Individual provider Active NPI

Eugen Stancut, MD

  • Dermatology Physician
  • Georgetown, TX
National Provider Identifier
1356508352
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U2018 Issued in TX
Practice address
1900 Scenic Dr Ste 2208
Georgetown, TX 78626-7703
Phone
(512) 868-9800
Fax
(512) 868-9811
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 40376 OK
Dermatology Physician 207N00000X 2022-1507 NM
Dermatology Physician 207N00000X 2022049633 MO
MOHS-Micrographic Surgery Physician 207ND0101X U2018 TX
Dermatology Physician 207N00000X U2018 TX Primary

Addresses

Primary practice location

1900 Scenic Dr Ste 2208
Georgetown, TX 78626-7703

Mailing address

44 East Ave Unit 4206
Austin, TX 78701-1195
Phone (917) 572-3584

Other practice location 1

115 Medical Dr Ste 202
Victoria, TX 77904-3106
Phone (361) 808-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, OK, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230217002732 MO Practitioner - Dermatology 6103145099 Reassigns benefits to 1 organization
I20230302001291 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6103145099 Reassigns benefits to 4 organizations
I20230302001729 OK Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6103145099 Reassigns benefits to 1 organization
I20230302002009 NM Practitioner - Dermatology 6103145099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Dermatology PAGroup PAC ID 7618347758, 4 clinicians
Skyline Dermatology PLLCGroup PAC ID 4385085901, 2 clinicians
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians
Oklahoma Cancer Specialists and Research Institute, LLCGroup PAC ID 0042513558, 47 clinicians

Practice addresses (Care Compare)

115 Medical Dr
Suite 202
Victoria, TX 77904-3106
Phone (281) 836-4690

120 Chris Kelley Blvd
Suite 100
Hutto, TX 78634-5359
Phone (737) 231-1855

1300 E 6TH Ave
Belton, TX 76513-2810
Phone (254) 778-5400

3101 Hwy 71 E
Suite 203
Bastrop, TX 78602-5157
Phone (512) 643-4384

800 W Boise Cir
Suite 400
Broken Arrow, OK 74012-4974
Phone (918) 307-0215

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
82.55

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
84.61
Promoting interoperability
100
Improvement activities
40
Cost
82.12

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions63
Removal of skin cancer560
Removal or shaving of skin growth1-10
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-1507NMMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Dermatology, PA Dermatology CurrentSince Feb 1, 2024 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC CurrentSince Feb 13, 2026 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Feb 13, 2026 Accepting new patients
Epiphany Dermatology of New Mexico, LLC Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Epiphany Dermatology of Missouri, LLC Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Pinnacle Dermatology, SC Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Skyline Dermatology PLLC Dermatology CurrentSince Jan 2, 2026 Accepting new patients
Skin Diagnostics Group, PC PastSince Jun 1, 2020 Accepting new patients
Dermatology Associates Dermatology Past Accepting new patients
Corium Ventures PLLC Dermatology PastSince Feb 1, 2024 Accepting new patients
Dermatology Consultants of Albuquerque PC Dermatology Past Accepting new patients
Dermatology Associates, Inc. Dermatology PastSince Dec 31, 1991 Accepting new patients

Locations

2325 Dougherty Ferry Rd
#201
Saint Louis, MO 63122
Phone (314) 993-1714

2325 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 993-1714

8316 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 292-5850

5600 Eubank Blvd NE
Ste 110
Albuquerque, NM 87111
Phone (505) 557-6300

5512 E Main St
Ste A
Farmington, NM 87402
Phone (505) 787-2515

2240 Grande Blvd SE
Ste 106
Rio Rancho, NM 87124
Phone (505) 545-6741

5 Calle Medico
Ste A
Santa Fe, NM 87505
Phone (505) 557-6300

1353 Paseo del Pueblo Sur
Ste D
Taos, NM 87571
Phone (575) 613-8090

800 W Boise Cir
Ste 400
Broken Arrow, OK 74012
Phone (918) 307-0215

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7300 Ranch Road 2222
Ste 200
Austin, TX 78730

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

1300 E 6th Ave
Belton, TX 76513
Phone (254) 778-5400

1707 Broadmoor Dr
Ste 100
Bryan, TX 77802
Phone (979) 766-7767

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

120 Chris Kelley Blvd
Ste 100
Hutto, TX 78634
Phone (737) 231-1855

2 Saint Marks Pl
Ste 110
La Grange, TX 78945
Phone (979) 242-2387

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

4040 Medical Park Dr
Odessa, TX 79765
Phone (432) 217-0344

603 E 6th St
Odessa, TX 79761
Phone (432) 332-8300

8525 9th Ave
Port Arthur, TX 77642
Phone (281) 770-9083

184 Creekside Park Rd
Ste 100
Spring Branch, TX 78070

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

115 Medical Dr
Ste 202
Victoria, TX 77904
Phone (281) 836-4690

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1356508352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 EAST AVE UNIT 4206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011195",
            "telephone_number": "917-572-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR STE 2208",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267703",
            "telephone_number": "512-868-9800",
            "fax_number": "512-868-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Medical Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779043106",
            "country_code": "US",
            "telephone_number": "361-808-4680",
            "fax_number": "361-808-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANCUT",
        "first_name": "EUGEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "40376",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "2022-1507",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2022049633",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "U2018",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.