SOUTH SHORE SKIN SURGEONS, PC
NPI 1205902665
Dermatology - MOHS-Micrographic Surgery in Braintree, MA
About South Shore Skin Surgeons, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE SKIN SURGEONS, PC (NPI 1205902665) is a healthcare organization registered as a mohs-micrographic surgery in Braintree, Massachusetts and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 27, 2027 and lists Samuel D Goos, Owner/managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 3
Accepted 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)
South Shore Skin Surgeons, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to South Shore Skin Surgeons, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 22D0961022
South Shore Skin Surgeons PC · Braintree, MAFrequently 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 South Shore Skin Surgeons, PC's NPI number?
The NPI number for South Shore Skin Surgeons, PC is 1205902665. It was assigned to this organization in the NPPES registry on November 28, 2006.
Where is South Shore Skin Surgeons, PC located?
South Shore Skin Surgeons, PC is located at 400 Washington Street Suite 200, Braintree, MA 02184. The listed phone number is (781) 380-8150.
What is South Shore Skin Surgeons, PC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is South Shore Skin Surgeons, PC enrolled in Medicare?
Yes. South Shore Skin Surgeons, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Shore Skin Surgeons, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Micrographic Dermatologic Surgery (MDS), reassign their Medicare billing to South Shore Skin Surgeons, PC. 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 South Shore Skin Surgeons, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 22D0961022) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Shore Skin Surgeons, PC accept?
Health plans from Anthem Blue Cross and Blue Shield list South Shore Skin Surgeons, PC 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 South Shore Skin Surgeons, PC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# South Shore Skin Surgeons, Pc · NPI 1205902665
MOHS-Micrographic Surgery organization in Braintree, Massachusetts. Organization record, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1205902665 (Entity type: Organization)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Samuel Goos, OWNER/MANAGING PARTNER
## Practice location
- **Address:** 400 WASHINGTON STREET, SUITE 200, Braintree, MA 02184
- **Phone:** (781) 380-8150 · **Fax:** (781) 380-8160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Micrographic Dermatologic Surgery (MDS)) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2026
- **Other identifiers:** Medicaid 9715771 (MA); Other M17207 (MA); Other M21193 (MA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205902665) · Data from the CMS NPPES public registry.