Medicare Enrolled
Dr. Joseph Cvancara, M.D.
Dermatology · Spokane Valley, WA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Cvancara 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 →
Are you Dr. Cvancara?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Cvancara
Dr. Joseph Cvancara is a dermatology specialist in Spokane Valley, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Cvancara performed 5,030 Medicare services across 3,311 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cvancara received a total of $2,594 from 30 pharmaceutical and/or device companies across 136 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. Cvancara 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 16% volume in WA
$2,594 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,030
Medicare services
Top 16% in WA for dermatology
3,311
Unique beneficiaries
$112
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~252 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 |
|---|---|---|---|
| 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. |
1,365 | $5 | $15 |
| 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. |
527 | $58 | $184 |
| 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. |
522 | $31 | $163 |
| 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. |
456 | $444 | $1,383 |
| 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. |
395 | $89 | $262 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
308 | $51 | $165 |
| 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. |
279 | $73 | $234 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 209 | $329 | $842 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
184 | $56 | $214 |
| 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. |
170 | $190 | $1,000 |
| 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. |
65 | $39 | $225 |
| 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. |
62 | $195 | $872 |
| 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. |
57 | $77 | $214 |
| 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. |
55 | $62 | $226 |
| 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. |
46 | $124 | $338 |
| 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. |
44 | $428 | $1,299 |
| 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. |
31 | $666 | $2,027 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
31 | $48 | $203 |
| 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. |
30 | $263 | $1,556 |
| 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 | $597 | $1,871 |
| Ultraviolet light skin treatment Application of ultraviolet light to the skin for therapeutic purposes. |
25 | $17 | $48 |
| 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. |
21 | $674 | $2,204 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
20 | $103 | $353 |
| Strapping, unna boot | 18 | $42 | $131 |
| Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm | 17 | $95 | $386 |
| Additional tissue block examination Microscopic examination of an additional tissue block beyond the initial five. This step is performed to analyze extra samples from the same growth. |
15 | $62 | $200 |
| 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. |
14 | $193 | $1,036 |
| 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. |
14 | $641 | $2,016 |
| 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. |
13 | $80 | $211 |
| Complex repair of eyelid, nose, ear, or lip wound, 1.1-2.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 1.1 and 2.5 centimeters. |
12 | $168 | $881 |
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 ↗$2,594
Total received (2018-2024)
Avg $371/year across 7 years
Top 31% in WA for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
136
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
$2,594 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$668
2023
$593
2022
$344
2021
$343
2020
$104
2019
$220
2018
$323
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$153
UCB, Inc.
$101
Regeneron Healthcare Solutions, Inc.
$75
Dermavant Sciences, Inc.
$74
SUN PHARMACEUTICAL INDUSTRIES INC.
$68
GENZYME CORPORATION
$64
Janssen Biotech, Inc.
$49
ABBVIE INC.
$39
Amgen Inc.
$20
Galderma Laboratories, L.P.
$19
Biofrontera Inc.
$5
Top 3 companies account for 49.3% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$337
Lilly USA, LLC
$329
Regeneron Healthcare Solutions, Inc.
$226
UCB, Inc.
$183
AbbVie, Inc.
$167
Janssen Biotech, Inc.
$164
Ortho Dermatologics, a division of Bausch Health US, LLC
$143
ABBVIE INC.
$131
GENZYME CORPORATION
$93
Dermavant Sciences, Inc.
$91
SUN PHARMACEUTICAL INDUSTRIES INC.
$86
Galderma Laboratories, L.P.
$81
Amgen Inc.
$77
Novartis Pharmaceuticals Corporation
$49
Genentech USA, Inc.
$47
Sun Pharmaceutical Industries Inc.
$39
PFIZER INC.
$36
Celgene Corporation
$35
Incyte Corporation
$35
Boehringer Ingelheim Pharmaceuticals, Inc.
$34
Allergan Inc.
$33
Kyowa Kirin, Inc.
$30
Almirall LLC
$25
Verrica Pharmaceuticals Inc.
$25
Allergan, Inc.
$20
Merz North America, Inc.
$18
STRATA Skin Sciences, Inc.
$18
Helsinn Therapeutics (U.S.), Inc.
$15
Biofrontera Inc.
$14
DUSA Pharmaceuticals, Inc.
$12
Top 3 companies account for 34.4% of all-time payments
Associated products mentioned in payments ›
AKLIEF · AMELUZ · BLU-U · BOTOX · Bimzelx · COSENTYX · Cimzia · DUOBRII · DUPIXENT · EBGLYSS · ELIDEL · EUCRISA · Enbrel · Erivedge · HUMIRA · Humira · ILUMYA · Ilumya · KLISYRI · LIBTAYO · OLUMIANT · OPZELURA · ORACEA · Otezla · Poteligeo · REMICADE · RETIN-A-MICRO · RINVOQ · Rituxan · SILIQ · SKYRIZI · SPEVIGO · Skyrizi · TALTZ · TREMFYA · VALCHLOR · VTAMA · XEOMIN · XTRAC · YCANTH
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.
Geographic Context
Dermatologists within 10 mi
24
Per 100K population
4.4
County median income
$73,513
Nearest hospital
MULTICARE VALLEY HOSPITAL
4.5 mi
4.5 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. Cvancara is a clinical cardiology specialist, with above-average Medicare volume (top 16% in WA), with low-engagement industry engagement, 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. Cvancara experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Cvancara performed 1,365 destruction of precancerous skin growths, 2-14 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. Cvancara receive payments from pharmaceutical companies?
Yes. Dr. Cvancara received a total of $2,594 from 30 companies across 136 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. Cvancara's costs compare to other dermatologists in Spokane Valley?
Dr. Cvancara's average Medicare payment per service is $112. 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. Cvancara) 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 →
Explore related providers
Same specialty & city
Dermatologists in Spokane Valley
Browse dermatologists in Spokane Valley ranked by procedure volume and transparency data.
Highest volume
Top Dermatologists in WA
Dermatologists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Dermatologists in WA
Which WA dermatologists receive the most from drug and device companies.
By company
AbbVie Inc. Payments to Doctors
See all physicians who received payments from AbbVie Inc.
By company
Lilly USA, LLC Payments to Doctors
See all physicians who received payments from Lilly USA, LLC.
By company
Regeneron Healthcare Solutions, Inc. Payments to Doctors
See all physicians who received payments from Regeneron Healthcare Solutions, Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology