Individual provider Active NPI

Kelly Mackenzie Macarthur, MD

  • MOHS-Micrographic Surgery Physician
  • Creve Coeur, MO
National Provider Identifier
1801234174
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2019020870 Issued in MO
Practice address
555 N New Ballas Rd Ste 160
Creve Coeur, MO 63141-6825
Phone
(888) 785-3376
Fax
(866) 326-6671
NPI assigned
Jun 10, 2013
Sex
Female
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036158005 IL
MOHS-Micrographic Surgery Physician 207ND0101X 036158005 IL
Procedural Dermatology Physician 207NS0135X 2019020870 MO
Dermatology Physician 207N00000X 2019020870 MO
MOHS-Micrographic Surgery Physician 207ND0101X 2019020870 MO Primary

Addresses

Primary practice location

555 N New Ballas Rd Ste 160
Creve Coeur, MO 63141-6825

Mailing address

21 Westwood Country CLB
Saint Louis, MO 63131-2411
Phone (888) 785-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190826002041 MO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Internal Medicine 6608187141 Reassigns benefits to 2 organizations
I20211005002342 IL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6608187141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Missouri, Columbia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 N New Ballas Rd
Suite 160
Creve Coeur, MO 63141-6825
Phone (888) 785-3376

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions1-10
Removal of skin cancer124
Removal of nail tissue1-10
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019020870MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Skin Specialists Missouri LTD, PC Mohs-Micrographic Surgery CurrentSince Oct 1, 2021 Accepting new patients
Town & Country Dermatology LLC Dermatology CurrentSince Sep 17, 2024 Accepting new patients
United Skin Specialists Illinois LTD, PC Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Skin Care Center of Southern Il LLC PastSince Oct 1, 2021 Accepting new patients

Locations

4107 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-0031

1527 S Mill St
Nashville, IL 62263
Phone (314) 313-1691

2 Carlson Pkwy N
Ste 240
Plymouth, MN 55447
Phone (618) 961-1950

1001 Chesterfield Pkwy E
Ste 102
Chesterfield, MO 63017
Phone (314) 878-3839

1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017
Phone (314) 878-3839

555 N New Ballas Rd
#16
Creve Coeur, MO 63141
Phone (314) 499-1026

555 N New Ballas Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 499-1026

Interoperability endpoints

  • Direct secure messaging: kmacarthur@directaddress.net

Organizations & group practices 4

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1801234174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WESTWOOD COUNTRY CLB",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312411",
            "telephone_number": "888-785-3376",
            "fax_number": "866-326-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 160",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "888-785-3376",
            "fax_number": "866-326-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARTHUR",
        "first_name": "KELLY",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036158005",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036158005",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MO",
            "license": "2019020870",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2019020870",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2019020870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.