Oliver Street Dermatology Asc LLC
NPI 1700822335 · Ambulatory Surgical Clinic/Center · Tyler, TX
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oliver Street Dermatology Asc LLC is a Ambulatory Surgical Clinic/Center organization in Tyler, TX (NPI 1700822335).
Provider details
- NPI number
- 1700822335
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Stein, Practice Administrator(903) 534-6200
- License
- 007937 (TX)
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
1,598 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 | 620 | $279 |
| Repair of Wound of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm Or Less14060 | 269 | $842 |
| Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet By Transferring Skin, 10.1-30.0 Sq Cm14041 | 95 | $833 |
| Complicated Repair of Wound of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm13152 | 89 | $280 |
| Complicated Repair of Wound of Scalp, Arms, Or Legs, 2.6-7.5 Cm13121 | 84 | $275 |
| Repair of Wound of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 Sq Cm14061 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dermatology Surgery Center
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2013-02-06
Frequently asked questions
- What is Oliver Street Dermatology Asc LLC's NPI number?
- Oliver Street Dermatology Asc LLC's National Provider Identifier (NPI) is 1700822335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oliver Street Dermatology Asc LLC?
- Oliver Street Dermatology Asc LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Oliver Street Dermatology Asc LLC located?
- Oliver Street Dermatology Asc LLC's practice location on file with NPPES is 1367 Dominion Plaza, Tyler, TX 75703-1013.
- What is Oliver Street Dermatology Asc LLC's phone number?
- The practice phone number listed in the NPPES registry for Oliver Street Dermatology Asc LLC is (903) 534-6200.
- Does Oliver Street Dermatology Asc LLC accept Medicare?
- Oliver Street Dermatology Asc 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 Oliver Street Dermatology Asc LLC?
- The authorized official listed on Oliver Street Dermatology Asc LLC's NPPES record is Andrea Stein, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oliver Street Dermatology Asc LLC's NPI active?
- Yes — Oliver Street Dermatology Asc LLC's NPI (1700822335) is active in the NPPES registry as of the last update on 2013-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.