Individual provider Active NPI

Christopher Brian Skvarka, M.D.

  • Dermatology Physician
  • Myrtle Beach, SC
National Provider Identifier
1306014550
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30688 Issued in SC
Practice address
3001 Newcastle Loop
Attn: Lisa Bass
Myrtle Beach, SC 29588-4502
Phone
(843) 215-1100
Fax
(843) 215-1211
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 30688 SC Primary

Addresses

Primary practice location

3001 Newcastle Loop
Attn: Lisa Bass
Myrtle Beach, SC 29588-4502

Mailing address

3001 Newcastle Loop
Attn: Lisa Bass
Myrtle Beach, SC 29588-4502
Phone (843) 215-1100

Other identifiers 1

IdentifierTypeStateIssuer
306886MedicaidSC

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
I20080512000542 SC Practitioner - Dermatology 9830278100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand DermatologyGroup PAC ID 8921067596, 8 clinicians

Practice addresses (Care Compare)

7410 Hwy 707
Myrtle Beach, SC 29588-7304
Phone (843) 215-1100

933 Medical Cir
Myrtle Beach, SC 29572-4116
Phone (843) 215-1100

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
77.59
Improvement activities
40
Cost
79.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision317
Removal of skin lesions2426
Removal of skin cancer267
Removal or shaving of skin growth1-10
Skin biopsy1069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Strand Dermatology Dermatology CurrentSince Jul 1, 2008 Accepting new patients
Robert S Purvis, MD, LLC Dermatology PastSince Mar 26, 2023 Accepting new patients

Locations

933 Medical Cir
Myrtle Beach, SC 29572
Phone (843) 215-1100

3001 Newcastle Loop
Myrtle Beach, SC 29588
Phone (843) 215-1100

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1306014550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "address_2": "ATTN: LISA BASS",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-1100",
            "fax_number": "843-215-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NEWCASTLE LOOP",
            "address_2": "ATTN: LISA BASS",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-1100",
            "fax_number": "843-215-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKVARKA",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "30688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306886",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.