Individual provider Active NPI

Patricia Pladson Perschbacher, M.D.

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1346285913
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2005009931 Issued in MO
Practice address
2821 N Ballas Rd Ste C-61
Saint Louis, MO 63131-2321
Phone
(314) 918-5508
Fax
(314) 918-5052
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 2005009931 MO Primary

Addresses

Primary practice location

2821 N Ballas Rd Ste C-61
Saint Louis, MO 63131-2321

Mailing address

2821 N Ballas Rd Ste C-61
Saint Louis, MO 63131-2321
Phone (314) 918-5508

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
I20050804000018 MO Practitioner - Dermatology 8527096114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Creighton University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 N Ballas Rd
Suite C 45
Saint Louis, MO 63131-2321

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1836
Skin biopsy666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005009931MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perschbacher Dermatology, LLC Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Epiphany Dermatology of Missouri, LLC Dermatology Past Accepting new patients
Anne T. Riordan, M.D. P.C Dermatology Past Accepting new patients

Locations

2821 N Ballas Rd
#C61
Saint Louis, MO 63131
Phone (314) 497-7925

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00328

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1346285913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C-61",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-918-5508",
            "fax_number": "314-918-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C-61",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-918-5508",
            "fax_number": "314-918-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSCHBACHER",
        "first_name": "PATRICIA",
        "middle_name": "PLADSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2005009931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.