December 5, 2019 The Honorable Mitch McConnell Majority Leader United States Senate The Honorable Nancy Pelosi Speaker of the House United States House of Representatives

The Honorable Chuck Schumer Minority Leader United States Senate The Honorable Kevin McCarthy Minority Leader United States House of Representatives

Dear Leader McConnell, Leader Schumer, Speaker Pelosi, and Leader McCarthy: As Congress continues its efforts to protect patients from surprise medical bills, we hope that you recognize the potentially devastating unintended consequences that certain proposals under consideration could have on smaller and independent physician practices such as ours, and urge you to ensure a thoughtful approach as the various proposals are brought together. Smaller and independent physician practices provide health care to thousands of communities across our country, often serving as the only means of access in rural and underserved areas. As such, we see first-hand the impact surprise billing can have on our patients, and therefore strongly share your commitment to taking patients out of the middle of billing disputes that can arise when insurers do not contract with physicians. However, we are also very concerned that the wrong solution to surprise billing will severely impact small practices by eliminating what few incentives remain for insurers to negotiate fairly with us, therefore driving further consolidation within health care, and triggering ensuing cost increases. Our nearly nine hundred groups are smaller and independent practices of many specialties that provide care for millions of patients each year in small rural communities and large urban centers alike. As small and independent businesses, we also play a vital role in the economy of our nation and the communities in which we operate, providing thousands of jobs and local economic stability. Further, just like many other small and independent businesses regardless of sector, we face challenges such as providing benefits for our employees, meeting overhead costs, and overall ensuring our longevity. We have worked relentlessly to secure in-network contracts with as many of our local plans as we can. However, smaller physician groups are particularly disadvantaged when it comes to contracting with health plans. This is an issue that is being further aggravated as insurance companies consolidate, leaving only a single insurer to dominate the market in a number of states. Therefore, insurers at best offer us only drastically undervalued “take-it-or-leave-it” contracts that will not even cover the costs of our overhead—while others ignore altogether our inquiries to be part of health plan networks. The wrong approach to addressing surprise bills will only further empower insurers to weaken our practices. Therefore, we urge that any federal solution to surprise billing must include a reasonable initial payment. Any mechanism that ties out-of-network payment to a median in-network benchmark will allow insurers to forego entirely contracting with physicians because they will have access to a discounted contract rate (the median in-network) without needing to provide us with any corresponding benefits of contracting in exchange. Without any real enforceable network adequacy protections for federally-regulated plans, insurance networks will only continue to narrow, preventing patients in many areas from being able to access care at all, especially in rural and underserved communities.

As a result, we strongly urge you to ensure that any surprise billing legislation that comes to the floor includes a strong accessible, timely, and efficient independent dispute resolution (IDR) mechanism. Based on successful state models, it is clear such an approach when used federally can eliminate surprise bills, reduce health care costs, and ensure fair and equitable contracting dynamics between insurers and physicians without adding undue burdens or costs to taxpayers. To be accessible to small physician practices, this IDR mechanism should not be restricted to claims above a qualifying dollar amount as some proposals in Congress have sought to do. Recent informal estimates calculated by the Congressional Budget Office (CBO) have demonstrated that eliminating or at least significantly reducing a qualifying threshold for IDR would have little to no impact on scoring at all. Even if a so-called “batching” mechanism is added to allow similar claims to be grouped together to reach a dollar threshold, many of us lack the necessary patient volume to even reach that level. Moreover, there is a significant range across our specialties in the dollar amounts of a typical claim, spanning from under a hundred dollars to thousands, further complicating any effort to develop a “one-size-fits-all” threshold. Again, we strongly urge you to consider how these federal policies currently under consideration may disproportionally impact small physician groups and the care we provide to your constituents. We are deeply concerned that the wrong approach will ultimately drive many of us out of the market entirely, which will drive up health care costs as more smaller practices will be purchased by hospital systems and others, leading to increased consolidation. Studies have shown that if this consolidation happens, health care costs could increase by as much as 30 percent1. We firmly believe, therefore, that an appropriate policy must be crafted that keeps costs contained, preserves access to care for patients, and will not disrupt contracting dynamics between physicians and insurers who attempt to negotiate in good faith. We appreciate the opportunity to share our concerns, and thank you once again for your efforts to protect patients. Sincerely,

Anesthesia Associates of East Alabama Opelika, Alabama

Auburn Dermatology and Skin Cancer Center Auburn, Alabama

Bessemer Emergency Physicians Birmingham, Alabama

Bolling Plastic Surgery Fayette, Alabama

Brookwood Dermatology Vestavia, Alabama

Dermatology Associates of Dothan Dothan, Alabama

Dermatology Center South Dothan, Alabama

Dermatology of North Alabama Guntersville, Alabama

DermLab Birmingham, Alabama

General Surgery Associates Huntsville, Alabama

1 Examining the Impact of Health Care Consolidation; Martin Gaynor, E.J. Barone University Professor of Economics and Health Policy, Heinz College at Carnegie Mellon University, February 14, 2018.

Heights Dermatology & Aesthetics Birmingham, Alabama

Herron Dermatology and Laser Montgomery, Alabama

Martin Plastic and Reconstructive Surgery Dothan, Alabama

Mobile Dermatology, PC Mobile, Alabama

Nash Dermatology Auburn, Alabama

Princeton Surgical Specialists, PC Birmingham, Alabama

Pure Dermatology Hoover, Alabama

Sharon Foster Gardepe, MD, PC Huntsville, Alabama

Shelby Dermatology, PC Birmingham, Alabama

Skin Wellness Dermatology Homewood, Alabama

Skin Wellness Dermatology Homewood, Alabama

Southern Institute of Plastic Surgery Dothan, Alabama

Springhill Emergency Physicians, PC Mobile, Alabama

Surgical Dermatology Group Birmingham, Alabama

Turnham Nelson Dermatology Dothan, Alabama

Juneau Emergency Medical Associates Juneau, Alaska

Southeast Medical Clinic Juneau, Alaska

Barrow Brain and Spine Phoenix, Arizona

Desert Plastic Surgery Scottsdale, Arizona

Grandview Surgical Associates, PC Sun City West, Arizona

Neurosurgical Associates, LTD Phoenix, Arizona

Phoenix Pathologists, Ltd. Phoenix, Arizona

Advanced Plastic Surgery Arizona

Arizona Associated Surgeons Greater Metro Area Phoenix, Arizona

Dennis E. Weiland, MD, PC Scottsdale, Arizona

Desert Ridge Allergy Associates Phoenix, Arizona

James Callison Pathology Phoenix, Arizona

Southwest Emergency Physicians Yuma, Arizona

Summit Anesthesia Services, PLLC Phoenix, Arizona

Valley Anesthesiology Associates Phoenix, Arizona

Scott Ferguson, MD Radiology West Memphis, Arkansas

Ace Anesthesia Group, Inc Hollister, California

Achieve Brain & Spine, Institute of Neurological Surgery Santa Monica, California

Anesthesia Associates of Chico Chico, California

Anesthesiology Consultants of Marin, Inc. Greenbrae, California

Antelope Valley Emergency Medical Associates Lancaster, California

Berkeley Emergency Medical Group, Inc. Oakland, California

Burbank Emergency Medical Group, Inc. Burbank, California

California Neurosurgical Institute Los Angeles, California

California Pacific Pathology Medical Group San Francisco, California

CCEP Templeton, California

Center for Rheumatology Los Angeles, California

Centers for Family Health Ventura, California

Central Coast Emergency Physicians, Inc. San Luis Obispo, California

Columbia Emergency Medical Group, Inc. Long Beach, California

Contra Costa Pathology Associates Walnut Creek, California

Cosmeticare Corona Del Mar, California

David D. Hopp, M.D. Beverly Hills, California

Douglas Sunde, M.D. Monterey, California

Elan Clinic, Plastic Surgery and MedSpa Grass Valley, California

Emergency Medical Management Associates, Inc. Arcadia, California

Emergency Specialists Physicians Medical Associates Torrance, California

Encinitas Surgical Associates California

ESPMA Los Angeles, California

Expert Dermatology West Hills, California

Fountain Valley Emergency Physicians Fountain Valley, California

GAEP Glendale, California

IEMG Whittier, California

Independent Emergency Physicians Consortium San Diego, California

Kaiser Permanente San Francisco, California

LewMedical Glendale, California

Long Beach Emergency Medical Group Los Angeles, California

LREP Medical Group Thousand Oaks, California

Mark L. Labowe, M.D. Los Angeles, California

Meister Eye & LASER Center Sacramento, California

Monterey Anesthesia Professionals Salinas, California

Monterey Bay Emergency Physicians Monterey, California

Mountain View Emergency Physicians Medical Group Upland, California

Napa Valley Emergency Medical Group Napa, California

NeuroSpine Institute Palmdale, California

Neurosurgical Medical Clinic, Inc San Diego, California

Newport Dermatology Associates Newport Beach, California

Newport Irvine Surgical Specialists, APC Newport Beach, California

North County Surgical Associates Escondido, California

Ophthalmology Associates of the Valley Encino, California

Pacific Emergency Providers, APC San Diego, California

Pacific Eye Care Center Walnut Creek, California

Pacific Heights Plastic Surgery San Francisco, California

Palos Verdes Plastic Surgery Medical Center, Inc. Torrance, California

Phillip Kissel, MD APC San Luis Obispo, California

Placentia Linda Emergency Physicians Placentia, California

Plastic Surgery Associates of Orange County Mission Viejo, California

Randolph S. Lawrence, MD, FACS Templeton, California

Sacred Heart Medical Group Riverside, California

San Francisco Plastic Surgery - Dr. Karen M. Horton San Francisco, California

Sayah Institute Beverly Hills, California

Shorr, Smith, and Hurst MDs Inglewood Calif, California

SkinSafe Dermatology Beverly Hills, California

South Coast Emergency Medical Group Santa Barbara, California

Southern California Center for Anti-aging Torrance, California

Southern California Neurosurgical Associates Pasadena, California

Southern California Orthopedic Institute Van Nuys, California

Suzanne A. Trott, MD, Inc Beverly Hills, California

SVEMG Salinas, California

Temecula Valley Neurosurgery Murrieta, California

The Craniospinal Center of Los Angeles Santa Monica, California

TMI Pathology Associates Van Nuys, California

Torrance Emergency Physicians Torrance, California

Urmen Desai, MD MPH FACS FACS & Desai Plastic Surgery Beverly Hills, California

Valley Neurosurgery and Neurorestoration Center Bakersfield, California

Ventura Emergency Physicians Ventura, California

William F. Kivett, MD Pasadena, California

Boulder Valley Anesthesiology Colorado

Brighton Community Emergency Physicians, LLC Brighton, Colorado

Carolynn Francavilla, MD Lakewood, Colorado

Central Colorado Dermatology PC Salida, Colorado

Clarity Dermatology, PLLC Castle Rock, Colorado

Colorado Springs Radiologists Colorado Springs, Colorado

Colorado Surgery and Critical Care Associates, P.L.L.C Aurora, Colorado

Colorado West Emergency Physicians Grand Junction, Colorado

Core Dermatology Denver, Colorado

Crossroads Dermatology Longmont, Colorado

CU General Surgery at Highlands Ranch Highlands Ranch, Colorado

Durango Dermatology & Dermatologic Surgery, PLLC Durango, Colorado

Emergency Medical Specialists PC Colorado Springs, Colorado

Foothills Dermatology Niwot, Colorado

Front Range Center for Brain & Spine Surgery, P.C. Fort Collins, Colorado

Front Range Dermatology Greeley, Colorado

Grand Mesa Emergency Physicians Delta, Colorado

Joyce Aycock MD, P.C. Denver, Colorado

Mattoch Pathology Fort Collins, Colorado

NeurosurgeryOne, LLC Littleton, Colorado

Peak Medical Care PLLC Colorado Springs, Colorado

Physician Anesthesia Services, PC Golden, Colorado

Radiology Imaging Associates, P.C. Englewood, Colorado

Rocky Mountain Dermatology, P.C. Boulder, Colorado

SkinCare Colorado Denver, Colorado

Surgical Specialists of Colorado Golden, Colorado

Annette L. Headley, M.D. Dermatology Mystic, Connecticut

Anya Kishinevsky MD LLC Norwalk, Connecticut

Chang Soo Kim, MD Stamford, Connecticut

Coastal Obgyn Stamford, Connecticut

Connecticut Plastic Surgery Group Southport, Connecticut

Dr. Stanley Foster, Surgeon Middlebury, Connecticut

Fairfield County Pathology Consultants LLC Bridgeport, Connecticut

Northeast Emergency Medicine Specialists Connecticut

Sandra Margoles, MD Surgery Greenwich, Connecticut

Integrated Dermatology Washington, DC

Delmarva Skin Specialists Selbybille, Delaware

Doctors for Emergency Service Wilmington, Delaware

Premier Dermatology and Cosmetic Surgery Newark, Delaware

Sussex Emergency Associates Lewes, Delaware

ADF Dermatology and Skin Surgical Center Port Charlotte, Florida

Ana Gonzalez, MD Dermatology Miami, Florida

Atlantic Derm PLLC Delray Beach, Florida

Atlantic Dermatology, LLC Cocoa Beach, Florida

Brevard Physician Associates Melbourne, Florida

Calloway Plastic Surgery Ponte Vedra Beach, Florida

Cape Coral Emergency Physicians Cape Coral, Florida

Clear Skin Dermatology, P.A. Clearwater, Florida

ClearSkin Dermatology Orlando, Florida

Coastal Cosmetic Center Jacksonville, Florida

Coastal Dermatology Jacksonville, Florida

Cynthia Rogers, MD PA Port St Lucie, Florida

Dermatology & Cutaneous Surgery Institute, P.A. Delray Beach and Wellington, Florida

Dermatology SouthEast North Florida, Florida

Dermatology Specialists of Naples Naples, Florida

Diaz Plastic Surgery Specialists Melbourne, Florida

Dr Megan Jack Boca Raton, Florida

East Coast Pathology DeLand, Florida

elis Medical Associates (Formerly Emergency Medical

Associates of Tampa Bay)

Tampa, Florida

Emergency Medical Specialists of Jacksonville Jacksonville, Florida

Emergency Medicine Professionals Daytona Beach, Florida

Emergency Physicians of Central Florida LLP Orlando, Florida

Emergency Resources Group Jacksonville, Florida

eSSe Plastic Surgery Fort Lauderdale, Florida

Excelis Medical Associates (Formerly Emergency Medical Associates of Tampa Bay)

Tampa, Florida

ForCare Medical Tampa, Florida

Gainesville Emergency Medicine Associates Gainesville, Florida

Gardens Dermatology Palm Beach Gardens, Florida

George Varkarakis, MD PA Miami, Florida

Hernando County Emergency Physicians Brooksville, Florida

Holy Cross Emergency Physicians, PA Fort Lauderdale, Florida

Indian River Pathology, LLC Port Saint Lucie, Florida

Jackie M Tripp MD Delray Beach, Florida

Jordan Schwartzberg, MD Dermatology Boca Raton, Florida

Jupiter Dermatology Jupiter, Florida

KWB Pathology Associates Tallahassee, Florida

Lee Memorial physicians Cape Coral, Florida

Lincoln Road Dermatology Miami Beach, Florida

Long Dermatology Ormond Beach, Florida

Manatee True Partners Emergency Specialists Bradenton, Florida

Medical Center Radiology Group Orlando, Florida

North Florida Surgeons Jacksonville, Florida

Oasis Dermatology Winter Park, Florida

Orange Park Neurosurgery PL Orange Park, Florida

Palm Beach Dermatology, Inc West Palm Beach, Florida

Park North Dermatology, PA Maitland, Florida

Parks Dermatology Center Ormond Beach, Florida

PedEM, PLLC Miami, Florida

Radiology Regional Fort Myers, Florida

Resnik Dermatology Aventura, PA Miami, Florida

Restore Plastic Surgery Pensacola, Florida

RSM Plastic Surgery, PA Orlando, Florida

Ruffolo, Hooper & Associates, MD, PA Tampa, Florida

Sarapath Diagnostics Sarasota, Florida

Sarasota Anesthesiologists Sarasota, Florida

Southwest Florida Emergency Physicians Fort Myers, Florida

Spine & Brain Neurosurgery Center Orlando, Florida

Suncoast Dermatology Lecanto, Florida

Suncoast Surgical Associates, PA Tampa, Florida

Tallahassee Plastic Surgery Clinic Tallahassee, Florida

The Woodruff Institute Naples, Florida

Vazcare Tampa, Florida

Virginia Thornley, M.D. Neurology Sarasota, Florida

VIVIFY Plastic Surgery Tampa, Florida

William I Roth MD PA Boynton Beach, Florida

Zoran Potparic MD PA Fort Lauderdale, Florida

Atlanta Skin Cancer specialists Atlanta, Georgia

Augusta Allergy & Asthma, LLC Evans, Georgia

Baucom & Mina Derm Surgery, LLC Atlanta, Georgia

DeKalb Surgical Associates Decatur, Georgia

Dermatology Institute Newnan, Georgia

Dermatology Specialists of Augusta Evans, Georgia

Evans Dermatology Evans, Georgia

Finan Templeton Dermatopathology Associates Atlanta, Georgia

Georgia Dermatology Center Cumming, Georgia

Georgia Emergency Department Services Gainesville, Georgia

Georgia Emergency Physician Specialists Savannah, Georgia

Georgia Neurosurgical Institute, PC Macon, Georgia

Georgia Skin Cancer & Aesthetic Dermatology Athens, Georgia

Kavali Plastic Surgery Atlanta, Georgia

Medical Dermatology Specialists, P.C. Sandy Springs, Georgia

Neurological Institute of Savannah Savannah, Georgia

Northwest Georgia Dermatology Rome, Georgia

Olansky Dermatology Associates Atlanta, Georgia

OrthoAtlanta Atlanta, Georgia

Peachtree Dermatology Associates Atlanta, Georgia

Peachtree Orthopedics Atlanta, Georgia

Prima Center for Plastic Surgery Duluth, Georgia

Skin Care Physicians of Georgia Milledgeville, Georgia

Southwest Georgia Dermatology, P.C. Albany, Georgia

Summit Radiology Atlanta, Georgia

Tanner Vascular Surgery Carrollton, Georgia

Valdosta Anesthesia Associates, P.C. Valdosta, Georgia

Williams Plastic and Reconstructive Surgery, P.C. Dalton, Georgia

Dawson Dermatology Honolulu, Hawaii

Hawai’i Radiological Associates Hilo, Hawaii

WestSide Surgical Services Ewa Beach, Hawaii

Ada Dermatology, PA Boise, Idaho

Anesthesia Associates of Boise, P.A. Boise, Idaho

Gem State Derm Boise, Idaho

Idaho Skin Surgery Center, PC Boise, Idaho

Steven E Ozeran MD, PA Lewiston, Idaho

Alliance Pathology Consultants Elk Grove Village, Illinois

Bloom Plastic Surgery Chicago, Illinois

Cary Ann Jenkins, MD, LLC/Morris Dermatology/Joliet Dermatology

Morris, Illinois

Dermatology Physicians Group Chicago, Illinois

Distinctive Dermatology Fairview Heights, Illinois

DuPage Emergency Physicians Downers Grove, Illinois

DuPage Pathology Associates, SC Hinsdale, Illinois

Emergency Medical Associates of Palos Palos Heights, Illinois

IEMS Hinsdale, Illinois

Illinois Pathology Associates and Illinois Laboratory Medicine Associates

Berwyn, Illinois

Lake Forest Dermatology Bannockburn, Illinois

MidAmerica Plastic Surgery Glen Carbon, Illinois

Pathology Associates of Aurora, LLC Aurora, Illinois

Peoria Surgical Group Peoria, Illinois

Peoria Tazewell Pathology Group Peoria, Illinois

Premier Pathology Belleville, Illinois

Radiant Dermatology Sycamore, Illinois

Schaumburg Dermatology Schaumburg, Illinois

Surgical Associates SC Evanston, Illinois

University Pathologists, PC Kankakee, Illinois

University Pathology Diagnostics, SC Chicago, Illinois

Anesthesia Group Practice Inc dba Seven Hills Anesthesia LLC

Southeastern Indiana

Baldwin Plastic Surgery Lafayette, Indiana

Center for Ear Nose Throat and Allergy Carmel, Indiana

Central Illinois Neuro Health Sciences Bloomington, Indiana

David L Martin MD Inc Anderson, Indiana

Dawes Fretzin Dermatology Group Indianapolis, Indiana

Dermatology Center of Southern Indiana Bloomington, Indiana

Dermatology, Inc Indianapolis, Indiana

Doctors Skin Care LLC Indianapolis, Indiana

Elite Emergency Physicians Inc. Elkhart, Indiana

Evansville surgical associates Evansville, Indiana

Goodman Campbell Brain & Spine Carmel, Indiana

Greenwood Dermatology Greenwood, Indiana

Hancock Dermatology Greenfield, Indiana

Indiana Plastic Surgery Munster, Indiana

Medical Associates LLP Indianapolis, Indiana

Morris Dermatology LLC Vincennes, Indiana

Pathology Consultants, Inc. Michigan City, Indiana

Reid General Surgeons Richmond, Indiana

Southern Indiana Aesthetic & Plastic Surgery, LLC Indiana

St Vincent Emergency Physicians Indianapolis, Indiana

Summit Plastic Surgery Ft Wayne, Indiana

Surgical Associates of Southeastern Indiana Batesville, Indiana

Swofford Dermatology Center Anderson, Indiana

The Indiana Skin Cancer Center, PC Greenwood, Indiana

University Dermatology Center Muncie Indiana, Indiana

Central Iowa Dermatology Johnston, Iowa

Iowa City Dermatology Iowa City, Iowa

Iowa Pathology Associates Des Moines, Iowa

Medical Center Anesthesiologists, PC Des Moines, Iowa

Methodist Jennie Edmundson Pathology Council Bluffs, Iowa

Phillip G Bailey, MD Dubuque, Iowa

Wm. Colantoni, Jr., M.D., P.C. Davenport, Iowa

Allergy & Asthma Care, PA Overland Park, Kansas

Alliance Radiology Overland Park, Kansas

Anesthesia Associates of Topeka, P.A. Topeka, Kansas

Consultants in Neurology, PA Lenexa, Kansas

McPherson Medical and Surgical Associates McPherson, Kansas

Pediatric Partners Overland Park, Kansas

Wichita Anesthesiology Chartered Wichita, Kansas

Central Emergency Physicians, PSC Lexington, Kentucky

Lexington Plastic Surgery Lexington, Kentucky

Molly Rutherford, MD Family Medicine Crestwood, Kentucky

Plastic Surgeons of Lexington Lexington, Kentucky

Professional Pathology Services Ashland, Kentucky

Baldone Reina Dermatology Covington, Louisiana

Bayou Surgical Specialist Houma, Louisiana

Center for Women’s Health Covington, Louisiana

East Jefferson Emergency Management, LLC Metairie, Louisiana

Iberia Dermatology New Iberia, Louisiana

Khoobehi and Associates New Orleans, Louisiana

Martha E. Stewart, MD, LLC Mandeville, Louisiana

Northlake Gastroenterology Covington, Louisiana

ReliaPath, LLC Lafayette, Louisiana

The Skin Surgery Centre, LLC Metairie, Louisiana

Avalon Plastic Surgery Catonsville, Maryland

Comprehensive Allergy and Asthma Bowie, Maryland

Don J. Fontana, M.D. PA Waldorf, Maryland

Dr. Ravi Yalamanchili, MD, PA Frederick, Maryland

Drs. Hicken, Cranley, &Taylor, PA Baltimore, Maryland

Drs. Schuster and Schreiber Lutherville, Maryland

Elliott & Wargotz Pathologists, LLC Maryland

Enrique Daza MD LLC Bethesda, Maryland

Eternal Dermatology Maryland

Foris Surgical Group, LLP Frederick, Maryland

MidAtlantic Urology Associates,LLC Greenbelt, Maryland

VisionMD Glenn Dale, Maryland

Andover Dermatology Andover, Massachusetts

DermAsap Quincy, Massachusetts

Dermatology and Skin Health Peabody, Massachusetts

Dermatology of the Berkshires North Adams, Massachusetts

DermCare Natick, Massachusetts

Emerson Emergency Physicians, LLC Concord, Massachusetts

Plymouth Dermatology Associates Plymouth, Massachusetts

Statim, LLC Concord, Massachusetts

Barry S. Paul, MD & Associates Arlington, Massachusetts

Dermatology and Skin Care Associates Wellesley, Massachusetts

Elizabeth T. Curtis MD, Rheumatology North Andover, Massachusetts

New England Dermatology Springfield, Massachusetts

New England Pathology Associates Springfield, Massachusetts

Pioneer Valley Surgical Associates PC Springfield, Massachusetts

South Shore Skin Center Plymouth, Massachusetts

South Shore Skin Surgeons, Massachusetts

Advanced Dermatology, Inc Worcester, Massachusetts

Commonwealth Pathology Partners, P.C. Salem, Massachusetts

Dermatology Associates of Concord Concord, Massachusetts

Dermcare Physicians and Surgeons Arlington, Massachusetts

DermPhysicians of New England Woburn, Massachusetts

Family Dermatology, PC Concord, Massachusetts

Greater Metrowest DermSurgeons, LLC Norwood, Massachusetts

Krauss Dermatology Wellesley, Massachusetts

Massachusetts Dermatology Associates Beverly, Massachusetts

Medical & Cosmetic Dermatology of Cape Cod Hyannis, Massachusetts

Newton-Wellesley Emergency Medicine Specialists, P.C Newton, Massachusetts

North Shore Plastic Surgery Peabody, Massachusetts

Orion Emergency Services, Inc Milford, Massachusetts

Pathology Associates, Inc. Haverhill, Massachusetts

Richard A. Peinert MD, PC Lynnfield, Massachusetts

Skinpros LLC Swansea, Massachusetts

Sturdy Memorial Emergency Physicians Attleboro, Massachusetts

Tufts Medical Center EP LLC Boston, Massachusetts

Vicki Albert Chavin, M.D. Dermatology Framingham, Massachusetts

Westfield Emergency Physicians, PC Westfield, Massachusetts

Anesthesia Practice Consultants, PC Grand Rapids, Michigan

Dermatology at Midtowne Grand Rapids, Michigan

Dr. Danielle DeLuca-Pytell, MD, FACS Michigan

Emergency Care Specialists Grand Rapids, Michigan

EPI, PC Holland, Michigan

Farmington Emergency Medicine Associates Farmington Hills, Michigan

Grand River Emergency Medical Group, LLC Grand Rapids, Michigan

Greater Midland Emergency Physicians Midland, Michigan

Hastings Emergency Physicians P.L.C. Hastings, Michigan

Jeffrey Fishman, MD Detroit, Michigan

Michael J Mueller, MD PC Flint, Michigan

Pathology Associates, PC Flint, Michigan

The Derm Institute of West Michigan Grand Rapids, Michigan

Western Michigan Pathology Associates Holland, Michigan

Westshore Diagnostics Muskegon, Michigan

All About Children Pediatrics Eden Prairie, Minnesota

Emergency Physicians Professional Association Bloomington, Minnesota

Multi-Sites Anesthesiologists Minneapolis, Minnesota

Obstetrics, Gynecology and Infertility Maple Grove, Minnesota

Regional Diagnostic Radiology Sartell, Minnesota

Southdale Anesthesiologists & Anesthetists Edina, Minnesota

St. Cloud Ear, Nose & Throat St. Cloud, Minnesota

Mississippi Pathology Associates, PA Jackson, Mississippi

NewSouth NeuroSpine Flowood, Mississippi

Plastic Surgery of North Mississippi Tupelo, Mississippi

Relias Healthcare Tupelo, Mississippi

Singing River Pathology Clinic Ocean Springs, Mississippi

The Dermatology Clinic, PLLC Gulfport, Mississippi

Allegiant Pathologists LLC St. Louis, Missouri

Alliance Health & Dermatology, LLC Cape Girardeau, Missouri

Anesthesia Associates of Kansas City Overland Park, Missouri

Capital Emergency Physicians Jefferson City, Missouri

Columbia Dermatology and Cosmetic Surgery Columbia, Missouri

Dermatological Care St. Louis, Missouri

George Dermatology St Louis, Missouri

Hannibal Clinic, Inc. Hannibal, Missouri

MAWD Pathology Group Liberty, Missouri

Meramec Dermatology, LLC Arnold, Missouri

Professional Anesthetic Care Missouri, Missouri

Regional Brain & Spine, LLC Cape Girardeau, Missouri

West County Pathologists, Inc. Chesterfield, Missouri

The Asthma and Allergy Center Bellevue, Nebraska

Northern Nevada Emergency Physicians Reno, Nevada

Mark B. Constantian, MD, Professional Association Nashua, New Hampshire

Waldman Plastic Surgery and Dermatology Nashua, New Hampshire

Accurate Neuromonitoring, LLC Fairfield, New Jersey

Advanced Neurosurgery Associates Hackensack, New Jersey

Anesthesia Consultants of New Jersey New Brunswick, New Jersey

Atlantic Emergency Associate Atlantic City, New Jersey

Atlantic Neurosurgical Specialists Morristown, New Jersey

Atlantic Plastic and Hand Surgery Edison, New Jersey

Atlantic Shore Surgical Associates Brick, New Jersey

Aydin Plastic Surgery Paramus, New Jersey

Bastidas Plastic Surgery Phillipsburg, New Jersey

Brain and Spine Institute of New York and New Jersey East Brunswick, New Jersey

CJSS Somerset, New Jersey

Coastal Pediatric Orthopedics Little Silver, New Jersey

Contemporary Plastic Surgery East Brunswick, New Jersey

East Coast Plastic Surgery, PC Red Bank, New Jersey

Girgis Family Medicine, LLC South River, New Jersey

Institute of Neurological Care Englewood Cliffs, New Jersey

Jordan P. Farkas MD New Jersey

Monmouth Plastic Surgery Red Bank, New Jersey

Neurosurgeons of New Jersey Ridgewood, New Jersey

NJ Bariatric Institute LLC New Jersey

North East Regional Urgent Care Association Little Egg Harbor, New Jersey

North Jersey Brain and Spine Oradell, New Jersey

Northern Jersey Plastic Surgery Center, LLC Hackensack, New Jersey

Nova Dermatology Cherry Hill, New Jersey

Princeton Radiology Princeton, New Jersey

Rahway Pathology, P.A. Rahway, New Jersey

South Jersey Radiology Associates Voorhees, New Jersey

Specialty Physicians NJ, PC Freehold, New Jersey

Summit Medical Group Clifton, New Jersey

Surgical Associates of Hudson County Hoboken, New Jersey

Usal plastic surgery Paramus, New Jersey

Four Corners Anesthesia Farmington, New Mexico

100 Ohio Street PLLC Medina, New York

24/7 Emergency Care, PC Southampton, New York

Albany Oral and Maxillofacial Surgery Group Albany, New York

Alex Bruckstein, MD Gastroenterology Staten Island, New York

Allergy and Asthma Associates of Murray Hill New York, New York

Alvin Katz, MD, PC New York City, New York

Jacob Moalem, MD, Endocrine Surgery Rochester, New York

Atlantic Dermatologic Associates, LLP Lynbrook, New York

Bailey, Wakil and Auringer Eye Physicians & Surgeons Albany, New York

Barbara Hisler, M.D. Dermatology New Hyde Park, New York

Bruce K. Barach, MD Schenectady, New York

Brummitte Dale Wilson, MD & Associates Hamburg, New York

Bryan S. Bilfield MD Orthopedic Surgery Albany, New York

Canandaigua Orthopaedic Associates Canandaigua, New York

CCP General Surgery Latham, New York

Central New York Physiatry, PC New Hartford, New York

Chatham Medical PC New York, New York

Chinatown Medical, PLLC New York, New York

Christopher B. Nicora, MD, PC Somers, New York

City Orthopedics New York

Code Med Billing & Consulting LLC New York

Cold Spring Plastic Surgery Huntington, New York

Colon and Rectal Surgery of Manhattan, P.C. New York, New York

Cosmetique Dermatology, Laser & Plastic Surgery, LLP Greenvale, New York

Dara Huang MD Medical PLLC New York, New York

Darrick E. Antell, MD New York, New York

David A Schlessinger MD, PC Woodbury, New York

Dong Hong Shong, MDPC Flushing, New York

Dr William Kennedy MD New York, New York

Dr. Donna A. Serure, Dermatology & Cosmetic Laser Surgery, PC

Smithtown, New York

Dr. Kiyamova MD Albany, New York

Elizabeth Fang New York, New York

Emily Linda Chan, MD, PC New York, New York

Excelsior Integrated Medical Group PLLC New York, New York

Excelsior Orthopaedics Buffalo, New York

Fay Mizue Ohsumi, MD, PLLC New York City, New York

Felix Chu Cardiology New York, New York

First Care Medical Group New York City, New York

Flushing OBGYN PC Flushing, New York

GDS Imaging Bronx, New York

Genuine Care Physician PC Forest Hills, New York

Glenn A Becker MD New York, New York

Gordon Surgical Group Putnam Valley, New York

Great Neck ENT Great Neck, New York

Greater Rochester Internal Medicine Rochester, New York

Greece Dermatological Associates Rochester, New York

Greenberg Medical Services Long Island, New York

Howard Schiff, MD and Jonathan Schiff, MD, LLP New York, New York

Image Plastic Surgery LLC New York New York, New York

Inspira Dermatology Flushing, New York

Jamal Rahaman Gyn Oncologist PLLC New York, New York

Jeffrey S Kaplan MD New Hyde Park, New York

John A Perrotti MD PLLC New York, New York

John Thomas, MD, Hand & Wrist Surgery Long Island City, New York

Kazim Doganay, MD, PLLC West Islip, New York

Keith M. Blechman, M.D., P.C. New York, New York

Laura Whitman MD New York, New York

Leo M. Michalek Jr., M.D. West Seneca, New York

Libby Buscemi, MD, PC New York

Little Tsingtao Medical P.C. New York, New York

Long Island Behavioral Medicine Islandia, New York

Long Island Hand to Shoulder Center Huntington, New York

Long Island Otolaryngology Huntington, New York

Long Island Plastic Surgical Group, P.C. Garden City, New York

Long Island Spine Specialists, P.C. Commack, New York

Main Street Internal Medicine, PLLC Huntington, New York

Marc Everett MD PC New York, New York

Mariwalla Neurosurgery New York, New York

Maurice M Khosh MD PC New York, New York

Michael Afshari MD OB/GYN New York, New York

Michael S. Hahn, MD PC Neurosurgery New York, New York

Mrudangi Thakur Plastic & Reconstructive Surgery PC Jefferson Valley, New York

Nancy Tice D.O Psychiatry Merrick NY, New York

Nassau Anesthesia Associates Mineola, New York

Nassau Chest Physicians P.C. Great Neck, New York

Nassau Plastic Surgical Associates, PC Jericho, New York

Nassau Suffolk Medical West Babylon, New York

Neuro Protective Solutions, LLC Hauppauge, New York

NeuroAxis Neurosurgical Associates Port Washington, New York

Neurological Surgery P.C. Long Island, New York

New York Cardiovascular Anesthesiologists Roslyn, New York

New York Eye & Laser PC Flushing, New York

New York Minimally Invasive Surgery PLLC New York, New York

New York Ophthalmology Associates New York, New York

New York Pain Management Clifton Park, New York

New York Spine and Brain Surgery Stony Brook, New York

North Fork Radiology Riverhead, New York

North Shore Hyperbarics Great Neck, New York

Northeast Hand Specialists New York, New York

NY Medical Skin Solutions New York, New York

Oneonta Surgical Associatives New York, New York

Oppenheim & Degen, Neurological Surgeons, LLP West Nyack, New York

Orange County Psychiatric Services Goshen, New York

Orthopaedic Associates of Manhasset Great Neck, New York

Orthopedic Associates of Dutchess County Poughkeepsie, New York

Orthopedic Spine Care of Long Island, PC Huntington, New York

Pain Institute of Long Island Port Jefferson, New York

Park Avenue Medical Professionals New York, New York

Patel MDs New York, New York

Pathology, Molecular, Cell-Based Medicine New York, New York

Pediatric ENT Associates Amherst, New York

Plastic Surgeons of the Hudson Valley Poughkeepsie, New York

Plastic Surgery of Westchester Harrison, New York

Premium Medical Care Flushing, New York

Priority 1 Urgent Care Guilderland, New York

Propeak Sports Medicine, LLC Huntington, New York

Rachel Farkas Surgery Rochester, New York

RC Wellness Medical, P.C. Brookly, New York

Rene Eng, MD Gastroenterology New York, New York

Rhinebeck Surgical Rhinebeck, New York

Richard A. Schoor MD, PC Urology Smithtown, New York

Richard G Gagnier MD Internal Medicine New York, New York

Riverdale Medicine LLP Bronx, New York

Robert T. Grant, MD New York, New York

Rochester General Surgery Rochester, New York

Rochester Regional Health Surgery / Breast Rochester, New York

Rye Radiology Assoc., LLP Rye Brook, New York

Saratoga Springs Pathology, PC Saratoga Springs, New York

Scot Bradley Glasberg, M.D. New York, New York

Sefan G. Chevalier, DO, PC New York, New York

Shah Plastic Surgery New York, New York

Shidong Su, MD, PC Flushing, New York

Soho Otolaryngology PC New York, New York

Spine Medical Services, PLLC Hauppauge, New York

Steven Fried, MD, PC Pediatrics Great Neck, New York

Suffolk Plastic Surgeons Setauket, New York

Syosset Endocrinology Syosset, New York

The Brooklyn Gynecological Society Brooklyn, New York

The Plastic and Reconstructive Surgery Group, PC Poughkeepsie, New York

Thomas P. Sterry, MD, PC New York, New York

Tribeca Radiation New York, New York

Troy Urology Associates Troy, New York

UB Neurosurgery, Inc. Buffalo, New York

Wai Lap Leung, MD New York City, New York

Weihong Yan OBGYN Queens, New York

Westchester - Bronx OB/GYN Group Yonkers, New York

Wu Xuxia Medicine PC New York, New York

Xiao Huifang Obstetrics & Gynecology PC Flushing, New York

City Derm NYC New York

Carolina Neurosurgery & Spine Associates Charlotte, North Carolina

Central Carolina Surgery, PA Greensboro, North Carolina

Coastal Plains Pathology Associates Wilson, North Carolina

Charlotte Radiology Charlotte, North Carolina

Criswell & Criswell Plastic Surgery North Carolina

Digestive Disease Center Goldsboro, North Carolina

Eastern Carolina Pathology Associates Wilson, North Carolina

Eastern Medical Associates, PA Goldsboro, North Carolina

ECEP II, PA Wilmington, North Carolina

Forsyth Plastic Surgery Winston-Salem, North Carolina

GEMS Goldsboro, North Carolina

Goldsboro Pediatrics, PA Goldsboro, North Carolina

Graper Harper Cosmetic Surgery Charlotte, North Carolina

Huggins Surgical Conover, North Carolina

Longleaf Medical Pinehurst, North Carolina

Mario A Cerame, MD Rocky Mount, North Carolina

Miles Surgical, PLLC Wilmington, North Carolina

North Raleigh Plastic Surgery Raleigh, North Carolina

Novant Bariatric Surgery Kernersville, North Carolina

Port City Neurosurgery & Spine Wilmington, North Carolina

Raleigh Neurosurgical Clinic, Inc. Raleigh, North Carolina

Rex UNC Hospitalists at Wayne Memorial Goldsboro, North Carolina

Shelby Pathology Group Shelby, North Carolina

UNC Surgical Specialists at Goldsboro Goldsboro, North Carolina

Wake Emergency Physicians, PA Raleigh, North Carolina

Wake Plastic Surgery Cary, North Carolina

Wayne Radiologists, P.A. Goldsboro, North Carolina

Wilmington Pathology Associates North Carolina

Affiliated Dermatology and Cosmetic Surgery Centers Inc. Ohio, Ohio

Akron Dermatology Akron, Ohio

Associates in Dermatology, Inc Westlake, Ohio

Blanchard Valley Medical Associates Findlay, Ohio

City Dermatology and Laser Cincinnati, Ohio

Columbus Skin Surgery Center Dublin, Ohio

Community Emergency Medicine Partners Centerville, Ohio

Dermatology & Surgery of So. Ohio, Inc. Fairfield, Ohio

Dermatology and Skin Care Associates Mason, Ohio

Dermatology Associates, Inc. Perrysburg, Ohio

Donna Krummen, M.D., Plastic and Reconstructive Surgery

Cincinnati, Ohio

Dr. Rodney A. Green, M.D., FACS Lyndhurst, Ohio

Emergency Medicine Specialists, Inc. Miamisburg, Ohio

Fairlawn Dermatology Akron, Ohio

Gray Derm Lima, Ohio

Hilltop Ambulatory Surgery Center LLC Lyndhurst, Ohio

HMT Dermatology Associates, Inc. Medina, Ohio

Jaye E. Benjamin M.D. Dermatology Willoughby, Ohio

Kenneth L. Arsham, MD Beachwood, Ohio

Kenwood Dermatology Cincinnati, Ohio

Lima Pathology Associates Lima, Ohio

Mid-Ohio Emergency Services, LLC Columbus, Ohio

Oakview Dermatology LLC Athens, Ohio

Ohio Skin Care Institute Columbus, Ohio

Paragon Women’s Care Dayton, Ohio

PhoenixDerm Canton, Ohio

Physicians Emergency Services, Inc. Ravenna, Ohio

Preferred Plastic Surgery Dayton, Ohio

Surfield Plastic Surgery Sandusky, Ohio

Surgical Associates of Springfield, Inc Springfield, Ohio

Universal Dermatology & Vein care Columbus, Ohio

Wheatland Dermatology St. Marys, Ohio

AMG St John Neurosurgery Tulsa, Oklahoma

Emergency Physicians of Midwest City Midwest City, Oklahoma

Neuroscience Specialists Oklahoma City, Oklahoma

Spectrum Dermatology Edmond, Oklahoma

St. John Emergency Physicians Tulsa, Oklahoma

The Pathology Group, PC Oklahoma City, Oklahoma

Marys Peak Emergency Physician Oregon

Movassaghi Plastic Surgery Eugene, Oregon

NW Dermatology Institute Portland, Oregon

Pathology Consultants, PC Springfield, Oregon

Pursuit Sports Medicine Portland, Oregon

Abington Emergency Physician Associates (AEPA) Abington, Pennsylvania

Argires Marotti Neurosurgical Associates of Lancaster Lancaster, Pennsylvania

Bucks ENT Langhorne, Pennsylvania

Center for Colon and Rectal Health, Inc. Langhorne, Pennsylvania

Clarke and Company Pathology, Inc. Pittsburgh, Pennsylvania

Clinical Gastrointestinal Associates, PC Langhorne, Pennsylvania

David F. Dieteman, M.D., Inc. Erie, Pennsylvania

Doylestown Emergency Associates Doylestown, Pennsylvania

Geisinger Dermatology- Scenery Park, State College, PA State College, Pennsylvania

Institute for Respiratory and Sleep Medicine Yardley, Pennsylvania

Koka Cardiology Philadelphia, Pennsylvania

Main Line Pathology Associates, P.C. Wynnewood, Pennsylvania

Main Line Plastic Surgery Bryn Mawr, Pennsylvania

Margaret S. Lally, MD, LLC Pittsburgh, Pennsylvania

Nephrology and Hypertension Associates Langhorne, Pennsylvania

O’Toole Plastic Surgery Pennsylvania

Penn Neurologic Associates Warrington, Pennsylvania

Ran Stark MD PC Bryn Mawr, Pennsylvania

Scot R. McKenna, MD, FACS Scranton, Pennsylvania

Scott JM Lim, DO, LLC Erie, Pennsylvania

Spring Ridge Plastic Surgery Wyomissing, Pennsylvania

Swarthmore Pediatrics Swarthmore, Pennsylvania

United Anesthesia Services, P.C. Plymouth Meeting, Pennsylvania

Westmoreland Emergency Medicine Specialists Greensburg, Pennsylvania

Lydia L. Klufas, MD Dermatology Cumberland, Rhode Island

Northeast Institute of Plastic Surgery Warwick, Rhode Island

Rhode Island Dermatology Society East Greenwich, Rhode Island

Rhode Island Medical Imaging Warwick, Rhode Island

South County Anesthesia Associates, LLC Wakefield, Rhode Island

Vida Gynecology Greenville, South Carolina

Anesthesiology of Greenwood Greenwood, South Carolina

Anesthesiology Services of Anderson Anderson, South Carolina

Camden Bone and Joint Camden, South Carolina

Carolina Geriatric Specialists Sumter, South Carolina

Carolina Musculoskeletal Institute Aiken, South Carolina

Charleston Allergy and Asthma Charleston, South Carolina

Cheraw Pediatrics Cheraw, South Carolina

Coastal Cancer Center Myrtle Beach, South Carolina

Coastal Vascular and Vein Charleston, South Carolina

Consultants in Gastroenterology, PA West Columbia, South Carolina

Dermatology Associates of the Lowcountry. Okatie, South Carolina

Dermatology Associates, PA Greenville, South Carolina

EmergencyMD LLC Greenville, South Carolina

Foothills Anesthesia Consultants Spartanburg, South Carolina

Highlands Center for Women Greenville, South Carolina

Jeffrey Siegel, MD Greenville, South Carolina

LCMA Lake City, South Carolina

McLeod Emergency Physicians Florence, South Carolina

Midlands Orthopaedics & Neurosurgery Columbia, South Carolina

OrthoSC Myrtle Beach, South Carolina

Pitts Radiology Associates Columbia, South Carolina

Plastic Surgery Consultants LLC South Carolina

Southern Coast Pain Specialists Beaufort, South Carolina

Stokes Regional Eye Centers Florence, South Carolina

The Facial Surgery Center Charleston, South Carolina

Weniger Plastic Surgery Bluffton, South Carolina

Anesthesiology Associates, Inc. Sioux Falls, South Dakota

Black Hills Neurosurgery & Spine Rapid City, South Dakota

Dakota Dermatology South Dakota

Physician’s Laboratory, LTD Sioux Falls, South Dakota

Anatomic and Clinical Laboratory Associates Nashville, Tennessee

Anesthesia and Pain Consultants Johnson CityTennessee

Caroline H Chester , MD, PC Nashville, Tennessee

Complete Breast Care Knoxville, Tennessee

Daniel A. Hatef, MD Nashville, Tennessee

Dermatopathology Partners Knoxville, Tennessee

EmergiTrust Franklin, Tennessee

Innova Dermatology Hendersonville, Tennessee

Knoxville Center for Dermatology and Plastic Surgery Knoxville, Tennessee

Middle Tennessee Emergency Physicians Nashville, Tennessee

Nashville Skin Nashville, Tennessee

Nashville Vascular and Vein Institiute Nashville, Tennessee

PathGroup Nashville, Tennessee

Premier Surgical Associates Knoxville, Tennessee

Semmes-Murphey Clinic PC Memphis, Tennessee

Tennessee Orthopedic Clinic Knoxville, Tennessee

The Skin Wellness Center Knoxville, Tennessee

The Surgical Clinic Nashville, Tennessee

University Physician's Association (UPA) Knoxville, Tennessee

University Surgical Associates Chattanooga, Tennessee

University Surgical Associates Chattanooga, Tennessee

Wright Dermatology, PLLC Medina, Tennessee

ADAGIO Dermatology & Aesthetics Tyler, Texas

American Institute of Toxicology Laboratories (AIT Labs, A HealthTrackRx Company)

Denton, Texas

Arlington Plastic Surgery Dallas, Texas

Banerji Plastic Surgery Houston, Texas

Baylor Scott and White Emerus 24 Hour Physicians PA Dallas, Texas

Beaumont Emergency Medicine Associates Beaumont, Texas

Central Texas Colon and Rectal Surgeons Austin, Texas

Cocco Clinique MD Dallas, Texas

CompRad Houston, Texas

Dermatology & Skin Surgery Institute of North Texas Frisco, Texas

Elect Dermatology New Braunfels, Texas

Family Emergency Room at Georgetown Georgetown, Texas

General and Vascular Surgery of Ennis Ennis, Texas

Innovative Dermatology, PA Plano, Texas

JPS Pathology Fort Worth, Texas

Juno Health Clinic La Grange, Texas

Laboratory Physicians Association Dallas, Texas

Leading Edge Medical Associates Longview, Texas

Livingston Plastic Surgery Houston, Texas

Lone Star Anesthesia Consultants Amarillo, Texas

MD Pathology Plano, Texas

Michelle Hebert, MD (Gulf Coast Pathology Associates) Conroe, Texas

Midland Emergency Management Midland, Texas

North Hills Family Medicine Keller, Texas

Pathology Associates of San Antonio / Pathology Reference Laboratory

San Antonio, Texas

Physicians PremiER ER Corpus Christi, Texas

Radiology & Imaging of South Texas LLP Corpus Christi, Texas

Regional Pathology Associates Victoria, Texas

Rio Grande Pathology Services, PA El Paso, Texas

Robert J Schwartz MD PA Dallas, Texas

Shannon M Juno, MD, PA OB/GYN La Grange, Texas

South Texas Pathology Associates San Antonio, Texas

South Texas Radiology Group San Antonio, Texas

Texas Spine & Neurosurgery Center, PA Sugar Land, Texas

The Craniofacial & Plastic Surgery Center Houston Houston, Texas

Thrive Family Dermatology, PLLC Allen, Texas

Tyler Neurosurgical Associates, P.A. Tyler, Texas

Valley Emergency Physicians, LLP Harlingen, Texas

Victoria Anesthesiology Associates, LLP Victoria, Texas

Warthan Dermatology Fort Worth, Texas

William S Gilmer MD PA Houston, Texas

WLS Surgical Associates Dallas, Texas

Interwest Anesthesia Associates Logan, Utah

Mountain West Anesthesia, LLC Salt Lake City, Utah

North Valley Emergency Physicians American Fork, Utah

Utah Cosmetic Surgery Murray, Utah

Utah Emergency Physicians Salt Lake City, Utah

Utah Pathology Services Salt Lake City, Utah

Advanced Dermatology Virginia

Alexandria Associates in Dermatology Alexandria, Virginia

Allergy Asthma and Immunology institute Lansdowne, Virginia

Amer Saba, MD Hand and plastic Surgeon Vienna, Virginia

Atlantic Orthopaedic Specialists Virginia Beach, Virginia

Carol Currey, MD and Robert DeAngelis, MD Springfield, Virginia

Charlottesville Dermatology Charlottesville, Virginia

Chesapeake Emergency Physicians Chesapeake, Virginia

Clear Dermatology Ashburn, Virginia

Coastal Plastic Surgery Virginia Beach, Virginia

Commonwealth Anesthesia Associates Richmond, Virginia

Commonwealth Emergency Physicians Leesburg, Virginia

Congressional Plastic Surgery Vienna, Virginia

Cutting Edge Dermatology PLLC Norton, Virginia

DermUtopia, PLLC Brenda Dintiman, MD Vienna, Virginia

Dominion Pathology Laboratories Norfolk, Virginia

Dr. Nicole Hayre Dermatology McLean, Virginia

Emergency Physicians of Tidewater Virginia Beach, Virginia

Family dermatology of Albemarle PLC Charlottesville, Virginia

Hallmark Plastic Surgery Winchester, Virginia

Mid Atlantic Plastic Surgeons Annandale, Virginia

Mid-Atlantic Pathology Services, Aurora Diagnostics Virginia, Virginia

National Center for Plastic Surgery McLean, Virginia

New River Dermatology Blacksburg, Virginia

Pathology Consultants of Central Virginia Lynchburg, Virginia

Peninsula Pathology Associates Newport News, Virginia

Plastic Surgery Specialists Williamsburg, Virginia

Premier Dermatology PC Ashburn, Virginia

PRW Laboratories Charlottesville, Virginia

Richmond Emergency Physicians, Inc. (REPI) Richmond, Virginia

Riverside Emergency Physicians Newport News, Virginia

Roberta Gartside, MD, FACS Reston, Virginia

Shenandoah Dermatology Staunton, Virginia

The Art and Science of Dermatology, P.C. Roanoke, Virginia

The Spine Care Center Manassas, Virginia

Verum Cutis Dermatology Ashburn, Virginia

Williamsburg Emergency Physicians, Inc Williamsburg, Virginia

Winchester Anesthesiologists, LLC Winchester, Virginia

Advanced Dermatology & Skin Surgery, PLLC Spokane, Washington

Associated Emergency Physicians, Inc,, P.S. Renton, Washington

Bellingham Anesthesia Associates, PS Bellingham, Washington

Cascade Emergency Associates Longview, Washington

Eastside Emergency Physicians Issaquah, Washington

EMA Vancouver, Washington

Evergreen Emergency Services Seattle, Washington

Mt Rainier Emergency Physicians Puyallup, Washington

Northwest Pathology, P.S. Bellingham, Washington

Olympia Emergency Services PLLC Olympia, Washington

South Sound Surgical Associates Olympia, Washington

Spokane Emergency Care Physicians Spokane, Washington

Swedish Surgical Specialists Seattle, Washington

Tacoma Emergency Care Physicians Tacoma, Washington

Western Washington Emergency Physicians Tacoma, Washington

Yarrow Bay Plastic Surgery Kirkland, Washington

CellNetix Pathology Washington

Bandak Plastic Surgery Charleston, West Virginia

General Anesthesia Services, Inc. Charleston, West Virginia

Associated Pathologists, S.C. Madison, Wisconsin

Barbara A Hummel, MD., SC Greenfield, Wisconsin

Emergency Medicine Associates of Madison Madison, Wisconsin

Emergency Medicine Specialists, SC Milwaukee, Wisconsin

ERMED, SC Milwaukee, Wisconsin

Madison Emergency Physicians Madison, Wisconsin

North Shore Pathologists, SC Wisconsin, Wisconsin

Peterson Dermatology, S.C. Dodgeville, Wisconsin

High Plains Surgical Associates Gillette, Wyoming