Premier Procedural Dermatology PLLC
NPI 1053969287 · MOHS-Micrographic Surgery Physician · College Station, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Procedural Dermatology PLLC is a MOHS-Micrographic Surgery Physician organization in College Station, TX (NPI 1053969287).
Provider details
- NPI number
- 1053969287
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Ahern, Provider/Owner(979) 314-5400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2020-04-03
- Certified
- 2020-04-03
Frequently asked questions
- What is Premier Procedural Dermatology PLLC's NPI number?
- Premier Procedural Dermatology PLLC's National Provider Identifier (NPI) is 1053969287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Procedural Dermatology PLLC?
- Premier Procedural Dermatology PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Procedural Dermatology PLLC located?
- Premier Procedural Dermatology PLLC's practice location on file with NPPES is 1651 Rock Prairie Rd Ste 103, College Station, TX 77845-8652.
- What is Premier Procedural Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Procedural Dermatology PLLC is (979) 314-5400.
- Does Premier Procedural Dermatology PLLC accept Medicare?
- Premier Procedural Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Procedural Dermatology PLLC?
- The authorized official listed on Premier Procedural Dermatology PLLC's NPPES record is Ryan Ahern, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Procedural Dermatology PLLC's NPI active?
- Yes — Premier Procedural Dermatology PLLC's NPI (1053969287) is active in the NPPES registry as of the last update on 2020-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.