Individual provider Active NPI

Amy C Ney, MD

  • Dermatology Physician
  • Des Peres, MO
National Provider Identifier
1376538371
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2005002894 Issued in MO
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000348 MO Practitioner - Dermatology 7911934203 Reassigns benefits to 1 organization

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
Vista Dermatology LLCGroup PAC ID 8123544285, 4 clinicians

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 100Reported as individual
Quality
88.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1343
Removal or shaving of skin growth12
Skin biopsy344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005002894MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Dermatology LLC Dermatology CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.