Grace Dermatology & Micrographic Surgery LLC
NPI 1184973828 · Medical Specialty Clinic/Center · Lebanon, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Dermatology & Micrographic Surgery LLC is a Medical Specialty Clinic/Center organization in Lebanon, OR (NPI 1184973828).
Provider details
- NPI number
- 1184973828
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Horner, Owner(206) 465-8046
- License
- MD153145 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-09-07
- Last updated
- 2012-11-26
Frequently asked questions
- What is Grace Dermatology & Micrographic Surgery LLC's NPI number?
- Grace Dermatology & Micrographic Surgery LLC's National Provider Identifier (NPI) is 1184973828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Dermatology & Micrographic Surgery LLC?
- Grace Dermatology & Micrographic Surgery LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grace Dermatology & Micrographic Surgery LLC located?
- Grace Dermatology & Micrographic Surgery LLC's practice location on file with NPPES is 2500 S Main Rd, Lebanon, OR 97355-2336.
- What is Grace Dermatology & Micrographic Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Grace Dermatology & Micrographic Surgery LLC is (206) 465-8046.
- Does Grace Dermatology & Micrographic Surgery LLC accept Medicare?
- Grace Dermatology & Micrographic Surgery LLC 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 Grace Dermatology & Micrographic Surgery LLC?
- The authorized official listed on Grace Dermatology & Micrographic Surgery LLC's NPPES record is Kyle Horner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Dermatology & Micrographic Surgery LLC's NPI active?
- Yes — Grace Dermatology & Micrographic Surgery LLC's NPI (1184973828) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.