Daren Alexander Fomin, DO
Individual provider Active NPI MOHS-Micrographic Surgery Physician · Anderson, SC
NPI 1982132510 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1982132510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- MOHS-Micrographic Surgery Physician 207ND0101X
- License
- 91371 (SC)
- Practice address
- 1409 N Fant St
Anderson, SC 29621-4825 - Phone
- (864) 231-8599
- Fax
- (864) 231-8073
- NPI assigned
- May 26, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Campbell Univ School of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Skin and Surgery
Practice addresses (Care Compare)
1409 N Fant St
Anderson, SC 29621-4825
Phone (864) 231-8599
Hospital & facility affiliations
- Anmed Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.5 of 100
- Promoting interoperability
- 90
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 80.11
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 72.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 568 |
| Removal of tissue | 25 |
| Removal of skin lesions | 271 |
| Removal of skin cancer | 1558 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 19 |
| Skin biopsy | 244 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250324001080 | SC | Practitioner - Dermatology | 1254732993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205409 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Skin & Surgery | Mohs-Micrographic Surgery | Current |
Accepting new patients |
| Paragon Skin & Surgery, PA | Past |
Accepting new patients | |
| Scott E Manthei PC LTD | Past | Accepting new patients |
Locations
1409 N Fant St
Anderson, SC 29621
Phone (864) 231-8599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 91371 | SC | Yes |
| Dermatology Physician | 207N00000X | 05-44847 | KS | |
| Dermatology Physician | 207N00000X | 0102205409 | VA |
Addresses
Primary practice location
1409 N Fant St
Anderson, SC 29621-4825
Mailing address
1409 N Fant St
Anderson, SC 29621-4825
Phone (864) 231-8599
Other providers in Anderson, SC
- Winston Cordell Floyd
- Natalie Alyssa Fluhler
- Amanda Bush Flynn
- Focused on Feeding, LLC
- Candice Foggie
- Caryn B Fontaine
- Foothills Community Health Care, Inc
- Foothills Community Health Care, Inc.
- Foothills Community Health Care, Inc.
- Foothills Community Health Care, Inc.
All providers in Anderson, SC · MOHS-Micrographic Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.