Individual provider Active NPI

Robert George Egbers, M.D.

  • MOHS-Micrographic Surgery Physician
  • Johnson City, NY
National Provider Identifier
1790096196
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
288727 Issued in NY
Practice address
302 Reynolds Rd Ste a
Johnson City, NY 13790-1308
Phone
(607) 444-5446
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 288727 NY
MOHS-Micrographic Surgery Physician 207ND0101X 288727 NY Primary

Addresses

Primary practice location

302 Reynolds Rd Ste a
Johnson City, NY 13790-1308

Mailing address

302 Reynolds Rd Ste a
Johnson City, NY 13790-1308
Phone (607) 444-5446

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@anewdermatology.ezderm.info Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171121001821 NY Practitioner - Dermatology 7719102243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Season Dermatology PLLCGroup PAC ID 3577820851, 7 clinicians

Practice addresses (Care Compare)

302 Reynolds Rd
Johnson City, NY 13790-1308
Phone (607) 444-5446

Merit-based Incentive Payment System (MIPS)

Final score
98.88 of 100Reported as group
Quality
97.2
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision255
Removal of skin lesions87
Removal of skin cancer1289
Skin biopsy50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Season Dermatology, PLLC Mohs-Micrographic Surgery CurrentSince Dec 1, 2017 Accepting new patients

Locations

302 Reynolds Rd
Johnson City, NY 13790
Phone (607) 296-2181

302 Reynolds Rd
Ste A
Johnson City, NY 13790
Phone (607) 444-5446

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1790096196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD STE A",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD STE A",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERS",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "288727",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "288727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@anewdermatology.ezderm.info",
            "affiliation": "N",
            "endpointDescription": "for healthcare professionals only, not for patient use",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "302 Reynolds Rd Ste A",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137901308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.