Active NPI
Mark Charles Kory, M.D.
- MOHS-Micrographic Surgery Physician
- Chesterfield, MO
National Provider Identifier
1326034489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- R3K62
- Practice address
- 16216 Baxter Rd
Suite 200
Chesterfield, MO 63017-4770 - Phone
- (636) 532-1000
- Fax
- (636) 532-1605
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R3K62 | MO | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | R3K62 | MO | Primary |
| Procedural Dermatology Physician | 207NS0135X | R3K62 | MO |
Addresses
Primary practice location
16216 Baxter Rd
Suite 200
Chesterfield, MO 63017-4770
Mailing address
1456 Haarman Oak Dr
Chesterfield, MO 63005-4286
Phone (636) 530-7546
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Washington University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16216 Baxter Rd
Chesterfield, MO 63017-4778
Phone (636) 532-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 3944 |
| Removal of skin cancer | 318 |
| Skin biopsy | 376 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3K62 | MO | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark C. Kory, M.D., P.C. | Dermatology | Current | Accepting new patients |
Locations
16216 Baxter Rd
Ste 200
Chesterfield, MO 63017
Phone (636) 532-1000
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.
-
- Dermatology Physician
- Chesterfield, MO
- NPI 1568582369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1326034489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 HAARMAN OAK DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630054286",
"telephone_number": "636-530-7546",
"fax_number": "636-532-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16216 BAXTER RD",
"address_2": "SUITE 200",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174770",
"telephone_number": "636-532-1000",
"fax_number": "636-532-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORY",
"first_name": "MARK",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "R3K62",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MO",
"license": "R3K62",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MO",
"license": "R3K62",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.