Individual provider Active NPI

Cristopher-Allan Briscoe, MD

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1346733862
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2022017596 Issued in MO
Practice address
3555 Sunset Office Dr Ste 102C
Saint Louis, MO 63127-1045
Phone
(314) 934-3308
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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 2022017596 MO Primary

Addresses

Primary practice location

3555 Sunset Office Dr Ste 102C
Saint Louis, MO 63127-1045

Mailing address

3555 Sunset Office Dr Ste 102C
Saint Louis, MO 63127-1045
Phone (314) 934-3308

Other practice location 1

621 S New Ballas Rd
Saint Louis, MO 63141-8232
Phone (314) 509-5305

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
I20220713002944 MO Practitioner - Dermatology 4284983859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meramec Dermatology LLCGroup PAC ID 4082941604, 12 clinicians

Practice addresses (Care Compare)

3783 Vogel Rd
Arnold, MO 63010-6202
Phone (636) 751-0995

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Quality
89.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions472
Removal or shaving of skin growth21
Skin biopsy189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022017596MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meramec Dermatology LLC Dermatology CurrentSince Aug 8, 2022 Accepting new patients

Locations

3783 Vogel Rd
Arnold, MO 63010
Phone (636) 751-0995

1204 E State Route 72
Rolla, MO 65401
Phone (573) 364-1934

3555 Sunset Office Dr
Ste 102C
Saint Louis, MO 63127
Phone (314) 934-3308

3555 Sunset Office Dr
Ste C102
Saint Louis, MO 63127
Phone (314) 858-1858

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

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": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1346733862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE 102C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271045",
            "telephone_number": "314-934-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE 102C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271045",
            "telephone_number": "314-934-3308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418232",
            "country_code": "US",
            "telephone_number": "314-509-5305",
            "fax_number": "314-251-4454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "CRISTOPHER-ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2022-06-12",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2022017596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.