Michael Warren Pelster, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

R6456 Issued in TX

Practice address

2301 21St Ave S
Nashville, TN 37212-4908

Phone

(615) 327-9797

Fax

(615) 613-0329

NPI assigned

Mar 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Vanderbilt University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Skin and Cancer, PLCGroup PAC ID 2961446026, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.55 of 100Reported as group

Quality

80.6

Promoting interoperability

97

Improvement activities

40

Cost

67.09

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpelster@nashskin.emadirect.md
• Direct secure messaging: mpelster@directaddress.net

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.

• Nashville Skin and Cancer, PLC

  • Dermatology Physician
  • Nashville, TN
  • NPI 1497700231
  Medicare reassignment Care Compare group NPD
• Life Balance, PLLC

  • Mental Health Counselor
  • Pearland, TX
  • NPI 1154035509
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1699017145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-424-4988",
            "fax_number": "615-613-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSTER",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R6456",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "R6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Pellegrin, PH.D.
• Rachael Pellegrino, MD, MPH
• Shanna Pellillo, CNM
• Peloton Healthcare Supply
• Meredith Sellers Pelster, M.D.
• Amanda Peltier, MD
• Elissa Rainer Pelton, PA-C
• Mariah Pelton, PHARMD
• Lindsey Pemberton, LCSW
• Sarah Pemberton

• MOHS-Micrographic Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• MOHS-Micrographic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.