Dermatology and Mohs Surgery Skin Cancer Center
NPI 1124763479 · Dermatology Physician · Branson, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology and Mohs Surgery Skin Cancer Center is a Dermatology Physician organization in Branson, MO (NPI 1124763479).
Provider details
- NPI number
- 1124763479
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrienne Schupbach, Owner/Physician(309) 533-8899
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Additional practice locations (5)
- 520 E 32nd StJoplin, MO 64804-3904Phone: (417) 336-0033Fax: (855) 710-6552
- 914 AlexisLebanon, MO 65536-6802Phone: (417) 336-0033Fax: (855) 710-6552
- 2200 E Cleveland StMonett, MO 65708-6149Phone: (417) 336-0033Fax: (855) 710-6552
- 10101 Stoltz DrRolla, MO 65401-7714Phone: (417) 336-0033Fax: (855) 710-6552
- 1230 E Kingsley St Ste aSpringfield, MO 65804-7231Phone: (417) 336-0033Fax: (855) 710-6552
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Dermatology and Mohs Surgery Skin Cancer Center's NPI number?
- Dermatology and Mohs Surgery Skin Cancer Center's National Provider Identifier (NPI) is 1124763479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Mohs Surgery Skin Cancer Center?
- Dermatology and Mohs Surgery Skin Cancer Center is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology and Mohs Surgery Skin Cancer Center located?
- Dermatology and Mohs Surgery Skin Cancer Center's practice location on file with NPPES is 110 Business Park Dr Ste C, Branson, MO 65616-7449.
- What is Dermatology and Mohs Surgery Skin Cancer Center's phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Mohs Surgery Skin Cancer Center is (417) 336-0033.
- Does Dermatology and Mohs Surgery Skin Cancer Center accept Medicare?
- Dermatology and Mohs Surgery Skin Cancer Center 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 Dermatology and Mohs Surgery Skin Cancer Center?
- The authorized official listed on Dermatology and Mohs Surgery Skin Cancer Center's NPPES record is Adrienne Schupbach, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Mohs Surgery Skin Cancer Center's NPI active?
- Yes — Dermatology and Mohs Surgery Skin Cancer Center's NPI (1124763479) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.