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SKIN CANCER SURGERY CENTER LLC
NPI 1699407643
Clinic/Center - Ambulatory Surgical in O Fallon, IL

Active since June 28, 2022CLIA 14D2274298 · Waiver
331 REGENCY PARK, O FALLON, IL 62269(618) 622-7546(618) 227-0098 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Skin Cancer Surgery Center Llc NPPES

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

SKIN CANCER SURGERY CENTER LLC (NPI 1699407643) is a healthcare organization registered as an ambulatory surgical in O Fallon, Illinois and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Jamie L Mcginness, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1699407643
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSKIN CANCER SURGERY CENTER LLC
Location Address331 REGENCY PARKO Fallon, IL 62269-1887
Mailing Address331 Regency ParkO Fallon, IL 62269-1887 · (618) 622-7546 · Fax (618) 227-0098
Phone(618) 622-7546
Fax(618) 227-0098
Organization SubpartNo
Authorized OfficialJamie L McginnessOwner/medical Director · (618) 622-7546
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1699407643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
331 REGENCY PARK, O Fallon, IL 62269
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin Cancer Surgery Center Llc 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 Skin Cancer Surgery Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jamie Mcginness, M.D.
Dermatology
NPI 1447291356
900 N 1ST ST
Springfield, IL 62702
(217) 528-7541
✔ PECOS✔ Accepts Medicare86 mi
Jiasen Wang, MD
Dermatology
NPI 1760045355
8316 KASEMAN CT NE
Albuquerque, NM 87110
(505) 292-5850
✔ PECOS✔ Accepts Medicare950 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 of Waiver 14D2274298

Skin Cancer Surgery Center, LLC · O Fallon, IL
Active · expires Dec 29, 2026
CLIA Number14D2274298
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorJamie L. Mcginness
Laboratory Phone(618) 622-7546
Laboratory LocationSkin Cancer Surgery Center, LLC331 Regency Park, O Fallon, IL 62269
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Skin Cancer Surgery Center LLC's NPI number?

The NPI number for Skin Cancer Surgery Center LLC is 1699407643. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Skin Cancer Surgery Center LLC located?

Skin Cancer Surgery Center LLC is located at 331 Regency Park, O Fallon, IL 62269. The listed phone number is (618) 622-7546.

What is Skin Cancer Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Skin Cancer Surgery Center LLC enrolled in Medicare?

Yes. Skin Cancer Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Cancer Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Skin Cancer Surgery Center 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.

Does Skin Cancer Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2274298) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skin Cancer Surgery Center LLC was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.