208
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$440
Novartis Pharmaceuticals Corporation
$242
GENZYME CORPORATION
$219
Galderma Laboratories, L.P.
$201
Janssen Biotech, Inc.
$161
E.R. Squibb & Sons, L.L.C.
$150
SUN PHARMACEUTICAL INDUSTRIES INC.
$149
Lilly USA, LLC
$81
Dermavant Sciences, Inc.
$76
PFIZER INC.
$74
Regeneron Healthcare Solutions, Inc.
$69
Arcutis Biotherapeutics, Inc.
$63
Incyte Corporation
$53
Amgen Inc.
$17
UCB, Inc.
$17
Top 3 companies account for 44.8% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Biotech, Inc.
$1,917
GENZYME CORPORATION
$1,024
AbbVie Inc.
$811
Novartis Pharmaceuticals Corporation
$721
Galderma Laboratories, L.P.
$683
ABBVIE INC.
$645
Lilly USA, LLC
$524
LEO Pharma Inc.
$500
PFIZER INC.
$455
AbbVie, Inc.
$405
DERMIRA, INC.
$386
UCB, Inc.
$264
E.R. Squibb & Sons, L.L.C.
$255
Incyte Corporation
$218
Mayne Pharma Inc.
$207
Dermavant Sciences, Inc.
$171
Ortho Dermatologics, a division of Bausch Health US, LLC
$150
SUN PHARMACEUTICAL INDUSTRIES INC.
$149
Regeneron Healthcare Solutions, Inc.
$148
VYNE Pharmaceuticals Inc.
$119
Sun Pharmaceutical Industries Inc.
$103
Arcutis Biotherapeutics, Inc.
$99
PruGen, Inc. Pharmaceuticals
$89
Allergan, Inc.
$87
Amgen Inc.
$85
Biofrontera Inc.
$85
Almirall LLC
$79
STRATA Skin Sciences, Inc.
$73
Sandoz Inc.
$66
MAYNE PHARMA INC.
$49
Allergan Inc.
$33
Mylan Pharmaceuticals Inc.
$26
Solta Medical, a division of Bausch Health US, LLC
$24
Celgene Corporation
$21
Bayer HealthCare Pharmaceuticals Inc.
$19
Janssen Scientific Affairs, LLC
$18
Medline Industries, Inc.
$12
Top 3 companies account for 35.0% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · ALTRENO · AMELUZ · AMZEEQ · Absorica LD · BOTOX · BOTOX COSMETIC · Bimzelx · CIBINQO · COSENTYX · Cimzia · DERMATITIS - DISEASE · DORYX · DUOBRII · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · Dermatological Psoriasis and Vitiligo Treatment · ENSTILAR · EPIDUO FORTE · EUCRISA · Enbrel · FINACEA · Finacea · HUMIRA · Humira · KERYDIN · LEVULAN KERASTICK · LEXETTE · OLUMIANT · OPZELURA · ORACEA · Olux · Otezla · QBREXZA · REMICADE · RETIN-A-MICRO · RINVOQ · SILIQ · SKYRIZI · SOOLANTRA · SORILUX · Seysara · Skyrizi · Sotyktu · TALTZ · TREMFYA · Tremfya · VTAMA · Winlevi · XTRAC · ZILXI · 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for dermatology in WA.
Geographic Context
Dermatologists within 10 mi
210
Per 100K population
9.3
County median income
$122,148
Nearest hospital
SWEDISH MEDICAL CENTER / CHERRY HILL
0.0 mi
0.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Zook is a mixed practice specialist, with above-average Medicare volume (top 17% in WA), with low-engagement industry engagement in the top 8% of WA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Zook experienced with photodynamic therapy gel for precancerous skin?
Based on Medicare claims data, Dr. Zook performed 2,600 photodynamic therapy gel for precancerous skin 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. Zook receive payments from pharmaceutical companies?
Yes. Dr. Zook received a total of $10,719 from 37 companies across 640 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. Zook's costs compare to other dermatologists in Seattle?
Dr. Zook's average Medicare payment per service is $25. 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. Zook) 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. Data Coverage reflects 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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