Pioneer Dermatology LLC
NPI 1639045321 · Dermatology Physician · Lees Summit, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pioneer Dermatology LLC is a Dermatology Physician organization in Lees Summit, MO (NPI 1639045321).
Provider details
- NPI number
- 1639045321
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Berg, Provider/Partner(816) 365-4161
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
Under 1 yr in 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
- 2025-10-11
- Last updated
- 2025-11-27
- Certified
- 2025-11-27
Frequently asked questions
- What is Pioneer Dermatology LLC's NPI number?
- Pioneer Dermatology LLC's National Provider Identifier (NPI) is 1639045321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pioneer Dermatology LLC?
- Pioneer Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pioneer Dermatology LLC located?
- Pioneer Dermatology LLC's practice location on file with NPPES is 1324 Ne Windsor Dr, Lees Summit, MO 64086-8477.
- What is Pioneer Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Pioneer Dermatology LLC is (816) 944-1944.
- Does Pioneer Dermatology LLC accept Medicare?
- Pioneer Dermatology 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 Pioneer Dermatology LLC?
- The authorized official listed on Pioneer Dermatology LLC's NPPES record is Andrew Berg, Provider/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pioneer Dermatology LLC's NPI active?
- Yes — Pioneer Dermatology LLC's NPI (1639045321) is active in the NPPES registry as of the last update on 2025-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.