Active NPI
Amy C Ney, MD
- Dermatology Physician
- Des Peres, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2005002894
- Practice address
- 1058 Old Des Peres Rd
Des Peres, MO 63131-1865 - Phone
- (314) 266-0412
- Fax
- (314) 798-1579
- NPI assigned
- Sep 15, 2005
- Last updated
- Jul 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2005002894 | MO | Primary |
Addresses
Primary practice location
1058 Old Des Peres Rd
Des Peres, MO 63131-1865
Mailing address
1058 Old Des Peres Rd
Saint Louis, MO 63131-1865
Phone (314) 266-0412
Other practice location 1
965 Mattox Dr
Sullivan, MO 63080-2365
Phone (573) 860-6000
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
- University of Virginia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1058 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 266-0412
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.17 of 100
- Quality
- 88.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1343 |
| Removal or shaving of skin growth | 12 |
| Skin biopsy | 344 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005002894 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Dermatology LLC | Dermatology | Current | Accepting new patients |
| Epiphany Dermatology of Missouri, LLC | Dermatology | Past | Accepting new patients |
Locations
1058 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 266-0412
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1659177335
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1528573342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1376538371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 OLD DES PERES RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311865",
"telephone_number": "314-266-0412",
"fax_number": "314-798-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 OLD DES PERES RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311865",
"telephone_number": "314-266-0412",
"fax_number": "314-798-1579"
}
],
"practiceLocations": [
{
"address_1": "965 Mattox Dr",
"address_purpose": "LOCATION",
"city": "Sullivan",
"state": "MO",
"postal_code": "630802365",
"country_code": "US",
"telephone_number": "573-860-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEY",
"first_name": "AMY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2005002894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.