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RIVERSIDE PLASTIC SURGERY LLC
NPI 1255766788
Surgery - Plastic and Reconstructive Surgery in Greenville, SC

Active since September 03, 2013
24 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605(864) 697-2009(864) 697-2009 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Riverside Plastic Surgery Llc NPPES

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

RIVERSIDE PLASTIC SURGERY LLC (NPI 1255766788) is a healthcare organization registered as a plastic and reconstructive surgery in Greenville, South Carolina and active in the NPI registry since September 2013. The organization lists Brent Moister, Owner, as its authorized official.

NPPES Registry Identity

NPI1255766788
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameRIVERSIDE PLASTIC SURGERY LLC
Location Address24 MEMORIAL MEDICAL DRGreenville, SC 29605
Mailing Address24 Memorial Medical Dr Ste 106-102Greenville, SC 29605-4452 · (864) 697-2009
Phone(864) 697-2009
Fax(864) 697-2009
Organization SubpartNo
Authorized OfficialBrent MoisterOwner · (864) 697-2009
Enumeration DateSeptember 3, 2013
Last NPPES UpdateJuly 18, 2018
✔ NPI 1255766788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in SC · 36140
Definition
A surgeon who specializes in plastic and reconstructive surgery.
24 MEMORIAL MEDICAL DR, Greenville, SC 29605
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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 BlueCross BlueShield of South Carolina, First Choice Next, InStil 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)

Riverside Plastic Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverside Plastic Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brent Moister, MD
Plastic and Reconstructive Surgery
NPI 1306042254
24 MEMORIAL MEDICAL DR
Greenville, SC 29605
(864) 697-2009
✔ 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.

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 Riverside Plastic Surgery LLC's NPI number?

The NPI number for Riverside Plastic Surgery LLC is 1255766788. It was assigned to this organization in the NPPES registry on September 3, 2013.

Where is Riverside Plastic Surgery LLC located?

Riverside Plastic Surgery LLC is located at 24 Memorial Medical Dr, Greenville, SC 29605. The listed phone number is (864) 697-2009.

What is Riverside Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Riverside Plastic Surgery LLC enrolled in Medicare?

Yes. Riverside Plastic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Plastic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Riverside Plastic Surgery LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Riverside Plastic Surgery LLC accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and Molina Healthcare list Riverside Plastic Surgery LLC 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 Riverside Plastic Surgery LLC was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.