Skin & Mohs Surgery Center, LLC
NPI 1669577524 · Ambulatory Surgical Clinic/Center · Leawood, KS
Provider details
- NPI number
- 1669577524
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Oliver Street Dermatology Holdings
- Organization subpart
- Yes
- Authorized official
- Glenn Goldstein, Medical Director(913) 451-7546
- License
- S046023 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,459 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complicated Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet, 2.6-7.5 Cm13132 | 571 | $304 |
| Complicated Repair of Wound of Scalp, Arms, Or Legs, 2.6-7.5 Cm13121 | 306 | $302 |
| Complicated Repair of Wound of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm13152 | 87 | $299 |
| Full Thickness Skin Graft to Nose, Ears, Eyelids, Or Lips, 20.0 Sq Cm Or Less15260 | 72 | $885 |
| Repair of Wound of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm Or Less14060 | 58 | $875 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 50 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.