Individual provider Active NPI

Robert Skidmore Jr., M.D.

  • MOHS-Micrographic Surgery Physician
  • Gainesville, FL
National Provider Identifier
1245322049
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME59336 Issued in FL
Practice address
3700 NW 83Rd St
Gainesville, FL 32606-5603
Phone
(352) 371-7546
Fax
(352) 335-7546
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME59336 FL Primary

Addresses

Primary practice location

3700 NW 83Rd St
Gainesville, FL 32606-5603

Mailing address

PO Box 357730
Gainesville, FL 32635-7730
Phone (352) 371-7546

Other identifiers 1

IdentifierTypeStateIssuer
DC1427OtherFLRAILROAD MEDICARE GROUP#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031208000796 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7618871419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Skin Cancer and Dermatology Specialists, PAGroup PAC ID 4082518881, 9 clinicians

Practice addresses (Care Compare)

3700 NW 83Rd St
Gainesville, FL 32606-5603
Phone (352) 371-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision203
Removal of skin lesions2477
Removal of skin cancer596
Skin biopsy525

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Skin Cancer & Dermatology Specialists, PA CurrentSince Jul 1, 2003 Accepting new patients
Gainesville Physicians LLC PastSince Nov 1, 2013 Accepting new patients

Locations

4011 NW 43rd St
Ste A
Gainesville, FL 32606
Phone (352) 371-7546

3700 NW 83rd St
Gainesville, FL 32606
Phone (352) 371-7546

3140 NW Medical Center Ln
Ste 180
Lake City, FL 32055
Phone (352) 331-0012

851 NW 250th Ter
Ste 90
Newberry, FL 32669
Phone (352) 371-7546

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1245322049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357730",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357730",
            "telephone_number": "352-371-7546",
            "fax_number": "352-335-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW 83RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065603",
            "telephone_number": "352-371-7546",
            "fax_number": "352-335-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME59336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "DC1427",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.