Short story: patient for several years, front desk staff is great, uncaring bedside manner and inflicting huge unnecessary pain on a biopsy has left me traumatized. Long story: I have seen Christine at Epiphany (formerly Peak) Dermatology in downtown Littleton for several years for skin cancer checks. I've always been a little put off by how quickly my appointments are and how impersonal my care felt, but I trusted Christine so I sacrificed some of my comfort as a patient. However, my most recent experience has left me really upset and feeling violated. Last month for the first time, I had two pre-cancer spots that needed to be removed. During my appointment, Christine spotted a cluster at the tip of my nose and without warning, grabbed a tool and burned the skin off. I was ok with removing this spot, but I had zero warning for this to happen. I was shaken up, this was quick and painful and to be honest I felt violated. On the bottom of my foot, Christine found a mole that needed to be removed and biopsied. The only warning I got for this was her saying "You don't have plans this weekend, do you?" Again, I understand this spot needed to be removed, and I had signed a consent form for its removal, but I was left really unprepared for what followed. Christine perform a brutal punch biopsy to the ball of my foot, needing several cauterizations and deep stitches. I was told to "stay off it" and was sent home with bandages and Aquaphor. The sutures were really painful, and it was altogether horrible to walk on. For the last three weeks, I've been in bed, nearly unable to walk, and had to cancel all plans and call out of work. I returned two weeks later to get the non-dissolvable sutures removed, the assistant who performed the removal did not offer to numb the area, causing the worst pain (outside of childbirth!) I've ever experienced. It was never offered to me to numb this area - not before starting, or even when I was yelling things over and over like "Oh my god that is really painful!" After the last stitch was removed, I crawled to the floor and fainted, and the employee left the room and closed the door, saying, "I'll give you a minute." She later blamed me for not asking for a numbing shot, saying "You should have asked to have it numbed, I didn't know it was an option." While I was on the floor, Christine visited me and again was brusque, impersonal, and uncaring. She didn't stay long, and was busy visiting with pharmaceutical sales reps just outside. I was completely unprepared for the impact of this procedure. Christine asked what I was doing THAT weekend, she did not prepare me to have a deep, open wound on the sole of my foot for a month. I have had to cancel all my plans, call out of work, and rely on others to cook, clean, and help care for my kids for the last THREE+ weeks. This procedure, especially the amount of easily avoidable pain I endured, has frankly left me traumatized. I understand it's hard to get in to see a dermatologist around here, but this office is NOT WORTH IT! I can't even drive by this building without wincing anymore. read more

I love Dr. Greene. He turns what could be a super awkward appointment (full body skin check) into something nearly approaching fun. He's great. read more

I had been an established patient at this office before it was purchased and folded into the Epiphany Network, whose sole goal appears to be acquisition and growth, as well as large, increased profits for the private equity firm providing the financial support for these buyouts. I am now charged $169.56 just to make an appointment, and this is with being an " established patient"?? I hate to see what others have to pay if they are not an established patient. While I have really trusted Dr Riley Greene, I can no longer justify the office's new rates and structure. Adding extra personnel adds extra expense and benefit costs, and the patients are footing the bill. So, I will not return. I hope their new business model pans out. FR read more

Incorrectly charged me. They were then told to refund me per my insurance company and are still refusing to do so. During my 7 minute visit that cost $200, the doctor told me "don't write me a bad review" which is wildly unprofessional in a medical setting. Not only did they not help me, but they billed me FULL PRICE, KNOWING THAT I HAVE MEDICAID. They told me I could pay cash for my visit since they do not take Medicaid, which is against the law. I still have not been refunded. read more

I do not recommend Epiphany. My wife made an appointment for me right before their acquisition by Epiphany when the business was called Peak. The appointment was supposed to be $100 and without telling us I showed up to a different business with a $300 appointment fee which I wasn't told about until checkout after my appointment. I had a minor freckle removed and tested so my total came to $549 which was pretty unbelievable for a 20 minute appointment. Afterwards the office told me I was supposed to get a refund. A week later the billing department called with a totally different breakdown of the price structure to equal the same amount which sounds an awful lot like they just reshuffled the price to avoid a refund. Very shady and very dissatisfied with that experience. read more

Dr Greene is outstanding! He came very highly recommended by my primary care physician as a referral and I couldn't be happier! I've been seeing him for years. He's an excellent doctor with great bedside manner, a wealth of experience and very caring. I have recommended him multiple times and many of my extended family members have become regular patients. read more

Both of our teenagers are under Peak Dermatology Care--if you're looking for a kind, compassionate, talented and experienced dermatologist + PA + staff who really listen--look no further! Christine treated us with respect and full understanding--her compassion in dealing with our skin "trials & tribulations" was much appreciated!! read more

Booked out to far. Even with the urgent need to see a doctor they are not able to accommodate. Look elsewhere if you need to actually see a doctor. read more

Do not go here. I went with a lesion that wouldn't heal. He said he thought it was squamous cell. He did a biopsy, said absolutely nothing during the procedure much. My assumption was he would let me know if it was positive & we would go from there. A week later I got a letter in the mail stating it was squamous cell cancer & that he'd gotten it all at the time of biopsy. I didn't like the letter thing & asked for a copy of the pathology report. The pathology report said 'DEEP MARGINS POSITIVE", meaning he didn't get it all. It said "treated with ED&C at time of biopsy". This doesn't ensure it was all removed. I had to go to UC Dermatology and have my arm cut open to rebiopsy & be sure all cancer was removed. Was told by them & other doctors this is "poor medicine". UC Dermatology told me based on my description, it likely was some sort of cancer that is usually superficial. My guess is this MD was betting on the odds that he got it all because he clearly wasn't looking at specimens as he cauterized. I would go somewhere more reputable than this place. This is absolutely NOT the way any dermatologist should treat potential skin cancer or their patients. read more

Made an appointment, confirmed with rude front desk lady everything was squared away with insurance. Two months later still hassled by these people for bills claiming our insurance was not confirmed. Front desk lady continues to be rude and unhelpful. It's been a mess dealing with these people. It's all a money laundering scheme. read more

My old office refused to see me for three months when I had a rash on my face. Peak Dermatology got me in quickly even though I was a new patient. I got to see the doctor, not a PA or nurse. Dr. Green is wonderful. He is kind, thorough, and uses up to date medications unlike the previous doctor I used to go to. The staff is friendly and professional. read more

Doc Greene is amazing. I really appreciate his easy-going demeanor and attentiveness to detail. As for some of these insurance-related reviews, I would posit that it is incumbent upon the patient to check their insurance website for a participating provider prior to making an appointment. read more

I'd give them 10 stars, if I could! Always available, friendly, so thorough - checking for everything under the sun (literally). Dr. Greene is the best of the best and I've seen a LOT of derms! He's also funny and puts one at ease. Can't recommend enough! read more

My wife and I have been seeing Dr. Green for about 5 years. He is the best dermatologist we have encountered over the decades. Not only is he expert in diagnosing and treating skin issues, but his broad medical knowledge permits him to relate skin issues to other medical conditions. We also like his sense of humor. read more

I hear great things about Dr. Greene. However, I had Dr. Serota. I went into Peak Dermatology to have concerning red spots on my torso evaluated (one of which turned into a serious abscess) and a blemish on my nose. Upon entering the facility, I was shown to the examination room by a nurse who had an insincere composure. Shortly after this, Dr. Serota stepped in. As I explained my symptoms to Serota, I could see his eyes gloss over. His inattentiveness was very condescending; there were multiple instances I noticed where he practically rolled his eyes, broke eye contact, and moved about the room while I was explaining what I thought may have been going on. Luckily, he did solve my concern about the blemish on my nose, but Serota was useless when it came to giving an evaluation of the spots on my torso. After asking him if there was anymore he could say/do to help mitigate the spots or at least trace how they might've derived, he acted annoyed and implied he wanted me out of his office. I was surprised at is how this appointment went, especially considering Peak Dermatology's current near-5-star rating. When you're already going through pain and concern about your body, the last thing you want is to have a professional basically say there's nothing wrong and cut the appointment short, as if you aren't already supporting their business. I don't know if Dr. Serota was having a bad day, or if this is just his temperament, but because of this experience, I do not recommend going to Peak Dermatology. read more

Dr Greene and his staff are the absolute best! I have sent my entire family to Dr Greene. I have been seeing Dr Greene for over six years and I have NEVER had anything but an exemplary experience. I see him for normal dermatology care and injectables. The clinic has parking right next to the building. The office is updated and very clean. Lorraine always has a smile on her face as soon as you walk through the door and handles all billing and scheduling questions quickly. The phones are very busy and I'm always impressed on her ability to multi-task with a smile on her face. I can always get in to be seen within a reasonable time frame - other dermatologists have made me wait up to four months to be seen. The staff is always professional and courteous. The office is always running on time so mine is never wasted by sitting in the waiting room for long periods waiting to be seen. Dr Greene shows how much he cares about his patients by giving the time necessary to answer all questions etc. I have never felt rushed out if there. He consistently cares more about patient care than profit by being realistic in your care and not advising you to do unnecessary procedures. I have sensitive skin and HS so I'm prone to skin problems. He's managed to get my HS completely under control which no other dermatologist was able to do. He does a fantastic job on my injectables. He never overfills me and keeps my face looking natural so none of my friends have a clue I even get them. He's without a doubt my favorite doctor! read more

FYI. They won't tell you up front, but they don't take a lot of insurances. Once you get there, they just deny seeing you. Make sure to ask or maybe go to a place that is a little more upfront. read more

First time visit today and I have to share my horrible experience with both Doctor Green and his nurse Toni . I parked at 8:59am for my 9am appointment and walked right in to their first floor office. Parking is just next to the building and very easy and quick. I filled out paperwork for about 5 minutes then my name was called back by Nurse Toni. She didn't introduce herself, smile, or ask how my day was doing. (No welcome in any way). I was then walked back to a room where she started asking me questions about why I was there today. I brought it to her attention that I didn't even know her name so she then said "Toni". I mentioned that usually a nurse will introduce themselves. She gave me a reason of the lack of introduction for them being behind schedule today. I was then told to undress. Not 2 minutes later, a knock at the door. I was half naked and said "still undressing". It was Doctor Greene who then gave me a couple more minutes and entered the room at 9:11am. Upon meeting him, he seemed pleasant. We got started right away with a full skin check to check for new skin cancer spots. In walks nurse Toni with no knock knowing I could be exposed out of my gown during the skin check. She stood in the corner until Doctor Greene told me no new cancer spots then Toni exited without saying anything. After her exit, I shared with Doctor Greene that Toni's bedside manner was horrible. He then proceeded to tell me it was because I was late to my appointment!!! (Which I was not-I walked in the door right at my 9am slot). Doctor Greene confirmed he only allots 20 minute increments for appointments. So hold on...as a new patient I was not told to get there early to fill out paperwork or emailed the paperwork in advance to complete, and was undressed and starting a skin check by (9:11am he made sure to state) . He said I, the patient, didn't get back to the room until 9:05am. I guess he didn't take in consideration of me being a new patient needing to fill out their paperwork. This gets worse folks. At this point I started to just feel like a 20 minute appointment organ of skin to them. I felt very unvalued as a human and patient and started to cry a little. The look on Doctor Greene's face was horrible! "Ah, I hate it when new patients come and cry on their first time" he said!!!! "Wow, this must be a pattern for your office then" I replied. He quickly stated "no". He agreed that their tight schedule is no excuse for poor bedside manner and apologized. He then stated maybe our relationship as patient and doctor wasn't a good fit. At this point I was feeling even more de-humanized when I did nothing wrong. If I was going to be late, I definitely would have called to give them the courtesy heads up. Hold on, it get's worse! He exited the room and started speaking to Nurse Toni on the other side of the door. Apparently he thinks their doors are sound proof, which they are not. I could hear everything as I was getting dressed. He started to talk in a demeaning way to nurse Toni stating that they need to "fucki*g eat crow and deal with the situation". I didn't realize being kind to patients was "fuck*ng eating crow" After paying my $40 co pay, I advised nurse Toni and Lorrain the receptionist, that they may want to let Doctor Greene know his doors are not as think as he may thick and that I heard the whole conversation about "fucki*ng eating crow" This may explain why the staff at Peak Dermatology may be so rude. I can see that other reviews on here report poor staff service. It appears that the toxic and anal environment is stemming down from Doctor Greene. If 20 minute increments of dermatology is all you need by a doctor and staff who care more about staying on schedule than their manners and retention of their patients, then by all means...check out Peak Dermatology. But if you appreciate being treated like a human, and not a piece of skin, who wants a doctor and nurse who cares to get to know you as a person, please search elsewhere for a doctor who will be monitoring and caring for your largest organ on your body! Please let me know if you have found a caring dermatologist in the Littleton area as I'm gong to keep looking. read more

I have been going to Dr Greene for 3 years. I am very critical on doctors & I really like Peak Dermatology. Thanks Dr G

I saw Dr Green last year and he seems very nice and through. So I booked another appointment the following year. Despite I had to wait 2 months for the appointment, and my insurance was the same as before, I was embarrassed in front of several people in the waiting room, when the reception announced that the doctor would not accept my insurance and asked me to leave. Again, my insurance were the same insurance the year before. She could have talked to me privately, but did not. Extremely dissapointed in the way I was treated . read more

I was scheduled for a first time appointment hours prior due to an opening that came up (otherwise I would have had to wait several weeks). I relayed that I had never been there and would do my best to find the location and parking with the recent heavy snow fall. I had trouble finding both and called the receptionist who didn't provide me with the help I needed as I was still unable to find the location given her (limited) directional assistance. I very quickly received a $50 no-show bill and called to relay that I didn't think it was fitting given the circumstances. I was told the Dr. would not budge on the fee and I find this to be highly unprofessional. read more

Dr. Greene was so kind! I've never had a more positive experience at a doctors office. He is very compassionate.

Had 2 suspicious moles. Dr Riley Green was great. Very helpful, explained what kinds need immediate attention. Even answered questions about cosmetic options for aging skin. Highly recommend read more

I have been going to Dr green for Botox injections for years , very professional , takes time to hear your concerns, staff always welcoming. Lorraine at the front desk is always helpful parking good .. definitely recommend read more

I submitted a contact form on their website and waited a week to make an appointment but never heard back. I then called and the phone was answered with "Peak Dermatology Can you hold please thank you" all ine one breath and was then immediately placed on hold. I waited a few minutes and then they hung up on me. I am guessing they are understaffed or not in need of new business so I shall try elsewhere. read more

Had my first appointment with Dr. Greene - I am a fan. He answered questions, was informative and has a very kind demeanor. He is a CO native and a nice person. I would highly recommend him. read more

Dr Greene is a personable, truthful, well qualified doctor who is thorough, practical and very talented. He has helped me and my family so much in examinations, procedures and product advice, among many other valuable things. He is a straight-shooter who goes out of his way to make sure you are comfortable. He has a superb sense of humor. My family will never visit anyone but Dr Greene. Be advised: call first to see if he is available to see you as he is quite popular. Also, he accepts Medicare. read more

Amazing experience with Dr Greene. Went to the clinic yesterday and had a positive feeling right from the beginning. He took his time to explain everything and helped me with my problem I had. Highly recommend Peak dermatology and Dr Greene. Thank you! read more

I went to Dr. Howe about 10 months ago looking for a solution to my acne that had caused some scarring on my face. I had tried many different topical and oral treatments to no avail. After talking we decided I would start accutane, which completely cleared my acne. I have been off the drug for about 3 weeks, and everything looks good. He was very helpful every time I went in and made sure to spend time answering any questions I had, and talking me through the different side-effects I was having. On a couple of occasions he called me outside of appointment time where I talked with him about some concerns and it really was nice having a Dr. that cared about my overall health! Great office, and great Doctor! Highly recommend! read more

I can't say enough about Dr Greene. His knowledge and bedside manner are outstanding. He is very calming when you may be worried about something or uncomfortable and makes you feel at ease. I've sent my husband to him as well and he had nothing to say about Dr. Greene other than how kind he is. I was worried a couple months ago about a mole (that turned out to be normal..phew). I went to Peak Dermatologie's website and sent an email to get an appointment as soon as possible because I had so much anxiety. He PERSONALLY wrote me back on a Saturday and assured me that he would fit me in on Monday and he did. How often do you see such compassion and genuine caring in a Dr, esp a specialist (no offense other Dr's, lol)?? Many Dr's out there should take notes from this guy on how to treat your patients. read more

The most amazing doctor's office I have visited. Dr. Howe is amazing and very understanding how important it is to feel comfortable with your skin. Desiree goes above and beyond to assist Dr. Howe and is there for all of the patients. The front staff is also very accommodating with appointments and questions. Overall great experience, and look forward to my appointments. Would refer them to all my family and friends! read more

I recently moved to Littleton and needed to find a new Dermatologist for my annual skin check. I found Dr. Greene and Peak Dermatology through reading positive Google/Yelp reviews. They luckily were accepting new patients and was able to get an appointment a couple months out (which seemed like a common theme across the board with Dermatologists). I had a great experience. The staff was very friendly. Dr. Greene has a great bedside manner and if there were any spots I was concerned about, he talked me through them on why he wasn't concerned about them. He told me what I should look for going forward and referred me to different type of skin products that might help with any issues I am having. Overall, if you are looking for a Dermatologist that will listen to your concerns and provide guidance, this should be a place for you. read more

I really liked Dr Green. His bedside manner was very comforting and he was very thorough.

I love Dr. Greene! He is hands down one my favorite doctors. He always takes the time to answer your questions and he never makes you feel like you are on a time crunch when seeing him. I have seen him several times for mole checks and unlike other doctors he is very thorough and even takes the time to explain and educate. He is a wonderful dermatologist! read more

Dr. Greene has helped resolve multiple issues that I have experienced. He is friendly, knowledgeable and overall an outstanding dermatologist. read more

Front Office is a sham. Can't I've You a price Quote until after you have the procedure done and they bill your insurance.

Dr. Greene has an okay bedside manner and he listens, kind-of, but I can't help but feel a bit rushed the two times I've been there. I think he's a competent dermatologist, although I haven't liked all of the recommendations for interventions (due to prescription side effects). His front desk receptionist, Lorraine, is very personable and nice. Scheduling is hard...when I booked, they were 7, 8 weeks out. My experience today with his assistant, Toni (Tony?), was awful. She was snappy, rolling her eyes, huffing and sighing. She was not listening to what I said and seemed angry I wanted to talk to the doctor prior to getting dressed in a robe or, more importantly, having something removed. I just wanted to discuss the plan and mention something new and more concerning than the other reason I was there. I told him briefly what happened but he seemed relatively unconcerned and did not apologize for what I felt were rude behaviors from his assistant. If I were to return, I would not agree to have Toni participate in my care or treatment. Dr. Greene lost points with me too for not apologizing for his staff member. Update: Something I wanted removed apparently was just biopsied and...you guessed it, now it's recommended to be removed. Another visit for what reason? Why wasn't this done the first time??? I'm sufficiently frustrated to look elsewhere for continued care. read more

I went in recently for something small which probably could have been not examined and been fine, but I'm nervous about potential skin cancer due to my genetics. The office appears to have a new team which I was surprised by, but everyone was super nice and helpful. They did seem busy but never put out and remained calm, professional and friendly. My only suggestion is that I was able to hear the phone conversations the doctor was having with other patients right outside the exam room I was in. It could be a spacing issue (lack there of) or thin walls, but as a patient, I was uncomfortable hearing personal details about other patients. It's not a negative, just maybe there could be another option for the doctor to make calls elsewhere? I felt bad that I could not get away from listening. If space is the issues, maybe try overhead music to distract? Just a suggestion! Thanks for all you do and for taking care of me! read more

Front office is so rude. Always impolite on phone. Appointments are always rushed. Doctor was very nice. I'd rather never speak to front desk lady again. She pays more attention to her phone then patients. When she does talk to you , you feel like your bothering her. This was my first visit to a dermatologist. Not very impressed! read more

I've been a patient here for two years and I highly recommend Dr.Greene. He has great bed side manner, good sense of humor and makes sure that you're on the same page. The staff is also very friendly! read more