ST. LOUIS DERMATOLOGY & COSMETIC SURGERY
NPI 1134873185
Dermatology - MOHS-Micrographic Surgery in Troy, MO

Q: What is St. Louis Dermatology & Cosmetic Surgery's specialty?

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

Active since February 08, 2022CLIA Certified · 2 labs

520 E CHERRY ST, TROY, MO 63379(314) 834-1400(314) 834-1430 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2026, Nov 24, 2025, Nov 14, 2025 and 3 more (6 updates tracked since 2022).

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About St. Louis Dermatology & Cosmetic Surgery NPPES

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

ST. LOUIS DERMATOLOGY & COSMETIC SURGERY (NPI 1134873185) is a healthcare organization registered as a mohs-micrographic surgery in Troy, Missouri and active in the NPI registry since February 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Chesterfield, and lists Brandon Beal, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1134873185

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameST. LOUIS DERMATOLOGY & COSMETIC SURGERY

Location Address520 E CHERRY STTroy, MO 63379-1410

Mailing Address7354 Maryland AveSaint Louis, MO 63130-4201 · (314) 834-1400

Phone(314) 834-1400

Fax(314) 834-1430

Organization SubpartNo

Authorized OfficialBrandon BealMedical Director · (314) 422-6882

Enumeration DateFebruary 8, 2022

Last NPPES UpdateMay 10, 20266 updates tracked since enumeration

NPPES CertifiedMay 10, 2026

✔ NPI 1134873185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

520 E CHERRY ST, Troy, MO 63379

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Secondary Practice Location 1

Location 114377 Woodlake Dr Ste 111Chesterfield, MO 63017-5735 · Phone (314) 834-1400 · Fax (314) 834-1430

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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)

St. Louis Dermatology & Cosmetic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to St. Louis Dermatology & Cosmetic Surgery, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brandon Beal, MD

Dermatology

NPI 1902291784

520 E CHERRY ST
Troy, MO 63379

(314) 834-1400

✔ PECOS✔ Accepts MedicareSame address

Kayleigh Nissle

Nurse Practitioner

NPI 1740883495

520 E CHERRY ST
Troy, MO 63379

(314) 834-1400

✔ PECOS✔ Accepts MedicareSame address

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 2

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 26D2345128

St Louis Dermatology & Cosmetic Surgery · Chesterfield, MO

Active · expires Jun 4, 2028

CLIA Number26D2345128

Laboratory TypePhysician Office

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorBrandon T. Beal

Laboratory Phone(314) 834-1400

Laboratory LocationSt Louis Dermatology & Cosmetic Surgery14377 Woodlake Dr Ste 111, Chesterfield, MO 63017

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.

Certificate of Compliance 26D2259782

St Louis Dermatology & Cosmetic Surgery · Troy, MO

Active · expires Apr 16, 2027

CLIA Number26D2259782

Laboratory TypePhysician Office

Certificate Effective DateApril 17, 2025

Certificate Expiration DateApril 16, 2027

Laboratory DirectorBrandon T. Beal

Laboratory Phone(314) 834-1400

Laboratory LocationSt Louis Dermatology & Cosmetic Surgery520 E Cherry St, Troy, MO 63379

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 St. Louis Dermatology & Cosmetic Surgery's NPI number?

The NPI number for St. Louis Dermatology & Cosmetic Surgery is 1134873185. It was assigned to this organization in the NPPES registry on February 8, 2022.

Where is St. Louis Dermatology & Cosmetic Surgery located?

St. Louis Dermatology & Cosmetic Surgery is located at 520 E Cherry St, Troy, MO 63379. The listed phone number is (314) 834-1400.

What is St. Louis Dermatology & Cosmetic Surgery's specialty?

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

Is St. Louis Dermatology & Cosmetic Surgery enrolled in Medicare?

Yes. St. Louis Dermatology & Cosmetic Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Louis Dermatology & Cosmetic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to St. Louis Dermatology & Cosmetic Surgery, in Dermatology and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St. Louis Dermatology & Cosmetic Surgery hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St. Louis Dermatology & Cosmetic Surgery accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list St. Louis Dermatology & Cosmetic Surgery 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 St. Louis Dermatology & Cosmetic Surgery was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.