Individual provider Active NPI

Robert Marshall Rogers, M.D.

  • Procedural Dermatology Physician
  • Greenville, SC
National Provider Identifier
1215989587
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
27131 Issued in SC
Practice address
213 Mills Ave
Greenville, SC 29605-4019
Phone
(864) 272-3300
Fax
(864) 272-3311
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 27131 SC
Procedural Dermatology Physician 207NS0135X 27131 SC Primary

Addresses

Primary practice location

213 Mills Ave
Greenville, SC 29605-4019

Mailing address

213 Mills Ave
Greenville, SC 29605-4019
Phone (864) 272-3300

Other identifiers 2

IdentifierTypeStateIssuer
AA07788961OtherSCMEDICARE PTAN
271315MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000475 SC Practitioner - Dermatology 5092768168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogers Dermatology, P.a.Group PAC ID 6305915869, 3 clinicians

Practice addresses (Care Compare)

213 Mills Ave
Greenville, SC 29605-4019
Phone (864) 272-3300

Merit-based Incentive Payment System (MIPS)

Final score
98.16 of 100Reported as individual
Quality
96.31
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision695
Removal of skin lesions3061
Removal of nail tissue1-10
Removal or shaving of skin growth27
Skin biopsy689

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Dermatology, P.a. CurrentSince Aug 3, 2007 Accepting new patients
Rogers Dermatology, PA Procedural Dermatology PastSince Aug 5, 1995 Accepting new patients

Locations

213 Mills Ave
Greenville, SC 29605
Phone (864) 271-9780

3B Cleveland Ct
Greenville, SC 29607
Phone (864) 232-0196

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1215989587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-272-3300",
            "fax_number": "864-272-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-272-3300",
            "fax_number": "864-272-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ROBERT",
        "middle_name": "MARSHALL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "27131",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SC",
            "license": "27131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA07788961",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271315",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.