Active NPI
Liana H Proffer, MD
- MOHS-Micrographic Surgery Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- K6910
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V1240 | Other | TX | BLUE CROSS BLUE SHIELD |
| 187150101 | Medicaid | TX |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.35 of 100
- Quality
- 94.17
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 68.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 56 |
| Removal of skin lesions | 49 |
| Removal of skin cancer | 967 |
| Skin biopsy | 179 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proffer Surgical Associates, LLP | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Proz Anesthesia, PLLC | Current | Accepting new patients | |
| Proffer Surgical Center, PLLC | Past | 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
- 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.
-
- MOHS-Micrographic Surgery Physician
- Amarillo, TX
- NPI 1164441333
-
- Anesthesiology Physician
- Amarillo, TX
- NPI 1285504357
-
- Ambulatory Surgical Clinic/Center
- Amarillo, TX
- NPI 1164986683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.