Riverside Plastic Surgery LLC
NPI 1255766788 · Plastic and Reconstructive Surgery Physician · Greenville, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician organization in Greenville, SC (NPI 1255766788).
Provider details
- NPI number
- 1255766788
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brent Moister, Owner(864) 697-2009
- License
- 36140 (SC)
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
12 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
- 2013-09-03
- Last updated
- 2018-07-18
Frequently asked questions
- What is Riverside Plastic Surgery LLC's NPI number?
- Riverside Plastic Surgery LLC's National Provider Identifier (NPI) is 1255766788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Plastic Surgery LLC?
- Riverside Plastic Surgery LLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Riverside Plastic Surgery LLC located?
- Riverside Plastic Surgery LLC's practice location on file with NPPES is 24 Memorial Medical Dr, Greenville, SC 29605.
- What is Riverside Plastic Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Riverside Plastic Surgery LLC is (864) 697-2009.
- Does Riverside Plastic Surgery LLC accept Medicare?
- Riverside Plastic 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 Riverside Plastic Surgery LLC?
- The authorized official listed on Riverside Plastic Surgery LLC's NPPES record is Brent Moister, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Plastic Surgery LLC's NPI active?
- Yes — Riverside Plastic Surgery LLC's NPI (1255766788) is active in the NPPES registry as of the last update on 2018-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.