Proderm PLLC
NPI 1184410987 · MOHS-Micrographic Surgery Physician · Austin, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proderm PLLC is a MOHS-Micrographic Surgery Physician organization in Austin, TX (NPI 1184410987).
Provider details
- NPI number
- 1184410987
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sydney Proffer, Sole Member(512) 535-6000
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
1 yr 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
Other names (DBA / former)
- Doing business as
- Proderm Skin & Surgery
- Doing business as
- Proderm Skin & Surgery
Registry dates
- Enumerated
- 2025-04-17
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Proderm PLLC's NPI number?
- Proderm PLLC's National Provider Identifier (NPI) is 1184410987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proderm PLLC?
- Proderm PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Proderm PLLC located?
- Proderm PLLC's practice location on file with NPPES is 4516 Seton Center Pkwy, Austin, TX 78759-5370.
- What is Proderm PLLC's phone number?
- The practice phone number listed in the NPPES registry for Proderm PLLC is (512) 535-6000.
- Does Proderm PLLC accept Medicare?
- Proderm 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 Proderm PLLC?
- The authorized official listed on Proderm PLLC's NPPES record is Sydney Proffer, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proderm PLLC's NPI active?
- Yes — Proderm PLLC's NPI (1184410987) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.