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MID-COUNTY DERMATOLOGY, INC
NPI 1295913028
Specialist in Saint Louis, MO

Active since February 04, 2008CLIA 26D0946699 · Microscopy
3009 N BALLAS RD, STE 208B, SAINT LOUIS, MO 63131(314) 994-0200(314) 994-7945 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mid-county Dermatology, Inc NPPES

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

MID-COUNTY DERMATOLOGY, INC (NPI 1295913028) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through May 31, 2028 and lists Connie Gibstine, Manager, as its authorized official.

NPPES Registry Identity

NPI1295913028
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID-COUNTY DERMATOLOGY, INC
Location Address3009 N BALLAS RD, STE 208BSaint Louis, MO 63131-2322
Mailing Address3009 N Ballas Rd, Ste 208bSaint Louis, MO 63131-2322 · (314) 994-0200 · Fax (314) 994-7945
Phone(314) 994-0200
Fax(314) 994-7945
Organization SubpartNo
Authorized OfficialConnie GibstineManager · (314) 994-0200
Enumeration DateFebruary 4, 2008
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1295913028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3009 N BALLAS RD, Saint Louis, MO 63131
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Other Identifiers 1

Other000012915MO · Medicare Legacy Number

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)

Mid-county Dermatology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mid-County Dermatology, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Connie Gibstine, M.D.
Dermatology
NPI 1255355079
3009 N BALLAS RD STE. 208B
Saint Louis, MO 63131
(314) 994-0200
✔ PECOS✔ Accepts MedicareSame address
Lawrence Feigenbaum, M.D.
Dermatology
NPI 1851633242
304 S MOUNT AUBURN RD
Cape Girardeau, MO 63703
(573) 803-3331
✔ PECOS✔ Accepts Medicare104 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 for Provider-Performed Microscopy Procedures (PPMP) 26D0946699

Mid County Dermatology · Saint Louis, MO
Active · expires May 31, 2028
CLIA Number26D0946699
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorConnie F. Gibstine
Laboratory Phone(314) 994-0200
Laboratory LocationMid County Dermatology3009 N Ballas Road Bldg B Suite 208, Saint Louis, MO 63131
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mid-County Dermatology, Inc's NPI number?

The NPI number for Mid-County Dermatology, Inc is 1295913028. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Mid-County Dermatology, Inc located?

Mid-County Dermatology, Inc is located at 3009 N Ballas Rd Ste 208B, Saint Louis, MO 63131. The listed phone number is (314) 994-0200.

What is Mid-County Dermatology, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mid-County Dermatology, Inc enrolled in Medicare?

Yes. Mid-County Dermatology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-County Dermatology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Mid-County Dermatology, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mid-County Dermatology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0946699) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid-County Dermatology, Inc 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 Mid-County Dermatology, Inc 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 Mid-County Dermatology, Inc was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.