DR. EDWARD MILAN PRODANOVIC MD
NPI 1306067640
Dermatology in Saint Louis, MO

Q: What is Edward Prodanovic's NPI number?

The NPI number for Edward Prodanovic is 1306067640. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Edward Prodanovic's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Prodanovic was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

4901 FOREST PARK AVE, DIV IM DERMATOLOGY, STE 502, SAINT LOUIS, MO 63108(314) 747-8688(888) 665-8309 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2024, Sep 29, 2021, Jul 7, 2020 and 3 more (6 updates tracked since 2017).

On this page

About Dr. Edward Milan Prodanovic Md NPPES

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

DR. EDWARD MILAN PRODANOVIC MD (NPI 1306067640) is an individual dermatology provider in Saint Louis, Missouri, licensed in Missouri (2025004026) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1306067640

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. EDWARD MILAN PRODANOVICCredential: MD

Location Address4901 FOREST PARK AVE, DIV IM DERMATOLOGY, STE 502Saint Louis, MO 63108-1495

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 747-8688 · Fax (888) 665-8309

Phone(314) 747-8688

Fax(888) 665-8309

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 2, 2007

Last NPPES UpdateJuly 16, 20256 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1306067640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MO · 2025004026

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2025004026 (MO)

4901 FOREST PARK AVE, Saint Louis, MO 63108

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Milan Prodanovic Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668609777

PECOS Enrollment IDI20250807001843, I20250902002971

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Edward Prodanovic reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University

0.4 mi

Multi-Specialty

660 S EUCLID AVE
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
1,133 clinicians in this Medicare group

NPI 1992746903 (314) 747-5192

Aleksandar Krunic, MD, Sc

266 mi

MOHS-Micrographic Surgery

3000 N HALSTED ST STE 620
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1801967633 (773) 871-7000

Epidermatology, PLLC

692 mi

Dermatology

3609 BUSINESS CENTER DR STE 124
Pearland, TX 77584

Reassigned Medicare billing, Texas enrollment
8 clinicians in this Medicare group

NPI 1821567769 (346) 888-4400

General Conference Corp Of Sda

Clinic/Center

388 YPAO RD
Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
105 clinicians in this Medicare group

NPI 1275586877 (671) 646-8881

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

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

531 services333 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

447 services95 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

213 services176 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

171 services134 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

143 services143 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

123 services111 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

64 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

60 services33 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

58 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

45 services38 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

25 services25 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

25 services17 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

22 services21 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

22 services20 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

22 services21 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

12 services12 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIN LEIGH DYER MD

General Practice

4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108

St. Louis City (314) 362-5060

DR. NICHOLE GALLEGOS ZEHNDER MD

General Practice

4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108

St. Louis City (314) 362-5060

MRS. NANCY J CIBULKA WHNP

Nurse Practitioner (Family)

4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108

St. Louis City (314) 454-7882

DR. MARCIA J MCCABE PSYD

Psychologist

4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1700

WASHINGTON UNIVERSITY

Clinic/Center (Multi-Specialty)

4901 FOREST PARK AVE
SAINT LOUIS, MO 63108

St. Louis City (314) 362-3937

DR. JING-WEI HUANG MD

Ophthalmology (Cornea and External Diseases Specialist)

4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108

St. Louis City (314) 362-3937

DR. DAVID L EISENBERG MD

Obstetrics & Gynecology (Gynecology)

4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108

St. Louis City (314) 362-4211

NICHOLAS RICHARD LEVERGOOD MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108

St. Louis City (314) 362-3937

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 Edward Prodanovic's NPI number?

The NPI number for Edward Prodanovic is 1306067640. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Edward Prodanovic located?

Edward Prodanovic practices at 4901 Forest Park Ave Div Im Dermatology, Ste 502, Saint Louis, MO 63108. The listed phone number is (314) 747-8688.

What is Edward Prodanovic's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Edward Prodanovic enrolled in Medicare?

Yes. Edward Prodanovic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Edward Prodanovic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Prodanovic reassigns Medicare benefits to 4 organizations: Washington University (Saint Louis, MO), Aleksandar Krunic, MD, Sc (Chicago, IL), Epidermatology, PLLC (Pearland, TX) and General Conference Corp Of Sda (Tamuning, GU). Each 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 Edward Prodanovic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Prodanovic was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.