ADVANCED DERMATOLOGIC SURGERY
NPI 1003016312
Dermatology - MOHS-Micrographic Surgery in Overland Park, KS

Q: What is Advanced Dermatologic Surgery, P.A.'s NPI number?

The NPI number for Advanced Dermatologic Surgery, P.A. is 1003016312. It was assigned to this organization in the NPPES registry on July 24, 2007. The provider is doing business as Advanced Dermatologic Surgery and Trinity Dermatology.

Q: What is Advanced Dermatologic Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since July 24, 2007CLIA 17D0890923 · Certificate of Compliance

6901 W 121ST ST, OVERLAND PARK, KS 66209(913) 661-1755(913) 661-9260 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Advanced Dermatologic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGIC SURGERY (NPI 1003016312) is a healthcare organization registered as a mohs-micrographic surgery in Overland Park, Kansas and active in the NPI registry since July 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 27, 2026, maintains a secondary practice location in Kansas City, and lists Greg Albers, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003016312

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameADVANCED DERMATOLOGIC SURGERY, P.A.

Location Address6901 W 121ST STOverland Park, KS 66209-2007

Mailing Address6901 W 121st StOverland Park, KS 66209-2007 · (913) 661-1755 · Fax (913) 661-9260

Phone(913) 661-1755

Fax(913) 661-9260

Organization SubpartNo

Authorized OfficialGreg AlbersCfo · (913) 661-1755

Enumeration DateJuly 24, 2007

Last NPPES UpdateJune 3, 2022

NPPES CertifiedJune 3, 2022

✔ NPI 1003016312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedSpecialistTaxonomy 174400000X · License 04-25136 (KS)

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 04-25136 (KS)

6901 W 121ST ST, Overland Park, KS 66209

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Other Names 2

Doing Business AsAdvanced Dermatologic Surgery

Doing Business AsTrinity Dermatology

Secondary Practice Location 1

Location 16410 N Cosby AveKansas City, MO 64151-2377 · Phone (816) 643-4501

Other Identifiers 1

Other17D0890923Clia #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatologic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Dermatologic Surgery, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Thomas Hocker, M.D.

Pathology

NPI 1689841025

6901 W 121ST ST
Overland Park, KS 66209

(913) 661-1755

✔ PECOS✔ Accepts MedicareSame address

Carson Williams, M.D.

Plastic and Reconstructive Surgery

NPI 1477998284

3500 W 95TH ST STE 200
Leawood, KS 66206

(913) 340-8035

✔ PECOS✔ Accepts Medicare4.0 mi

Spyros Siscos, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1154826204

2101 CHARLOTTE ST
Kansas City, MO 64108

(816) 404-7810

✔ PECOS✔ Accepts Medicare13 mi

Richard Bottoms, FNP-C

Nurse Practitioner

NPI 1932508801

6410 N COSBY AVE
Kansas City, MO 64151

(816) 643-4501

✔ PECOS✔ Accepts Medicare21 mi

Isadore Tarantino

Dermatology

NPI 1689036261

5204 N BELT HWY
Saint Joseph, MO 64506

(913) 303-7377

✔ PECOS✔ Accepts Medicare63 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 17D0890923

Advanced Dermatologic Surgery · Overland Park, KS

Active · expires Nov 27, 2026

CLIA Number17D0890923

Laboratory TypePhysician Office

Certificate Effective DateNovember 28, 2024

Certificate Expiration DateNovember 27, 2026

Laboratory DirectorThomas Hocker

Laboratory Phone(913) 661-1755

Laboratory LocationAdvanced Dermatologic Surgery6901 West 121st Street, Overland Park, KS 66209

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dermatologic Surgery, P.A.'s NPI number?

The NPI number for Advanced Dermatologic Surgery, P.A. is 1003016312. It was assigned to this organization in the NPPES registry on July 24, 2007. The provider is doing business as Advanced Dermatologic Surgery and Trinity Dermatology.

Where is Advanced Dermatologic Surgery, P.A. located?

Advanced Dermatologic Surgery, P.A. is located at 6901 W 121st St, Overland Park, KS 66209. The listed phone number is (913) 661-1755.

What is Advanced Dermatologic Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Advanced Dermatologic Surgery, P.A. enrolled in Medicare?

Yes. Advanced Dermatologic Surgery, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatologic Surgery, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Advanced Dermatologic Surgery, P.A., in Dermatology, Micrographic Dermatologic Surgery (MDS), Nurse Practitioner, Pathology and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatologic Surgery, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 17D0890923) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatologic Surgery, P.A. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Advanced Dermatologic Surgery, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Dermatologic Surgery, P.A. was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.