Individual provider Active NPI

Patrick Safo, MD PHD

  • Dermatology Physician
  • Stevens Point, WI
National Provider Identifier
1104088202
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
56518-20 Issued in WI
Practice address
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone
(715) 342-7500
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD
Dermatology Physician 207N00000X 56518-20 WI Primary

Addresses

Primary practice location

824 Illinois Ave
Stevens Point, WI 54481-3112

Mailing address

211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492
Phone (605) 422-3000

Other practice location 1

1900 N Amidon Ave Ste 214
Wichita, KS 67203-2125
Phone (316) 400-5090

Other practice location 2

211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492
Phone (605) 422-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SD, NE, AZ, IA, KS6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20210630003787 NJ Practitioner - Dermatology 4486810645 Reassigns benefits to 1 organization
I20210830003122 SD Practitioner - Dermatology 4486810645 Reassigns benefits to 1 organization
I20210907003143 NE Practitioner - Dermatology 4486810645 Reassigns benefits to 1 organization
I20220201001364 AZ Practitioner - Dermatology 4486810645 Reassigns benefits to 1 organization
I20220915001301 IA Practitioner - Dermatology 4486810645 Reassigns benefits to 1 organization
I20260504007703 KS Practitioner - Dermatology 4486810645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermsd LLCGroup PAC ID 5597153072, 8 clinicians
DMC Dermatology and MohsGroup PAC ID 3274942032, 6 clinicians
The Dermatology ClinicGroup PAC ID 4981830601, 5 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Dunes Dermatology Sioux Center
Sioux Center, IA 51250-2501
Phone (605) 422-3000

1200 Providence Rd
Wayne, NE 68787-1212
Phone (605) 422-3001

1900 N Amidon Ave
214 Wichita Skin and Mohs
Wichita, KS 67203-2125
Phone (316) 400-5090

330 Dakota Dunes Blvd
Suite 400
Dakota Dunes, SD 57049-5462
Phone (605) 422-3000

4715 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 955-8395

79 Schanck Rd
Building D Pinho Professional Center
Freehold, NJ 07728-2964
Phone (732) 222-2250

Hospital & facility affiliations

  • Providence Medical Center Hospital, Wayne, NE, CCN 281345
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as individual
Quality
35
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision194
Removal of skin lesions1114
Removal of skin cancer627
Removal of nail tissue1-10
Removal or shaving of skin growth31
Skin biopsy532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Dermsd LLC Dermatology CurrentSince Jul 1, 2021 Accepting new patients
The Dermatology Clinic CurrentSince Jun 15, 2021 Accepting new patients
DMC Dermatology & Mohs Dermatology CurrentSince Oct 29, 2021 Accepting new patients

Locations

120 W Calle de las Tiendas
Green Valley, AZ 85614
Phone (520) 570-7884

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

395 N Silverbell Rd
Ste 115
Tucson, AZ 85745
Phone (520) 722-8994

10350 E Drexel Rd
Ste 204
Tucson, AZ 85747
Phone (520) 625-6600

4715 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 319-6000

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

10042 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 433-7000

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

1900 N Amidon Ave
Ste 214
Wichita, KS 67203
Phone (316) 400-5090

5354 Edgewood Dr
Saint Paul, MN 55112

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

107 Monmouth Rd
Ste 203
West Long Branch, NJ 07764
Phone (732) 222-2250

211 Sioux Point Rd
Ste 200
Dakota Dunes, SD 57049
Phone (605) 242-3456

330 Dakota Dunes Blvd
Ste 400
North Sioux City, SD 57049
Phone (605) 422-3000

Interoperability endpoints

  • Direct secure messaging: psafo867329@direct.unitypoint.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1104088202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SIOUX POINT RD STE 200",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495492",
            "telephone_number": "605-422-3000",
            "fax_number": "605-422-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 ILLINOIS AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813112",
            "telephone_number": "715-342-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Amidon Ave Ste 214",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672032125",
            "country_code": "US",
            "telephone_number": "316-400-5090",
            "fax_number": "316-235-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Sioux Point Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dakota Dunes",
            "state": "SD",
            "postal_code": "570495492",
            "country_code": "US",
            "telephone_number": "605-422-3000",
            "fax_number": "605-422-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFO",
        "first_name": "PATRICK",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "56518-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.