Individual provider Active NPI

Wayne Alan Breer, MD

  • Dermatology Physician
  • Chesterfield, MO
National Provider Identifier
1255324703
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
109839 Issued in MO
Practice address
1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167
Phone
(636) 532-2422
Fax
(636) 532-2425
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 109839 MO Primary
Dermatopathology Physician 207ND0900X 109839 MO

Addresses

Primary practice location

1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167

Mailing address

1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167
Phone (636) 532-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100603000445 MO Practitioner - Dermatology 7618006446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Skin Specialists Missouri LTD PCGroup PAC ID 8123310554, 14 clinicians

Practice addresses (Care Compare)

1001 Chesterfield Pkwy E
Suite 201
Chesterfield, MO 63017-2167
Phone (636) 532-2422

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions488
Skin biopsy170

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Skin Specialists Missouri LTD, PC Current Accepting new patients

Locations

2 Carlson Pkwy N
Ste 240
Plymouth, MN 55447
Phone (618) 961-1950

1001 Chesterfield Pkwy E
Ste 201
Chesterfield, MO 63017
Phone (314) 434-8477

1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017
Phone (314) 878-3839

1001 Chesterfield Pkwy E
Ste 102
Chesterfield, MO 63017
Phone (314) 878-3839

621 S New Ballas Rd
Ste 498A
Saint Louis, MO 63141
Phone (314) 251-3376

Organizations & group practices 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1255324703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172167",
            "telephone_number": "636-532-2422",
            "fax_number": "636-532-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERFIELD PKWY E",
            "address_2": "SUITE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172167",
            "telephone_number": "636-532-2422",
            "fax_number": "636-532-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREER",
        "first_name": "WAYNE",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "109839",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MO",
            "license": "109839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.