Skin & Mohs Surgery Center, LLC
NPI 1881875227 · Ambulatory Surgical Clinic/Center · Lees Summit, MO
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skin & Mohs Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Lees Summit, MO (NPI 1881875227).
Provider details
- NPI number
- 1881875227
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Oliver Street Dermatology Holdings, LLC
- Organization subpart
- Yes
- Authorized official
- Glenn Goldstein, Medical Director(913) 451-7546
- License
- 188-0 (MO)
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
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,235 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) |
|---|---|---|
| Removal and Microscopic Exam of Growth of Head, Neck, Hands, Feet, Or Genitals, 1-5 Tissue Blocks17311 | 1,295 | $261 |
| Complicated Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet, 2.6-7.5 Cm13132 | 617 | $161 |
| Complicated Repair of Wound of Scalp, Arms, Or Legs, 2.6-7.5 Cm13121 | 371 | $167 |
| Removal and Microscopic Exam of Growth of Trunk, Arms, Or Legs, 1-5 Tissue Blocks17313 | 239 | $303 |
| Repair of Wound of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm Or Less14060 | 147 | $888 |
| Complicated Repair of Wound of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm |
Practice location
Mailing address
Additional practice locations (1)
- 8380 N Tullis AveKansas City, MO 64158-5113Phone: (913) 451-7546Fax: (913) 663-2411
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Skin & Mohs Surgery Center, LLC's NPI number?
- Skin & Mohs Surgery Center, LLC's National Provider Identifier (NPI) is 1881875227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skin & Mohs Surgery Center, LLC?
- Skin & Mohs Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Skin & Mohs Surgery Center, LLC located?
- Skin & Mohs Surgery Center, LLC's practice location on file with NPPES is 3265 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301.
- What is Skin & Mohs Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Skin & Mohs Surgery Center, LLC is (816) 524-4747.
- Does Skin & Mohs Surgery Center, LLC accept Medicare?
- Skin & Mohs Surgery Center, 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 Skin & Mohs Surgery Center, LLC?
- The authorized official listed on Skin & Mohs Surgery Center, LLC's NPPES record is Glenn Goldstein, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skin & Mohs Surgery Center, LLC's NPI active?
- Yes — Skin & Mohs Surgery Center, LLC's NPI (1881875227) is active in the NPPES registry as of the last update on 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.