Individual provider Active NPI

Stephen Legrande Vance, M.D.

  • MOHS-Micrographic Surgery Physician
  • Charlottesville, VA
National Provider Identifier
1821403247
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2019-00658 Issued in NC
Practice address
600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836
Phone
(434) 977-0027
Fax
(434) 923-3376
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 2019-00658 NC Primary
MOHS-Micrographic Surgery Physician 207ND0101X 021502 VA

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836

Mailing address

600 Peter Jefferson Pkwy Ste 310
Charlottesville, VA 22911-8836
Phone (434) 977-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200424002719 VA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2769601384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Dermatology, P.C..Group PAC ID 9739499344, 11 clinicians

Practice addresses (Care Compare)

1600 N Coalter St
Suite 19
Staunton, VA 24401-2566
Phone (540) 885-4500

Hospital & facility affiliations

  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision278
Removal of tissue1-10
Removal of skin lesions35
Removal of skin cancer1730
Removal of nail tissue1-10
Skin biopsy40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00658NCMDMOHS-Micrographic Surgery Physician
021502VAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Charlottesville, PLC Mohs-Micrographic Surgery CurrentSince Jun 1, 2026 Accepting new patients
Shenandoah Dermatology, P.C. CurrentSince Mar 21, 2020 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 310
Charlottesvle, VA 22911
Phone (434) 977-0027

1600 N Coalter St
Ste 19
Staunton, VA 24401
Phone (540) 885-4500

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1821403247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 310",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-977-0027",
            "fax_number": "434-923-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 310",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-977-0027",
            "fax_number": "434-923-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "STEPHEN",
        "middle_name": "LEGRANDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2019-00658",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "021502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.