Individual provider Active NPI

Liana H Proffer, MD

  • MOHS-Micrographic Surgery Physician
  • Amarillo, TX
National Provider Identifier
1891770046
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
K6910 Issued in TX
Practice address
1611 Wallace Blvd
Amarillo, TX 79106-1799
Phone
(806) 354-4900
Fax
(806) 352-4987
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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 Physician 207ND0101X K6910 TX Primary

Addresses

Primary practice location

1611 Wallace Blvd
Amarillo, TX 79106-1799

Mailing address

1611 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 354-4900

Other identifiers 2

IdentifierTypeStateIssuer
8V1240OtherTXBLUE CROSS BLUE SHIELD
187150101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20061005000085 TX Practitioner - Dermatology 7719931062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proffer Surgical Associates, LLPGroup PAC ID 3678579232, 5 clinicians

Practice addresses (Care Compare)

1611 Wallace Blvd
Amarillo, TX 79106-1775
Phone 8063544900414

1611 Wallace Blvd
Amarillo, TX 79106-1799

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
94.17
Promoting interoperability
94
Improvement activities
40
Cost
68.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of skin lesions49
Removal of skin cancer967
Skin biopsy179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proffer Surgical Associates, LLP Mohs-Micrographic Surgery CurrentSince Jul 1, 2006 Accepting new patients
Proz Anesthesia, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Proffer Surgical Center, PLLC PastSince Nov 6, 2017 Accepting new patients

Locations

1301 S Coulter St
Ste 104
Amarillo, TX 79106
Phone (806) 350-7355

1611 Wallace Blvd
Amarillo, TX 79106
Phone (806) 352-1185

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGBCAA

Organizations & group practices 3

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 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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1891770046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-354-4900",
            "fax_number": "806-352-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-354-4900",
            "fax_number": "806-352-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFER",
        "first_name": "LIANA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "K6910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8V1240",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187150101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.