Individual provider Active NPI

Robert Louis Skaggs II, M.D.

  • MOHS-Micrographic Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1821435074
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
50353 Issued in KY
Practice address
1818 Wallace Court
Suite 301
Bowling Green, KY 42103
Phone
(270) 842-1919
NPI assigned
May 29, 2013
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 50353 KY Primary

Addresses

Primary practice location

1818 Wallace Court
Suite 301
Bowling Green, KY 42103

Mailing address

1818 Wallace Court
Suite 301
Bowling Green, KY 42103
Phone (270) 842-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180820001875 KY Practitioner - Dermatology 5496061657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Skin Cancer Center PLLCGroup PAC ID 2668729336, 12 clinicians

Practice addresses (Care Compare)

1818 Wallace CT
Suite 301
Bowling Green, KY 42103-2462
Phone (270) 842-1999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.28 of 100Reported as group
Quality
93.33
Promoting interoperability
82
Improvement activities
40
Cost
79.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision261
Removal of skin lesions811
Removal of skin cancer1555
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Skin Cancer Center PLLC Single Specialty CurrentSince Jul 6, 2018 Accepting new patients
Skin Cancer Center Inc Past Accepting new patients

Locations

1818 Wallace Ct
#301
Bowling Green, KY 42103
Phone (270) 842-1999

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

2915 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-8060

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.

Hospital & facility affiliations 1

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1821435074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WALLACE COURT",
            "address_2": "SUITE 301",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-842-1999",
            "fax_number": "270-904-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WALLACE COURT",
            "address_2": "SUITE 301",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-842-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KY",
            "license": "50353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.